I've been reading this board for about a month, but only registered just now and am posting my first reply to let you know that I used Ortho Evra for about a month and started to break out horribly. After I stopped my acne persisted for about 4 months!!! Before using Ortho Evra my skin was pretty clear (I had very mild acne a few years ago, but my skin was looking rather nicely for the several months leading up to the Ortho Evra). I'm on my way to clear skin again (only one zit as we speak and it's pretty small . . .but now I have to deal with the hyperpigmentation due to the breakout). My whole experience with the Ortho Evra turned me off to hormonal birth control completely. By the way, I've gotten clear from using Duac and Neostrata AHA 15 Face & Body Lotion in the morning and Differin and Neostrata AHA 15 in the evening.