Is there a birth control that helps acne but doesn't lead to anxiety?

Many options: Most all combined birth control pills containing both an estrogen and a progestin help acne for most women. Anxiety or mood changes can sometimes be a side effect for some women, and this is most likely due to the progestin component. You may want to ask your doctor about a birth control pill that contains a different progestin than ones you've taken before that caused anxiety.