For me, what worked after coming off birth control was vitex/agnus castus, in combination with evening primrose. Saw palmetto wasn't as effective for me. However, if you choose an herbal treatment, you must get your hormones checked every few months to make sure they don't go off balance. I took the vitex for longer than I needed it, and it caused me another imbalance as a result. So, in trying to balance some hormones, try not to upset other ones. I haven't heard of drilling before, are there risks involved?
EDIT: I just googled ovarian drilling, and it seems that it can actually increase acne in some women. My guess is that, because it triggers ovulation, it also increases the chance of ovulation-related breakouts, which can be worse than premenstrual breakouts. A scientific study showed that:
Among women with hirsutism (n = 43) and acne (n = 25), 10 (23%) and 10 (40%) respectively experienced long-term improvement after LOD. CONCLUSION: LOD produces long-term improvement in menstrual regularity and reproductive performance in about one-third of cases. A modest and sustained improvement in acne and hirsutism can be expected in ~40 and ~25% of patients respectively.
So really, you would be doing it more for regular cycles than for acne, since there's no guarantee that it will help with that.
And by the way, Germany has some of the best homeopathic practitioners and also has some amazing homeopathic pharmacies - there's even one in the Munich airport. You should take advantage of that, and go see a good naturopath/homeopath in your country if you don't want to take pills.
Edited by WishClean, 05 August 2013 - 11:47 PM.
Supplements: inositol, DIM [not as frequently now!] digestive enzymes [don't need them every day anymore, only on cheat days], herpanacine & vitamin C with rose hips/ low acid [not every day], regular sun exposure for vitamin D3, superoxide dismutase (SOD) enzyme supplements, magnesium citrate [sometimes].
Lifestyle & Skin Care: Low histamine diet, avoiding unnecessary stress, balancing skin's PH (using Image Ormedics), using distilled/ filtered water to wash face, occasional high frequency facials...
Grocery list: http://www.acne.org/...y-grocery-list/
** Find the cause, find the cure **
** If you have a question for me, please ask it publicly so that others can benefit from the discussion**