I began taking Ortho Tri Cyclen birth control in November of 2012 and it absolutely destroyed my skin for 3 months. The before pictures were taken in January 2013 and the after pictures were taken in May 2013. I think my skin is finally getting used to the birth control and I've been on Retin A for about 9 weeks. I also use PanOxyl 10% face wash and take a daily probiotic. I still get about 2 or 3 pimples a week and have a lot of post inflammatory hyperpigmentation but the Retin A seems to be helping with that.