Well I first had the Paragard, which has no hormones, and I broke out like crazy. My mom has always dealt with acne so I knew that I was just prone to it and that the pill had kept it at bay. I used antibiotics and a topical cream and that worked but I was so tired of having to take pills every day so I got the Mirena IUD and I use Curology now. My acne has gotten better with both but I’m just acne prone and do still get breakouts. The pill is really good at keeping acne at bay because it’s a larger dose of hormones and with how they’re metabolized they affect your skin more.