"only reason i am giving it a 2 is because it is very effective birth control. otherwise i would give it a 1. i have tried 5 different b.c. pills in an attempt to control my cramps. they either worked for a while then didn&#039;t, or the hormones made me either crazy depressed or moody. so i went non hormonal, got the copper iud, and i don&#039;t know if my body is the type of body that just doesn&#039;t accept things that just aren&#039;t naturally supposed to be there but i&#039;ve done a lot of research and i&#039;m fairly certain i&#039;ve got copper toxicity because of it. so many bad symptoms please do research and if you have the symptoms get it taken out. i&#039;m pretty sure i&#039;m getting mine out the symptoms just aren&#039;t worth it. they&#039;re affecting my health and happiness"