"i rate it a 10 because i haven&#039;t gotten pregnant in the 2 years but at this point i rather be pregnant. the first month was perfect, but the second month until now has been terrible. i have terrible acne all over my face, chest, and back. my acne wasn&#039;t even close to being this bad ever not even when i was going through middle or high school. i have gained some weight but not much. the biggest issue i have with this birth control is the non-stop random bleeding the lasts for months and the horrible cramps. i have also developed ovarian cysts which are painful but usually go away within a week. i have gone to the doctor many times but i was always handed a pack of birth control pills to make up for the estrogen that isn&#039;t in the bar."