"i gave it a 10 because its &quot;effectiveness&quot; is true, it doesn&#039;t  let you get pregnant. that&#039;s our end goal right. 
yes side effects happen, all birth control has side effects. i spotted a lot the 2nd and 3rd year of the first one i had. yes mood swings at the end of the 3rd year. i chalk that up to the birth control running out. i would suggest getting it out at least a month before its due to be changed. i waited a week before and the hormones were freaking stupid crazy and i felt pregnant. it all went away when i got the second one put in. 
overall i love it. it did its job of not letting me have a baby. not everyone is the same. try it. if you don&#039;t like it then take it out. try something else. 
its not rocket science."