I finally found a moisturizer that works really well! It's 'EltaMD AM Therapy Facial Moisturizer'. Mind you it's pricey, but it rates really low (<2) on the COSDNA rating. and It does a great job moisturizing.
Not sure where you live - but there is also one made by 'CeraVE' , also the AM moisturizer which is a lot cheaper but also works very well and is non comedogenic.
You could try an oil like jojoba or hemp oil. Coconut oil seems to break a lot of people out and I have personally never heard of milk as a moisturizer. Jojoba oil (which is available on this site as part of the Regimen) doesn't agree with everyone either so it can be trial and error. Hemp oil is the only oil that has an "0" rating on the comedogenic scale which means there is absolutely nothing in it to clog your pores or irritate your skin.
Sorry to hear about your outbreak.
I have heard of people getting acne from fish oil pills, especially if they are not of high quality they can even be rancid. What type were you taking?
Never heard of zinc or vitamin d causing acne but that doesn't mean it can't happen.
And you didn't change your diet at all?
It usually takes 3-6 months to see the full effect of BP so if you have only been on it for a month then you need to give it more time. Don't give up on it and try something else just yet. You need to be patient, even if it is hard. After 4 months of using BP if there is no improvement then you might want to try something else.
Just my opinion.
My daughter had moderate acne and her dermatologist told her not to use her clarisonic mia brush (which she had just bought!) because he said it would most likely not help her acne and could very possibly make it worse. He said even the softest brush to use with the mia 2 can cause irritation for people who have acne and spread the bacteria around. He feels that gentle is better so she just washes her face with her hands (not even a washcloth). Her face has improved greatly (she is also using topicals he prescribed however).
Of course everyone reacts differently and it may work for you so this is just my two cents worth!
I think it is wise of you to get input from people who actually have acne rather than people who have perfect skin.
I am not a doctor but it sounds to me like your acne is completely hormonal. I say this because the times you mentioned that your skin got worse, when you had an abortion or stopped taking birth control pills, are all times when your hormones are thrown out of wack, plus the fact that when you took Diane 35 it cleared you up.
No antibiotics will clear it up and keep it clear, plus it is not good to be on antibiotics for a great length of time (again I am not a doctor but everything I've read suggests this).
In my opinion you should find a birth control pill that works for you and will also clear up your skin, Valette was obviously not the right one, you may have to try a few as they work differently for everyone. Apart from helping your acne you need to be on birth control for the purposes of birth control as it does not seem wise to keep having abortions (again, just my opinion).
Or alternately look at natural ways to balance your hormones through supplements, vitamins etc.
But please address your birth control issue as well.
I tend to agree with megtree, you seem to be using too many strong products at once.
My daughter was prescribed a retinol by her dermatologist and a bp product (Benzaclin) and was told to use the bp in the morning and the retinol at night only, and never use them together (as megtree mentioned) because the bp can render the retinol ineffective.
However if you are finding success with your regimen then I am not trying to dissuade you from continuing.
My daughter used the Eminence line of products for about 6 months (at the advice of the lady at the spa where she gets her facials) and this is what she found:
-she like the way the products made her skin feel
-she felt good about using products which were supposedly 'organic'
-her skin (acne) did not improve whatsoever
-when she looked up the products on www.cosdna she found that they all had ingredients that were irritants and chemicals and were not actually 'organic' at all
(they also get very poor ratings on www.beautypedia.com)
So I think that if you have skin problems these products will most likely not clear them up and may in fact irritate your skin if you are sensitive. You can certainly find much better products, especially at the cost!
Which birth control are you on? Some actually make your skin worse so you need to be on the one that is right for your hormone imbalance.
Do you moisturize? Use any natural exfoliants? (ie. baking soda)
My daughter was prescribed Benzaclin by her dermatologist after trying numerous other topicals and by three months of use she was 90% clear. ( Of course different products work differently for everyone)
My daughter used Aczone for three months and saw no improvement, but everyone reacts differently so it may work for you. Her dermatologist then put her on Benzaclin and within 2 months her face has cleared up 90%.
She has never tried Ziana so I can't comment on that.
Hope you find what works for you!
You sound like my daughter, she had a lot of trouble finding a moisturizer that she likes, that didn't cause breakouts and was moisturizing enough after applying her topicals. But she found one that she loves it is EltaMd AM Therapy Facial Moisturizer. If you check on www.cosdna it has no irritating ingredients. If you want to use an oil as a moisturizer try hemp oil it is 0 on the comedogenic scale.
Try and not be too anxious because in my opinion stress can make your skin worse.
Despite the many horror stories you read about people breaking out badly after going off bc pills (which I believe are true) it does NOT happen to everyone! Keep in mind that people are more likely to comment if they have had a very negative experience.
My daughter went off birth control last fall and her skin has remained the same as while she was on it - not 100% clear but about 80% clear which was exactly the same as when she was taking bc pills, it never made her skin perfect.
I think you are right that you are ahead of the game by being on spiro for a couple of months already. You may very well have no skin issues at all!
If you google ' how to go off birth control without breaking out' you will find several websites/blogs that have suggestions to stop your skin going crazy after going off birth control. Another website I like is by is called The Love Vitamin (I think) Anyway there are a lot of suggestions on how to balance your hormones which might be helpful!
Good luck to you!