I mean if you had acne before, it’s very likely you will get hormonal acne when coming off the pill, and to note the first “period” is just your withdrawal bleed and you may have very irregular periods as your body will be getting used to making its own hormones again which may cause anxiety about missed periods while being sexually active. It will also take up to 12 months to fully adjust to being off of it and it’s not advised (if you decide you want to get back on birthcontrol) that you do so within a certain amount of time after coming off because it can increase the risk for blood clots.