HI! I developed cystic acne after starting and stopping Ortho Novum 777 when I was 16. My acne never went away and I am 24 now. I have since tried: Yasmin, OTC, Alesse and Tri Levlen. I could never continue to use them because of bad side effects. I have been on Ortho Evra for 5 months now and I dont have any side effects but, it hasnt helped my skin either. I was going to switch to Nuva Ring tomorrow but, I dont know if I should even bother. I have also been on antibiotics, accutane and many topicals without luck. I'm so depressed and frustrated with it! What pills (if any) have helped your skin? Tha nks.