"i give it an 8 because i loved this pill for 8 years.  just recently i started having problems with it.  now my sex drive decreased, chronic sinus infections....which i now link to this pill because over the last 7 months i have tried others and my sinuses have been great...now back on lessina and yet another sinus infection and clogged up nasal passages, rash on chest and bad melasma now.   i think my body has changed over the years and it doesn&#039;t tolerate this one anymore.  i did love it for years though."