Hey! Sorry some of your acne came back- I was in the same situation about a year after I finished my first course - I was about 21. First of all, my derm was ok with prescribing Accutane to someone with mild-moderate acne. Here was my experience:
My acne had been moderate before Accutane and mild-moderate when it came back. It was never too bad but it was persistent and really frustrated me and made me depressed. I tried to go back on Accutane when it came back and my derm was very hesitant. He said that he wanted me to wait until I was 24 or so because for most of his patients 24 was like the "magic age" - meaning his patients that took Accutane after the age of 24 tended to have permanent remission. I was 21 or 22 at the time. He still prescribed it to me though. However, in the next couple days I made another appointment because I decided I didn't want to do the second course without trying out something else first.
I never thought my acne was hormonal (It doesn't have the normal hormonal pattern of being on the jawline - it's more on my t-zone) but I tried Spirolactone. And it acutally worked! After about 2 months I was totally clear and stayed pretty clear for about 3 years. But recently, at 25, I started breaking out again and now I'm 2 months into my 2nd course.
So that's my experience! I'm planning on doing something for maintenance after this course - maybe Retin A - and I'll start the Spiro again. Are you using any topicals or other medications now?
On the off chance you live near Seattle, I can recommend my Dr.!