"i started tri sprintec in november 2013. the first month, i was extremely moody and had anger problems. after three months, my acne cleared up. it&#039;s been over a year, and i haven&#039;t seen an spot since! this is great; i also am very active. some days, my sex drive is not there, usually this happens the first week of the pack. so for birth control purposes, i would rate this as a 10, as well. i&#039;ve never had any problems and never had any pregnancy scares. my boyfriend noticed that i went up a cup in size. i didn&#039;t gain any weight really, i&#039;m just 98 lbs and the maximum, i would be 100 lbs. i would recommend it to anyone who has acne problems. but wait 3-4 months for results."