I got on the patch (Xulane for US) 6 years ago as a last ditch effort before getting accutane for my horrible acne. The patch cleared up my acne incredibly, within months. I didn't have any rapid weight gain, but 6 years later I look back on my body pre-patch and can tell I'm heavier and it is a lot more difficult to lose weight while on it. I want to come off of it though because I had never had a migraine in my life, and have had about 7 while on the patch that have visual aura preceding them, so I will be coming off because they're contraindicated with hormonal birth control. Overall, better skin, no babies, difficulty losing weight, possible slight decrease in sex drive, and horrible migraines.