I'm a 27 y/o female who has battled hormonal cystic acne for 13 years mainly on my chin & jaw line area. A few months ago it got really bad after I moved 4,000 miles away from home. I finally seen a derm who basically told me that we can be as aggressive as we want & she brought up accutane. I've read & heard bad things about it & I didn't want to go on Birth Control as it's already bad for you body. Anyhow, I decided against accutane and started on a round of Doxycycline Hyclate 150mg a day. At first it broke me out but I noticed it starting to get better. Fast forward 4 months & here I am again with my hormones raging & my cysts coming back. It's not horrible or all over my face, it mainly resides on my chin but they get big enough & painful enough where I don't even wanna leave the house. I saw my derm again yesterday & this time she really feels like accutane is my last & pretty much only option. "It'll be life changing for you, you're the perfect candidate" so I called my PCP & had her prescribe me some birth control pills & I am going in this afternoon for my 1st of 2 pregnancy tests before I can start on accutane. I've read an equal amount of good & bad reviews & am battling myself so much as to what I should do. At this point in my life I am just tired of hiding away every time a new cyst pops up and no matter what I do, it always comes back... Help! :(