"i&#039;ve been on birth control since i was 16 to help with my cramps and pms. i&#039;m 21 and recently switched to this birth control because of insurance coverage. i gained 20 pounds, extreme drowsy-ness, always tired, a lot of spotty and terrible acne which i&#039;ve never had before. the estrogen levels are too high and i don&#039;t recommend this pill"