I’m currently on a 5-month Accutane (Isotretinoin) regimen for my skin. I know birth control pills are required because of the birth defects that Isotretinoin can cause, but I want to stop taking the pills for various reasons. Will my doctor know if I stop taking the birth control pills? I have to take a blood test and a pregnancy test every month, but I don’t think the doctor would be able to detect changes in my hormone levels. Answers?