I have great experience with this pill unlike others. Just like with any pill you can get melasma which is dark spots on your skin. I got few but from my previous pill witch was Yaz (it was terrible; daily headaches, no periods which is normal but kept buying pregnancy tests because of it, terrible breast soreness, vaginal dryness, zero sex drive). With this pill, at the beginning of taking this pill, first few days I felt little nauseous but nothing that bothered me. First month I had some breakthrough bleeding but that was gone after a month. No headaches, slight breast increase which I am not complaining about (it can happen in pills with higher estrogen). No breast soreness, no weight gain, no darkening of the skin so far, sex drive is normal. The only negative, this pill costs $75.