"lutera has been pretty effective throughout my couple of months using it. i experienced nausea quite often during the first couple of packs. my breasts were tender and swollen in the beginning but that doesn&#039;t happen anymore. i gained about 7 pounds. sex drive is actually up the wall. i&#039;m naturally a moody and emotional/sensitive little flower and i believe since this is a hormonal pill, it adds on to the emotions. i&#039;m frightened by the potential pop up of depression issues or psychological issues i&#039;ve been reading about birth control pills. i just don&#039;t want it to be too late before i possibly go crazy like some people have mentioned happened to them. overall the pill is cool. i used to have severe cramps and heavy bleeding but lutera helped."