"i experience mood swings, break outs, and cramps during the first two weeks. after that i have not had any issues. i did not spot for the first two months. on the third month i took the pill 4 hours late and i spotted lightly for two days. my skin is flawless. i had no weight gain. i have no crazy mood swings. its the perfect pill. oh and my breast increased about a cup size. the breast tenderness i experienced was a minimum soreness for a month. i recommend seasonale!"