"this has been one of the best birth control pills i have ever taken. i have a little break through bleeding from time to time but it is usually because i have taken the pill earlier in the day than normal or vice versa. when i take this pill around the same time every day, i do not have any break through bleeding. periods are light and average 3 days. my periods used to last 7 to 8 days and were very heavy. bleeding is only heavy on day one. some months i do not have a period. i did not have any issues with nausea or headaches. i did gain about 5 pounds. cramps are minimal."