I have struggled with adult acne since I was a freshman in college and I've tried every home remedie, over the counter medication/scrub, acne regime, TV infomercial product, change in my diet, different sheets, clothes, laundry detergent there is to try and nothing has worked. The ONLY thing I haven't tried is seeing a dermatologist mainly because I've never had health insurance and I didn't want to spend a fortune. Also, in extremely caustious about taking a pill that has multiple side effects. That's the reason why I don't take a birth control pill. My biggest fear is trying a pill that makes me gain weight, makes my symptoms worse, or makes my acne worse.