I have found for myself, I did not do well on any Tri-phasal BC (Ortho Tri-Cyclen) and always continued to break out. Once I switched to a monophasal BC, my face cleared up much much better. I have tried so many, too many to list and Alesse was one that made me break out the most. I did my research from that web sit and others reviews by consumers and looked at all my problems, (acne, breast tenderness, headaches, and etc) and then asked doctor for that pill. It worked and now that I have found the right one, I am feeling a lot better with those problems, especially my acne. My sister-in-law uses a gylcolic acid cleanser in the AM and BP cleanser at PM and 2%SA pads at PM, and her face is looking beautiful. I am actually getting jealous over her results. She swears that's all she has changed. I couldn't tolerate her 12% Glycolic, so I think I might look around for a lower % to try every few days too. Good luck.