"i was on this product for 3  years, i gave it a 7 not because it wasn&#039;t effective (because it was very effective, no pregnancies), but because the first year on it was awful, i was depressed and emotional all the time. one week out of the month maybe i felt okay, maybe. after a year i would have gave it a 9 (minor acne was the only issue). i loved that pill after the first year was over, i changed once because my clinic ran out of stock, never again. i went emotionally crazy after i switched to a different brand, needless to say i switched back after that pack was used up. about 2 or so years later i switched to the generic brand trinessa lo and love it just as much."