"let&#039;s start off saying that medications work different for everybody. personally it has not been bad for me like all of these other reviews. the first couple of weeks i did have mood swings, i was debating on stopping trinessa lo, but i said maybe just my hormones need to regulate. well they regulated. i started taking this birth control so i can stop getting hormonal break outs mid cycle. my acne wasn&#039;t horrible, i really just had oily skin and and a few cystic bumps that would leave red marks that looked ugly to me. i probably would get 7 a month? something like that. well the first 3 months i broke out a little more than usual. i had about 10 bumps on one cheek. on my 4th month and my skin is crystal clear!"