"i have taken various pills for the past 20 years, i am 38.  quasense allows just 4 periods a year, which is a great thing.  the periods i do get are normal length (for a pill-user, about 4 days) and slightly heavier than those i got with the regular monthly pills.  i have slightly more cramping in the day before it starts than i did with the monthly pills (but still nothing like the agony of no pill-cramps which were a nightmare).  overall i love not having to deal with messy bleeding more than four times a year, and the slight increase in cramping for one day is more than worth it to me.  hope this helps!"