"i give trinessa a rating of 3 only because it was effective as birth control, but the side effects were not worth it. my skin broke out badly the very first day i was on trinessa. i had inflamed, painful blemishes on my chin always in the same areas until i started taking the placebo pill, then it gradually got better.  i was also super emotional the entire time i took it; i even missed a day of work because i couldn&#039;t stop sobbing. had similar experience switching from ortho tri cyclen lo to trisprintec, only side effects were even more severe, so i only took it one week.  for me, definitely worth paying $60 more a month."