### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi i was wondering whether you could help me. I have had bad acne since my teenage years i was put on Dianette at the age of 14 up to around 26. i then tried various pills cilest, Ovranette, Loestrin 30, Femodene , Marvelon all of which have difference side effects they did clear up my skin. I then decide to have a break from the pill for around 6months but then my acne came back. I then went back onto Dianette as this was the best pill for me with minimal side effects. I have now been taking this for 4-5months and my acne is back on my forehead, chest & back. I went to the Doctors today & he now has told me to come off Dianette & now try Tetrlysal for 48 days. Would you say this is the best option or to continue with Dianette as this has been success in the past. i have also noticed excess hair grow aswell & a little weight gain. I go to the gym 4-5 days a week & i eat healthy.

### output:

Hello thanks for posting your querying is a worldwide common problem of younger age group. The treatment depends on many factors like staging of acne, frequent recurrences, family history, tolerance of medications, side effects of Chat Doctor. Your doctor must be right in deciding that you may have to stop Dianne at this stage. Antibiotics like tetracycline, doxycycline, minocycline, azithromycin, clindamycin can all be given with lesser side effects. Of course antibiotics will reduce only one causative factor for acne i.e. bacterial colonization felt better because Dianne is an anti an