To all those suggesting accutane: as of right now, my acne is probably not bad enough for a dermatologist to prescribe accutane. While it is definitely persistent and moderate, I don't get cystic acne as much as I did back during my teenage years. No doubt I would have probably been prescribed accutane had I gone to a derm back in my early teens, but atlas (and regrettably) I did not. Although, with how many derms now-a-day prescribe accutane like it's candy maybe it's just a matter of finding the right derm. I was actually going to a derm for the past 2-3 years, but stopped going as of last summer. He had me on antibiotics which worked well originally, of course, but then I built a resistance (started on Solodyn, a time-released minocycline then bumped up to Bactrim). But he didn't really care, and kept writing prescriptions for Bactrim after being on it for ~2 years. Not only was it not really doing anything by summer of last year, but I was not comfortable taking an antibiotic long term, so I decided to stop going to him. Not to mention the fact that the guy had the personality of a ham sandwich.
But my feelings about accutane are mixed, and I find myself reluctant to make that step. Certainly there are many days where my frustration with everything just has me saying "fuck it, I don't care I'll take it if it means an end to this" but part of me still just isn't comfortable with taking such a strong and potentially dangerous medication unless absolutely needed. I know, there are so many positive stories compared to the negatives, but it's still something I'm just not 100% comfortable with yet. Eventually I'm sure I will seek it out though, simply out of pure frustration and an "last effort" type of feeling.
Oh and to the user who mentioned about seeing a prostitute, I like your thinking, haha. And trust me, I have considered it. Like you, I don't consider prostitution immoral or shameful. But my luck is so bad that I know whomever I would attempt to solicit from would end up being an undercover cop or something. But at this point, I think I have no other options. If you don't hear from me again, perhaps I am in jail!