"i have been on this birth control for 3.5 years and it has been great. i never have breakthrough bleeding, and my period comes for 4 days on the monday morning around 11am after the last active pill. i&#039;ve lost 10lbs over the years while being on the pill and did not gain any weight when i first started it. if i skip one pill, i do start bleeding but that has only happened a couple of times over the years. my skin was flawless for a year but now i get a couple small breakouts here and there enough to try a new pill. i have noticed a reduction in libido over time but it&#039;s minimal and manageable. the other generic versions (nortrel, cyclafem, etc.) do not react the same at all and i cannot take those."