Dear R.,
I've had acne for many years. I'm in my forties now and my skin, though scarred from the previous breakouts over the years, is relatively clear now. My skin is very sensitive,and I believe it is largely contributed to using so many acne products which dry out the skin. I too, used the pill in my child bearing years but I had't really thought about it contributing to my acne. (?)
My remedy: I only wash my face once a day, usually at night in the shower. In the morning, only if my skin feels oily/slick than I'll rinse it once with luke warm water, but water only.
I use DIAL soap - liquid (shower wash/body wash-whatever it is). If my skin feels dry/tight afterwards,and I usually wait 10-20 minutes to know for sure, I dab Johnsons CREAMY baby oil on the spots that feel dry - but not too much, especially if you have hot flashes or night sweats.
It took about a week for my skin to respond to the process, and after the second week my face had less acne than any other time in my life. Somewhere between 3-4 weeks my friends started to notice. My skin has been consistently clear now for several years since I started the process. I'm afraid to use anything else. I have scarring like I said, but as time has gone by even they have faded.
It's an effective remedy for me. Sometimes the dial feels harsh or my skin doesn't feel like it needs it,so I'll just rinse my face. You'll have to play around with your own frequency, but I'm sure more than once a day is too much.
I also dry my face with a paper towel. I keep a roll near my shower. Pat dry and throw it away. You'll go through paper towels of course, but you won't keep putting the bacteria back on your face like you would by using the same bath towel.
I hope it works for you, but like anything else you've tried, you'll know pretty early on if this is your remedy.
I hope this helps.