acne
"I was on Gianvi for many years (at least 4). For all of it except the past year, Gianvi has been great. It controlled my acne and helped me have lighter periods. The past year has been worse though. I've had my periods not show up on the placebo pill days (they start 4 days after the placebo pill days, so they actually start after I start the next pack), and I've actually had breakthrough bleeding during sex which made me worry I had something much, much more serious going on as I was bleeding a LOT during sex only. My doctor told me I needed to swap to a higher hormone dose, so I had to go off this pill. Otherwise, I had no issue."