"i will preface this by saying that i haven&#039;t been on any form of hormonal birth control in over ten years. i am 40 years old and started taking this pill for perimenopausal symptoms. i wasn&#039;t able to track my cycle anymore. that being said, i really wanted to like this pill. my insurance covers it. it provided relief from the symptoms i had been having and i felt more level. however, the side effects were just as bad. i had breakthrough bleeding every day after the first week. from day one, my breasts were incredibly sore and grew in size (not a bonus for me). i was dry heaving in the middle of the night. the constipation and bloating aren&#039;t fun either. called my doc after 2 weeks. i need lower estrogen and will start the nuvaring today."