"the birth control pill nikki improved my acne significantly after only a month of use. i had previously taken gianvi for many years, but discovered it was the cause of my depression. following that i tried numerous other brands and they either worsened my acne or depression, sometimes both. nikki is the only birth control pill i have found that does not trigger depression and has completely cleared my acne. however, i rate it at an 8 because i have had frequent light spotting in between periods and they are not as regular as they normally would be. overall, this pill is a great option!"