I too need to take the pill to control my hormonal acne, it's a small price to pay. I've used the time on the pill to focus on my skin care regimen and finding topicals that help my skin. I am hoping that when I come off the pill to have a family my topical regimen will see me through the worst of it and if I'm blessed to have a child then I'll be straight back on the pill once they are born, assuming my skin flares up, it might not I suppose. Being on the pill has totally cleared my skin up so it's been easier to stick to a topical regimen, finding what works best with my skin, and I'm hoping that this consistency with my skincare will help when I need to come off the pill. Don't get me wrong I think my topical regimen helped clear me up as well but the pill really helped with the hormonal flare ups.
Good luck in whatever you choose.