J.V.
I have the Mirena IUD. I have not had any issues with acne worsening since I had it inserted. I have issues just before I get my period, always have. I use Proactive Solutions, it really does work. I still get the acne about a week before, but the proactive works to contain it and not get any worse. The mini pill may not help with the acne because of the different hormones in it.