"my doctor switched me to this after having depression, anxiety and terrible cramps while taking kariva. i&#039;ve been taking birth control for about 7 years now due to pcos and i&#039;ve tried pretty much everything, nothing seems to be the right fit as of yet. i&#039;ve been on altavera for 2 months and i&#039;ve gained  12 lbs already.  aside from increased hunger, i&#039;ve noticed i&#039;ve had less cramping and my periods were lighter and for less days. i&#039;ve also had less mood swings. aside from gaining weight, overall not bad."