"i want to start off by saying i have been on orthotricyclin birth control pills for over 20 years. my hcp switched me to microgestin 1/20 fe tabs 28&#039;s four months ago to help better regulate my periods....it did the job, but like noted below i also experiences awful cystic acne that i never had before in my life. i am happily switching back to orthotricyclen, which is supposed to improve my complexion. good luck to your skin if u take this product!"