"after having awful hemiplegic migraines with aura (which mimics a stroke and is really scary) on the combined pill, my ob prescribed this instead. i have not had one of these debilitating migraines since. i do notice some hair loss but it&#039;s not noticeable to anyone else but me. i rarely get breakthrough bleeding (but i never had heavy periods to begin with, just really painful). the tradeoff is so worth it. this pill has made my life so much better."