"when i first started this medication the whole first month i would feel super nauseous and sick. this continued for about a month. i had no spotting at all until the 3rd month. my spotting lasted about 3 weeks until i finished my first 3 months and had my first period. those would be the only down sides this has given me. the positives though are that i have had zero cramps which is huge considering i used to have horrible ones. it has also cleared up all my acne and my periods only last about 3 days. i have been on this for about 5 months now and it is great to me."