Hello, Thank you for posting on HealthcareMagic. I appreciate your concern regarding Acne and i will try to answer your queries in best possible way. Acne, as you must be aware is a pretty common condition affecting majority of teenagers. It is caused chiefly due to hormonal influence and clogging of pores and followed by infection and inflammation. It has tendency for recurrence and complications like pigmentation and scarring, thus mandates proper treatment at the earliest. Treatment usually depends on severity of of acne. For the accurate grading thus management you need a proper examination by a dermatologist or atleast you can share your pics in a direct query, so i can advise you in a better way. Ginette 35 contains Ethinyl estradiol and cyproterone actetate. These drugs work at hormonal level and thus prove fruitful in resistant cases of acne. Moreover, since you are having chronic history of acne, i would suggest you a full hormonal profile to detect any hormonal abnormality which can secondary cause acne. Usually in my patients, I advise proper course of oral antibiotics (Azithromycin, Clarithromycin etc) with or without oral isotretinoin for few months. Additionally, I advise use of a cream containing nadifloxacin/clindamycin twice day and a gel containing benzoyl peroxide and adapalene for few months. This combination of benzoyl peroxide and adapalene is one of the recent advances in the treatment of acne and has wonderful results if used in a right way. Your local doctor will know about these drugs. Apart from home-based treatment, in your case, I strongly advise procedures like chemical peeling and laser and light therapy. These procedures work way lot better in reducing your acne burden as well as take care of associated complications like pigmentation and scarring. Use good quality face wash and a moisturizer on regular basis. Avoid junk food as far as possible and include plenty of fresh fruits and vegetables in your diet. Hope this will take care of your condition. Kindly spare some time to rate my answer and drop your valuable review at the following link: http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169 If you require any further assistance in future, you can reach me directly through the above mentioned link. Thanking you Dr Hardik Pitroda