I also want to add that I've had some constipation and the worst fatigue of my life. My skin broke out worse than usual at first, but now it's the clearest it's been in years except for a few huge, painful, disgusting zits ( i guess they're cysts) on my chin. My doctor told me this pill would help with weight gain and water retention but I haven't had any improvement. My urine is always concentrated even when I drink a lot of water. The worst part is the mood swings and the loss of my sex drive. And there was brownish-reddish blood on my underwear and toilet paper yesterday. I've never had spotting on any birth control pill.