Hi there, I am sorry to hear about your concern.
I would recommend that you speak to your gynaecologist about your headaches. From a skin care point of view there are various treatments available to treat breakouts. Chemical peel, laser and light therapies has been known to combat acne and acne related concerns.
Using the correct homecare products will also help to keep the spots at bay. Just bear in mind that acne concerns, such as breakouts, are mostly due to hormonal imbalances, so going off the pill will initially cause an increase in spots. You can visit https://www.skinrenewal.co.za/acne to get more info on treatments for breakouts.