"i took ortho tri cyclen for about six months,plenty of time to give it a chance to completely clear my acne but unfortunately that was not the case. my skin always had at least 3 zits. i experienced major spotting almost constantly and only had about 2 months of no blood. i was extremely moody as if i was bipolar and/or always about to get my period.the breakthrough bleeding was so painful.  i had to take tylenol at least once a day.this was my experience but my 23 year old friend loves it and her skin is never better but she does have spotting. i got a 9 month supply of this pill for free "