Controlling acne while TTC?

I've had cystic acne for years and was on 3 6-month therapies of Accutane which made my joints sore as hell and I'm only clear for about 3 mos then the cystic acne comes back again. Was placed on BC to somewhat regulate it and now that I'm off BC for 5 mos, my face is a MESS. My acne is way worse to the point that I have it up to my hairline, my back, neck and chest. It definitely takes a shot to my confidence. I've not changed any cleanser as well as moisturizers. Anybody in the same boat? Tips?