"been on this for 4 years; started about 2 months after dating my boyfriend. occasional spotting but nothing compared to what others have described. i am fortunate in that i have always had extremely light periods anyway, and there hasn&#039;t really been a change except for frequency. no weight gain and no acne or hair loss or any of the other things people have unfortunately described. the only thing i&#039;ve noticed is a significant decrease in libido. like, went from 100 to zero within weeks of starting the pill. by the time i figured out it wasn&#039;t going away i was too hesitant to switch since it&#039;s the only side effect and any bc is a gamble so i just deal with it."