As a teenager I only a few break outs here and there. My first child was born when I was 18 I still had no trouble with my face. Clear skin. Then at 26 my second child was born. During the pregnancy I started getting major breakouts that never left me. I was left with cystic acne! It wasn't as noticed by others as it was by me. Most of the time they were very painful and very deep in my skin. I am 30 now and the mother to 3 wonderful children. I have been on many antibiotics and many prescriptions topicals for my face. I also had tried a testosterone blocker. It worked a little but not near enough! NOTHING worked! I finally talked to my Dr. about Accutane. I researched it and knowing all the side effects decided it was worth it for me.