Acne (for 7 years) and BC options

Jessica
Im 20 and never taken Birth control. Ive had acne since I was 13 and ive tried everything. Nuetrogena, proactive, dove, clearisil, burts bees, st ives, black soap, activated charcoal facewash, mint julep avocado mask, antibiotics, and topical antibiotics. Nothings worked. Even having a baby didnt work (not the reason I had him haha)! So birth control is all thats left. From my research im leaning towards the pill, but id love the mirena but doubt my insurance would cover a dermatologist. Experiences if anyone knows someone or has been in my shoes acne wise. Which is a better choice? Im breastfeeding for at least 4 more months. I gotta choose so I can reschedule if necessary. Thanks!! So new to BC!

Vote below to see results!