I've been reading your posts and I just wanted to add my dianette experience . I've been on and off it for 9 years now . I am nearly 3 months in restarting it after having a baby and I've had an initial breakout this time around which is finally subsiding . My skin was really bad the other times I started taking it so I probably wouldn't have noticed it getting a bit worse in the beginning tbh . I do remember that although after about 4 packs of dianette there was a huge improvement in my skin I did still get spots periodically the entire time I was on it . I would be clear for a few weeks then a couple of huge spots would come up and take ages to go then I'd be clear again for another few weeks etc !.
Personally I find diet doesn't make any odds to my skin as long as I'm drinking lots of water . The worst thing for me is sleeping in my make up - guaranteed to cause a breakout and not always the next day either so I didn't automatically make the connection at first .
I find taking zinc and b6 vitamins really help too btw .
My doctor prescribed me duac ( cream ) and I think it's really good but does take a few weeks to become effective .
When I came off dianette in the past I had really bad breakouts which forced me to start taking it again that worried me as I was always told not to take it long term ( although my doctor has changed his mind on that ) . When I was trying to get pregnant ( I obviously had to come off dianette !) I took a herb called agnus castus which I found was brilliant , it is meant to increase fertility as well as help with acne and it did both . My skin was better on that than dianette and I got no post dianette breakout either which was amazing . I would highly recommend it to anyone who wants to come off the pill to conceive. It can't be taken at the same time as the pill though and personally I don't want to risk taking something that increases fertility whilst not on the pill just in case !!!.
I guess my main point is that you might find that dianette doesn't stop you getting spots altogether and that you may well breakout again after being clear for a while . I know how badly it can affect your mood and all I can say is make the most of the times when you feel confident about your skin
As I've decided it's safer to be on the pill i think dianette will always be the best choice while I have acne prone skin .