"i would rate this a 10 but i am only 2 1/2 months into using it.  the pills are free with my insurance.  i am 41 and my periods had started getting really bad and i had been feeling hormonal and was 10 pounds overweight.  my doctor was going to prescribe me a mini pill that would cost $60 a month.  i  mentioned the cost was a burden and she gave me gildess.  i feel great.  i have lost weight and my sex drive is high.  my periods are very light.  no more cramps, heavy bleeding and bad dizzy hormone spells.  no bad side effects yet."