"i have been on alesse/aviane for 10 years. it was the first and only birth control pill i have ever used and chose it over others on purpose. i chose it because it is one of the lowest-dose oral contraceptives on the market, and the progesterone they use (levonorgestrel) is very close to the molecular makeup of natural progesterone. the only symptoms i experienced during the first month was breast tenderness and clearer skin (i used to have adolescent acne). i know some individuals have experienced more severe symptoms than i have described. i think it boils down to your own body&#039;s hormonal balance."