Your story sounds very similar to mine. I have been suffering from acne since I was a teenager (I'm now 32) and in the last few years it has worsened. I link the worsening to trying, unsuccessfully, to go off birth control in 2004. I went back on birth control and then tried all the routine treatments derms recommend--antibiotics, differin, etc. Though going back on bc helped and at times my face cleared, nothing worked as well as I wanted it to and when my skin was bad, it was really bad.