I’ve tried the shot, the ring, different pills, this is the one. Weight gain was an important factor as was acne. I have not gained weight and have had only an occasional acne bump likely due to another cause. For birth control, just make sure you take the pill daily at the same time. I no longer experience mood swings or pms in anyway. I also do not have periods bc with my doctor’s approval, I take the pill straight through each month due to endometriosis.