"in the fourth month of using the patch, and my first time on hormonal birth control. i&#039;m mid 40s, never smoked, slightly high blood pressure but my doctor didn&#039;t think it would cause further elevation. i really like it. it&#039;s not as cheap as a generic pill, but wonderful not to worry about missing a dose. the patch sticks on fine, and adhered again well if caught on a slipped bra strap when i wore on my outer arm. i&#039;m now wearing on my butt and it&#039;s fine. it will leave a mark that doesn&#039;t easily come off for days and is prone to picking up lint on the sides, but i am okay with that. no weight gain, moodiness or other issues. may have had a pimple or two in the first months, short nausea with the very first application, and heavier periods with additional but slight cramping. my sex drive dropped for a time but has returned to normal and i have no problems there. i think i feel a bit low emotionally the week it&#039;s off. overall, no concerns i can&#039;t live with, and i love the easy protection and confidence of seeing it on."