acne
"I rated this birth control at a 3 because it drastically changed my daily life. Before taking the pill, I was a morning person, but after taking it for 3 months I found it extremely hard to get out of bed in the morning.  I was getting 8 hours of sleep or over, which is usually plenty for me and by 9 at night I couldn't do anything but lay on the couch. I am an athlete and I run everyday 5-10 miles, but I got to the point where my entire body would get so exhausted I couldn't make it through a run. I got on it to help acne, which it didn't seem to get any better. On the plus side, I didn't experience any spotting like other people have mentioned and my periods were normal. I got off the pill and started feeling better."