After starting NuvaRing a year ago, my 1st 2 periods were much heavier than usual. Now I go through 2-3 [light] tampons throughout my whole cycle. I've had acne for >10 years, and it wasn't as effective in helping my skin.
Other than that, it's been the greatest thing since the invention of birth control. I take several medications which compete for liver enzymes, such as an anticonvulsant, and am often on antibiotics (related to the acne). Plus, I don't have to worry about an oral contraceptive being less effective. And the sex is great!