I am thinking to start my acne treatment with Accutane soon and feeling very nervous about any side effects or any negative consequences of this treatment in future. I am 30 years old and I still have very severe acne problems on my face. If I decide going on Accutane, I will required to have mu tubes tied. I am worried if I will be able to get pregnant in future after that. I have never ever been pregnant so far. Will tube ligation cause severe damages to my birth-giving potential in near future? But I wonder why contraception is not enough while you are on Accutane treatment. My second question is actually about contraception. I really don't want to change my contraception medication that I am used to, to something different. I am currently taking Diane 35. I wonder if it is OK for this specific sort of treatment or I should try a stronger contraception?