"i have been on this birth control for a year. my pharmacy is now switching to larissia, so i wanted to write a review before the switch. this pill was my first, so i have nothing to compare to. it works great as birth control, i have not gotten pregnant or had any scares-- libido unaffected. my periods are much better-- i still get cramps, but it is 90% better than it used to be. i used to fill an over-night pad in 2-3 hours, now my periods are lighter and last 5 days rather than 10. the downsides are that i gained 15-20 lbs with no lifestyle change, and i am super moody, depressed, anxious, etc anymore."