One year and five months into spiro, my skin has never been 100% perfect always. It has improve4d dramatically, and I appreciate it greatly, but it's just such a tease when my skin looks flawless for three dasys and then I get a few pimples. So, I just decided to go on birth control. I've been taking Ortho-Tri Cyclen for six days now, and it hasn't seemed to give me any adverse effects. I'm not terribly moody, not craving massive amounts of foods, and I haven't had any big pimples since being on it. I really hope this new step helps me achieving completely flawless skin, even though that's a lot to hope for.