I took accutane in high school, freshman year I think. My breakouts were bad and I didn't want to go on long term antibiotics. I consider myself lucky as I never had any of the blood tests done (oops!) for the 6 months that I was on it, but my liver has survived intact anyway.
Getting on accutane for women is serious and a very long process now
Yes it is, for good reason - accutane interferes with retinoic acid mediated anterior-posterior patterning during development. Despite the doctors' warnings, and the fact that each pill has a "no pregnant woman" sign on the container's backing (think the no smoking symbol, but with a pregnant women instead

) there were still maybe 20-100 women a year (don't know the exact stat) who were getting pregnant while they were on accutane, and having hideously deformed babies. So now I'm pretty sure that it's a rule in the medical community that women who take accutane must also be on birth control, regardless of whether they claim to be abstaining or what.
So that's another consideration for you. Like most things in medicine, there is risk involved in taking accutane. However it cleared up my skin very well. The acne came back after a couple of years, but much milder, and I was able to control it with a topical antibiotic (Benzaclin) to my satisfaction - topical antibiotics don't mess with your system like oral antibiotics do.
Now I'm not even using the Benzaclin, just eating clean and washing up

Call it pychosomatic, but I swear that eating sugar makes my face break out...I know that technically that shouldn't be true, but it sure seemed that way...in fact, that first got me pointed in the direction of eating healthy...
anyway, I digress. The choice is yours, just make sure you make an informed desicion and balance the risks with how much the acne affects your life, self confidence, etc. I know in my case as a somewhat nerdy high schooler, there was no question that it was worth my while.