"this is my first birth control pill i&#039;ve ever been on so i don&#039;t have anything to compare it to but i am 16 years old and have 11 day periods which are extremely heavy with terrible cramps, fatigue, and headaches. my gyn put me on this and everything was great for the first 3 weeks. i never had any breakthrough bleeding. i did have some slight cramps for the first week but they were nothing compared to what i&#039;ve been on. i am on the first day of the placebo and so far no bleeding but i do have awful cramps again which i thought the pill was supposed to take care of this. if this is the way my period is going to be every month i might ask my doctor about seasonique so i only have to deal with this once every 3 months."