I was diagnosed with PCOS while trying to get pregnanct 13 years ago my only symptom was severe cystic acne was on combo birth control all these years but started suffering from massive sleep issues and found out i had no progesterone from the pill suppression so went off of it and working with a functional med doc to balance my hormones and see if i can live off of the pill but the horrible cystic acne has returned anyone have any success being off of the pill with acne and if so what works?