Best pill i have tried, it has cleared up all of my acne and kept me from getting pregnant for two years. The only bad thing about this pill is I get severe fatigue, low mood and a low drive. The plus side is I have lost a lot of weight on it (nearly 3 stone). It has slowed down my appetite and I no longer binge eat. I also do not experience any spotting with these. When I tried to stop using them, I realised how much the pill keeps my hormones steady as my head was all over the place (crying then angry then happy) so I started them again and it sorted that out.