"i have been on ortho evra for 3 years now, previously i was on the pill. i gained an additional 5 or so lbs when i switched over, but i think it&#039;s way worth it. my period is now regular and my usual heavy flow significantly decreased. recently my pharmacy has started giving me the generic, don&#039;t do it. i have spotting all the time, pretty heavy. it&#039;s like having a regular period in between periods. for the first time last week the spotting was really heavy, i&#039;m switching back to brand name. other than that, no mood swings, no decrease in sex drive, no nausea/headaches/breast pain/etc. great birth control!"