I completely recommend Ortho Tri-Cyclen to clear your acne.
Just a warning, the first three months were VERY difficult. I initially tried to take my pill right before bed to avoid the hunger I heard about, but it didn't prevent the hunger - it just woke me up in the middle of the night with a horrible feeling like extreme hunger. So, I started taking it at noon right before lunch and that fixed everything. I also felt my mood get very weird, like indescribable. I almost stopped, but when a girl I knew said it took her three months to get used to it, I decided to stick it out. It's not like it's impossible, so don't think your mood is going to get so bad you can't stay on it.
After about those three months, my mood was back to normal and my skin is SO much clearer. I can now take the pill right before bed and have no bad side effects - or any at all.
I also gained about 10 pounds, but I think it is preventable. I am 5'7" and before I started I was about 118 lbs - after being on it about 5 months I was about 128. However, I also had just started college and my diet was poor, and I also wasn't on the strict workout regimen I was before going on the pill. Altogether, I think I can lose the weight by getting back on my workout and diet regimen, it just won't be AS easy as without the pill. But it's not impossible!
Lastly, my boobs grew from a 32D to a 32DD... which I'm not happy about. It's annoying to have to buy new bras, but it's worth it for the great skin effects. I'm sure they'll shrink when I'm back off it anyway.
BOTTOM LINE: I completely recommend Ortho Tri-Cyclen, ESPECIALLY if you have tried other medicines that don't work. I've gone through one antibiotic pill that worked and then stopped after about a year, one that never worked, and then another that worked alright. Finally I asked my dermatologist for the pill, because I kind of knew mine was hormonal due to my breakout patterns. Now I only get a few little zits when