"i&#039;ve been on this medication for approximately 5 years, if not longer. my skin rarely broke out, i never got pregnant or even a pregancy scare, &amp; didn&#039;t notice any weight gain either.  however, i frequently spotted between periods. it wasn&#039;t specific to pre-mensturation or post-menstruation (which can indicate what horomone you could be lacking or needing a change in). the spotting put a huge damper on my sex drive/life (not enjoyable at all). i also noticed that  occassionally if i didn&#039;t take the pill right at my usual time everyday i would get irritated a little easier, cry easier, be grumpy &amp; even be sick to my stomach.  i also got cramps before my period &amp; salty/sweet cravings. overall it was easy &amp; worked."