Having suffered with acne for many years, I can really sympathise with all here.
Acne began as 'teenage spots' when I was about 13. Tried various topical lotions and potions, some over-the-counter, others by prescription, but none worked. The worst was benzoyl peroxide (Retin-A) cream which made my skin red, dry, and peeling - and bleached my clothes, bedding and towels. The spots just got worse and developed into acne.
At its worst, I had huge, painful pustules on my back (which would often burst leaving spots of blood on my school shirts) and fortunately smaller but still very noticeable spots on my cheeks, chin and jawline. The texture of my skin was revolting - rough like sandpaper. I was bullied terribly at school and acne has definitely had a long-term effect on my self-esteem.
Eventually a new and sympathetic GP prescribed Oxytetracycline, and I took it for about 10 years! It improved my skin tremendously, and although I still got a few spots, I actually started to feel normal again. Unfortunately my skin was (and still is) horrendously oily. I took Oxytetracycline for so long basically because my GP seemed happy to keep signing the repeat prescription requests and I was too scared of the spots returning to stop taking it.
The real turning point for me came when I started taking the Pill (for contraceptive purposes!) I started on Marvelon, which was great for my skin - for the first time since I was 13 it was completely clear. Unfortunately the 'Pill scare' then came along and I was switched to Microgynon. This didn't suit me at all and I started to get big, pus-filled cysts along my jawline and neck. In a panic, I went to see a different GP from my regular one, who was away. He put me on Dianette - the only thing that has ever improved the oiliness of my skin - and I have to say it was brilliant. Stayed on that for about 6 years until they discovered it's a high-dose pill which can cause DVT and liver damage. I did find it gave me quite bad headaches just before a withdrawal 'bleed' and DH reckons it made me moody. After that I took Yasmin for just a few months before we decided to try for a baby.
For the first 6 months after I stopped taking the Pill, my skin continued to be fantastic and I honestly thought I'd never see acne again. Wrong. Around the time of our first wedding anniversary I noticed some big, cyst-like pustules on my shoulders. These soon spread all over my back. The only plus has been that they haven't appeared on my face, although that's changed since I've been pregnant!
Went back to GP and was prescribed Erythromycin, which is the only oral acne treatment deemed to be safe if ttc or pregnant. I took it for about 6 months in total and it did improve, although not completely clear, my back. I stopped taking it as soon as I knew I was pregnant though, as I just didn't want to take a risk with the baby. My skin has been horrible so far! The spots aren't too bad on my back, but I now have a load of small, rashy ones across my chest which means I haven't been able to wear vest tops this summer as I'm too self-conscious. DH keeps telling me to ask the GP for some topical treatment but after my previous experiences, I'm not keen.
I'm now 11 weeks pregnant and the spots are a bit better than they were, but my chin is also quite spotty. What Dermalogica products do you recommend as I'm keen to try anything - at the moment I used Clinique foaming facial wash and Dramatically Different Moisturiser. My skin is oily but also dry and flaky, if that makes sense. I exfoliate regularly but it still seems to feel rough.
Really tempted to go back on the Pill after the baby's born. I don't really want to, as I feel I've spent far too many years on it already, but I don't want to live with this for the next 'x' years. DH doesn't want me to go on the Pill again either, because he's concerned about long-term risks (breast cancer etc) but not sure what other alternatives there are apart from antibiotics.
Sorry for long post, but it's a subject particularly close to my heart.