"i&#039;ve been on aleese for over a year and a half. side effects hit me hard. (i&#039;m 21 years old) i had perfect skin my entire life (even through puberty) and after i commenced the pill the acne hit me like a ton of bricks. all forms of acne are on my face, and i&#039;ve been using dermatologist products and services and they said it&#039;s a hormonal issue as to why the acne has gotten so horrible. the high androgen actually causes skin to get worse. so when people say birth control doesn&#039;t cause acne they are wrong, cause this birth control does cause acne. not only did i get acne, i gained 15 pounds, breasts got larger (only plus side), severe nausea the week before my period, and began suffering depression. it&#039;s time to switch to another birth control"