"there were many positives to alesse (i was on the generic - aviane). this was about my 4th or 5th kind of bc pill, as i tend to have issues and side effects with most others. the only side effects i had on this were spotty, random periods, and acne. i can handle the breakthrough bleeding, but the acne was just awful. i have acne prone skin, and yaz totally cleared it up, but made me gain weight. when i switched to alesse, i lost weight (not entirely due to changing the pill) but my acne came back horribly. i am going to switch soon. i didn&#039;t have any mood swings. i have some cramps during my period. it didn&#039;t mess with my sex drive (yaz killed it). i would recommend this only if you don&#039;t have issues with acne."