Acne... please help.

I have had acne since I was 10. Around 14 it got really bad and was even all over my chest and back. I tried prescription medications, even acutane ( I stopped as it was making me depressed). I am now 24 and always have pimples on my face.. but I'm noticing that they are getting worse again. :-( I just got off my birth control I'm April and I am TTC #2. I so desperately want to have at least moderately clear skin. Any advice, tips, or alternatives I can try ??