"i started this pill with the intent of settling my hormonal acne and it worked wonders! my skin is very clear and my periods are right on time and light. however, i am switching to a different pill as a trial because of the emotional side effects this has given me. my mental pms is much worse and i find myself very depressed often. i&#039;ve also gained 5-10 pounds and it&#039;s harder for me to lose weight, but nothing significant. i&#039;ve also noticed a slight decrease in sex drive if that&#039;s what you&#039;re into. however, there are ups and downs to all birth controls, if the next one i try isn&#039;t good then i am definitely going back to ortho tri-cyclen lo because it&#039;s overall been reliable."