"five because i never got pregnant, gained weight, spotted or lost my sex drive. however, my skin has been absolutely horrible the past 7 months on this pill. i had flawless skin before birth control. i also had flawless skin on the nuva ring. i wake up and dread seeing my face because i know there will be a  raised red bump(s). they never surface and are cyst like. i used to never wear foundation or powder, now i have to cake it on because i can&#039;t stand looking at the huge bumps. beware.. as someone who had flawless skin until 19, this birth control can do a number on your face. also, i have been extremely emotional and moody constantly."