It really helped regulate my periods and totally cleared up my back acne which I had suffered from for year beforehand. I have slight PCOS and I am sure the reduction of the acne is a positive sign. On the other hand, it caused breast tenderness and breast swelling, and a small amount of weight gain - a few pounds maybe. No significant mood changes though, and I was prescribed this pill by a top endocrinologist to help my mild PCOS, so it may help if you also have that with back acne issues.
My skin did get more spotty again but nothing like how it was on my back before I had started the pill.
Cycle return to normal