"the medication was prescribed to help with very heavy, unpredictable, long periods associated with my being in perimenopause. first couple months virtually no period to speak of but 5-7 days of mid-cycle breakthrough bleeding..not spotting. enough to feel like a light period. by third month, no breakthrough bleeding or even a period. this has been a huge relief for me. seems to have helped alleviate some mood swings and irritability also. for users unhappy with this pill in the first few months, i would encourage you to give it a bit of time. i was not thrilled with it at first but am very happy with it now. my insurance doesn&#039;t cover it (bummer), but the drug company offers a discount card which i received from my nurse practitioner."