"this pill has its upsides and downsides. i suffer from chronic severe migraines possibly hormone related and although in the beginning they got a lot worse, after one year on the pill my migraines have reduced to almost non-existent. i also suffer from pcos and saw dramatic improvement with my periods. they became lighter and always on their time, whereas before the pill i used to bleed 2-3 times per month. however, this pill is not a panacea and it is definitely not harmless. my libido has reduced, i  too experience the occasional paranoia and extreme irritability, my cholesterol and triglycerides have risen although i follow a balanced diet and exercise but i did not gain any weight. all in all this pill works but needs a lot of patience."