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I know you are really worried about trying accutane but honestly how many people do you know that have had more bad come out of it than good? I have read so many posts on here from people saying how much it changed their life and how they wished they would have tried it a long time ago. I have my acne under control right now with Yasmin birth control and Doxycycline but if it ever gets bad again I know I will go for the Accutane. Sometimes you just have to take leaps of faith! I really think that you need the birth control more than anything because your acne sounds very hormonal. You say all birth control pills have given you migraines? Which ones have you tried? My friend used to have migraines constantly on the pill and finally she started Yasmin and her skin cleared and the migraines were gone! You just need to find the right pill for you. I am on Yasmin as well and I love it! But it took alot of experimenting to find that it was the right one for me. I just thought I would suggest some things because you sound miserable and I hate that for you! You just have to get over your fears about these medications or you will never be happy. Hope I helped. :)

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