heres my story, Ive had acne since I was 12, it was always mild but last year it got out of control, my skin was really oily and I had cysic breakouts along my jawline and chin...typical hormonal acne. I found that I have PCOS . My male hormones werent specifically high but some people are oversensitive to them. I took birth control in the past which caused weight gain (ortho-cyclen) this time around a specialist said to try yaz, I tried it and within 4 months my skin was clear. I also take an anti-DHT supplement, saw palmetto seems to agree with me as I have no issues with it. a.p. mentions zinc and biotin and nettle also, I take a supplements called Hairomega 3-in-1, it has all of these and more, it was formulated for hair loss but works for acne as well.
Yaz is one of the few birth controls which typically does not cause weight gain, I know several women who are overweight and actually lost weight on yaz. I asked the doctor if the risks were higher than any other bc pills ( stroke, blood clot ,etc) he said any bc pill has the same risks .
Im happy with yaz, its been 9 months and my skin is clear, I mean, so I dont have to wear make-up. me, the girl who wore make up since I was in 6th grade...! It isnt ideal, I wish I didnt have to take anything but diabetscs dont want to take insulin Im sure. Its a amtter of what you can live with.
ps All acne is hormonal, unless youre wearing oily foundation and not washing your face. Good luck I hope you find something which works for you.