"i started taking this drug because of moderate to severe adult acne (i am 28) and pms symptoms (severe depression episodes and irritability that happened like clockwork the week before menstruation). i have been on the pill a month and half and i have already seen an improvement. regarding acne, i broke out a little bit in the placebo week, but besides that i no longer get the severe acne i used to. i expected it to take at least a few months, so i was pleasantly surprised to see an effect. i also had a light period and did not notice mood swings. i had breakthrough bleeding during the first few weeks, at the beginning more severe and diminishing with time. on the second cycle, there is no bleeding anymore."