"i have been on portia for a year now, and this is my 7th brand of birth control pills. in the first couple of months i started portia, i had crazy cystic acne, and not because of portia, but this pill cleared my face to where my acne was non existent. i have always suffered with acne and i have never felt better about myself. well now that i have been on this pill for a year, in the past month my cystic acne has come back full force. it&#039;s horrendous. i have no idea if it&#039;s the pill causing it or what because it actually cleared my face this whole time. on another note, i have always suffered with heavy periods and terrible cramps to the point of wanting to throw up from the pain. now my periods are super light and i have little to no cramps."