"overall as a birth control it did its job, me and my husband never used a back up birth control, and in the year and a half i was on it, i didn&#039;t get pregnant. the reason i&#039;m only giving it an 8 is because around the time i was getting my period, i would go insane. crying a lot...yelling, getting really angry for no reason. i had a low sex drive while i was taking it but other than that it got rid of my terrible cramps, and my acne cleared up a lot also. i just switched to apri so we will see how that goes."