I am married with a 4 year old. I neeeeeed contraception. Haha I decided to go with Nexplanon ("Implanon" at the time) simply for the fact that I was scared I would miss pills (I am scatter brained and never in the same place every day). After getting my second one (not sure why, but the first implant did not break my skin out) implanted in late July 2013, my acne kept getting worse and worse. I have "normal" skin. I'm not dry or oily, but I was getting some MAJOR breakouts. In March I was fed up with it and paid the $300 to get it removed because I had not had a good skin day in a straight 3 months (my upper back being worse than my face) and I was getting super self conscious about my skin. It was just a nightmare and I didn't care about anything other than getting my skin cleared up! It is now August 2014 and my skin is PERFECT (it did take some time. Probably 3 cycles of the ortho for my skin to heal and I did experience breakouts during the transition) I don't take my clear skin for granted now, and it is even better than it was before I had my son. The estrogen makes your skin clear up, but I have also COMPLETELY stopped picking at my bumps. That is hard to do, but your skin really needs to heal. I also use Dr. Bronner's liquid soap after exfoliating back, chest and face once a day with a soft bristle brush I got at Wal-Mart (it's like a Clarisonic with a long handle to reach my back). The Ortho has cleared my cysts and the exfoliation and awesome soap has cleared whiteheads and blackheads! It's awesome and I am absolutely loving a predictable period. As for keeping on track with taking the pills, I always keep them in my purse (just in case I'm not home) and my alarm goes off at 9 every nignt. If I'm home, I just get the package out of my purse and take it. Also I'm only allowed to silence the alarm AFTER the pill has went down my throat haha. ;) hope this is helpful and gives some hope to someone!