"i took seasonique for 2.5 years. i rated it as a 5 because it did it&#039;s job in that i did not get pregnant. however, i have switched to a monthly pill now (cryselle 28) because the side effects from this medication were awful. i had migraines at least once a week, i bled for a month straight during my second pack, i had breakouts periodically that i didn&#039;t get before, my heart raced consistently (at least 3-4 times per week) and i gained 40 lbs in the past two years. i am a vegetarian and work out at least an hour a day so i know the weight gain was not due to my lifestyle. while i enjoyed having 4 periods per year once the medication caused me to stop bleeding, it was not worth the ensuing side effects."