"this is the first birth control i have been on so i don&#039;t have much to compare it to, but i have been on it for 2 years. i got on loestrin 24 fe because i was sexually active and had irregular periods. since i have been on the pill i have had shorter, lighter periods and very minimal cramping (if at all). i am very pleased with this pill. i don&#039;t even have spotting between periods. if taken correctly, i feel that this birth control is very effective. i have not had any side effects that i can even think of. i have always been average weight and loestrin 24 fe has not caused me to gain/lose anything. to be completely honest, i have never had an issue with acne so i can&#039;t really express whether or not it has helped in that manner."