Hi Dayl, I had terrible acne as a teenager and was on Diane also, I was also on some medication and had a very strict facial cleansing routine. It did ease up but I still suffered from the occasional break out. Since getting pregnant I have had the most horrible skin, reminds me of being a teenager again! Anyway, I use a soap called 'soapaderm' or there's another one starting with G that is sold at the supermarket in the soap section. I wash with this morning and night. I also use garnier pore tightener, and oil of olay moisuriser - the one designed for acne prone skin, has salacylic acid in it. I always wash my make up off with garnier wipes. This morning and night routine is the only thing that keeps my skin under control. It is definitely hormone related and I'm hoping that once baby is born and my hormones return to normal that my skin will return to normal too. Good luck, I can really sympathise as I understand how embrarrasing it can be.