"the first two months of use, i broke out bad. i read reviews that said this might happen as it&#039;s balancing everything out. i stuck with it. 14 months in and i&#039;m a happy girl. little to no cramping (used to be quite severe) 3-4 days of light bleeding and my skin is so happy! occasionally get a pimple or two but absolutely no more cystic acne! my moods are balanced and haven&#039;t experienced weight gain. i didn&#039;t experience any nausea or abnormal pain. i&#039;m 37 and this is the right pill for me."