"i&#039;ve been on the &#039;mini pill&#039; for a few years now. i&#039;m close to 35 and i smoke so my gyno doesn&#039;t want me on the combination pill. i have had zero bad effects from this pill, i&#039;m a sexually active female and have never had any problems with pregnancy while on this pill. heres the key, ladies - let me put it in caps so everyone can follow along - you have to take this pill at the same time every single day, if you don&#039;t you will get the break through bleeding that can happen to some girls who just pop it whenever they remember - and possibly get pregnant since you&#039;re not keeping the needed level of hormones in your body to prevent pregnancy. this pill is safe and it&#039;s effective in preventing pregnancy providing you take it daily at the same time."