"as a disclaimer, i have not taken birth control for over ten years. that said, i decided it would be the right choice with a new partner in tow. the first week i started lutera, i experienced dryness around my lips. as i entered week two, i began experiencing dryness around the labia. the change in hormones affected me adversely as i became irritable and anxious for no reason apparent.  it became very clear the pill was thinning the walls of my vagina and natural lubrication disappeared when i had normal intercourse with my partner and i was torn inside.  i experienced quite a bit of tearing and consequent bleeding from those rips.  i remained on the pill for a full month.  my lips progressively became more dry and cracked."