"do not take this medication. i was prescribed the name brand of this medicine and my insurance decided that they would give me tri previfem instead. for the first 3 or so months, things were fine, no big differences. after that though, goodness gracious. anxiety, depression, mood swings, no sex drive, dryness &quot;down there&quot; no matter how bad i wanted to be. it&#039;s absolutely a horrible feeling not being able to be ready for your partner, and that puts such a stress on a relationship. on the menstrual time...... picture every horrible pregnancy symptom you could possibly have, triple it, and add to it the normals of your regular period. headaches. if only the 1-10 scale had negative numbers. save yourselves, and stay away from this medicine."