"i rated this trinessa low with five stars because this is my first month on the medication.  when taking the pill i did not experience any mood swings, dizziness, or sickness. i felt great...the ok only problem was that my face broke out like a pizza! i was on the shot 6 months prior to the pill and had very minimal acne. i&#039;m hoping that if i stick with it, the acne will subside and i will be happy with the overall results!"