"i am 39 and have never had pms to speak of.  i have been on birth control pills for over a decade (estrostep, orthotricyclen) with no problems.  went on gianvi and it was a nightmare.  i stuck it out for 3 months as my body adjusted thinking it would get better but if anything, it got worse.  the 10 days or so before my period i was tense, stressed and depressed. it had such a negative impact on my life.  and no sex drive to speak of.  the only positive thing i can say is that i did not notice worsening of any weight or acne problems.  "