"i&#039;ve been taking birth control for about a year now and my doctor just switched me on to lutera from aviane. i&#039;ve been on it for 2 months now and though it&#039;s effective,  i have to say it makes me a little nauseous at the start of a new pack and i&#039;ve gained like 10 lbs. acne is a teeny bit worse but i&#039;m also using a new soap so that may or may not be it. my breasts have gotten fuller but when i pms they hurt. i guess these are normal for a birth control in general though."