"i&#039;ve been on trinessa for under a month now, and i am already seeing incredible improvements with my acne and acne-related scarring. my skin tone is becoming even, and clearing up at record speed. the reason why i only rate this medication an 8 is because it has caused mood swings, and for some reason radiating pain in my ankles and calves. i also get a pretty bad gag reflex for at least four hours after taking the pill, which is uncomfortable and i always feel on the verge of vomiting. however, nothing else has ever worked so well for my skin tone/acne problems, and i&#039;ve tried it all. if you think the benefits outweigh the risks, as i do, this is for you."