"i was on kariva for about 2 years straight (almost never ever missed a pill) after being on various other pills for 3 years before that. kariva solved my cramp problem and i did not experience any nausea or depression/mood swings like i had on other pills. i recently switched off of kariva after missing a week of pills - i didn&#039;t even realize until then how low my libido had been! my doctor just switched me to microgestin fe 1/20. obviously, everyone&#039;s bodies are different and will have different reactions, but i am happy to be off kariva."