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Ortho Tri Cyclen is acually NOT the ONLY pill recognized for acne treatment at all. It's the only one that has been tested and passed by the FDA to improve acne but there are many many other pills that help treat acne the same or even better than Ortho Tri Cyclen. Yasmin is a very popular bcp that helps with acne and I think I have heard much more success from people using Yasmin than Ortho Tri. Personally, Ortho Tri Cyclen didn't work for my face at all and I didn't like how it is tri-phasic (a different amount of hormones each week you take the active pills). Diane-35 is also great for acne but Genn is right about the fact that it has a much higher risk of side effects. Others I have heard for acne are Mircette, Desogen, Ortho Cyclen, and OTC-Lo. There are so many more besides those. If you look around on the internet you can find a chart of the most androgenic bcps (most likely to cause or increase acne) to the least androgenic (most likely to help balance hormones and help acne). Every person responds differently to each pill so it's kind of a trial and error thing sometimes.

Before I ever had skin problems I was put on Alesse bcp which pretty much started my mild acne problem. After a year when I finally realized that a bcp can cause your hormones to freak and give you acne, I decided to change to OTC which didn't do anything like I said. Finally I changed to Yasmin and finally have my clear skin back with an occasional pimple that heals pretty quickly. Good luck and I would just talk to your doctor or derm. and tell them that you would like one that helps with skin but if I had to recommend one and from reading on this board, a lot of people seem to have success with Yasmin.

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