acne
"I started taking TriNessa about three months ago as a primary birth control while I am on Isotretinoin (Accutane).  Overall, I have had a positive experience with it; I haven't had any nausea, headaches, abnormal mood swings, or acne flares.  The main negative thing I have to say is when my first period started while taking this I had the WORST cramps ever, and a pretty heavy flow.  However, my second period rolled around, and I did not have any cramps at all plus a normal flow!  The only other side effects I have experienced are hair loss and some breast tenderness."