"people reading and writing birth control reviews need to think carefully about how individual hormonal contraceptives are.  a woman who has never been on the pill is bound to take a few months to adjust to the introduction of a new hormone.  that said, i love seasonique.  i had been on nordette for years - a low dose combination.  i always got migraine after stepping off the active pills, triggered by the pre-period hormone dip.  they were horrendous vision-impairing headaches.  with seasonique (same medication combination), i only have this dip every three months.  fantastic!  sometimes i get my 2-day headache from hell right before my period, sometimes i can avoid it.  seasonique literally keeps me from missing work due to migraines."