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I've had an experience just like that recently. My skin was clear for years (after a traumatic random and sudden adult acne breakout), and then when I stopped the BCP (Diane 35) a couple months ago I had another massive breakout. Was truly horrible - depressed, crying, didn't want to go outside. The way my derm explained it, he says stopping the pills caused a massive hormonal swing. Diane 35 is an anti-androgen so it controlled the acne producing male hormones (androgens). He said it was totally normal that I was breaking out and feeling really emotional given the hormonal changes when I stopped the BCP. BCP stay in your system up to 6 months. Although they stop being effective (i.e. acne will start up before then), they are still in your system -- my regular doctor said women should wait 6 months before trying to get pregnant. There is a test available to test your levels of androgens and other hormonal levels. It could help you to figure out if your acne is purely hormonal or there is another underlying cause. Once you know, you can start working on an anti-acne plan with your derm for when you want to get pregnant and stop the BCPs. I know just how you feel - it's really scary. I'm still figuring out what I'm going to do too. My derm seems to think that once I clear up again completely that we can figure out a "maintenance" program that won't interfere with pregnancy.

I don't know if you've got it back under control. But in case you haven't, my derm has me on the following: back on the Diane 35 plus the following to control/fix what happened when I stopped the BCP: minocin (1 month supply), vitamin A gel (once per day at night) and clindets (topic antibiotic). It's been about 2 weeks and already the post-BCP break out has totally stopped and what was there is clearing up nicely. Really feels (and looks) like a miracle.

Hope this helps a bit & good luck : )

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