Hi marjia
I'm on ortho-evra and so far I really like it. I've been on it since September. Before that I was on Allesse for about a year. I didn't have any problems with the Allesse except that I initially gained about 10 pounds and for the first month or so my mood swings were insane, but that all evened out after about a month.
My doctor switched me to the patch to see if it would help my IBS (because there is actually lactose in most pills and because the patch bypasses the digestive system) - but I can't say there's much difference with my IBS. However, I do like better simply for the convenience, since you don't have to take a pill every night!  The only side effects I got was a little bit of nausea right after I started it but that subsided right away. No weight gain on this one, no affect on sex drive on either of them. I do get some breakthrough bleeding on the patch though (much more lately actually...hmmm). I know some people who have got rashes and such from it though, so that's a possibility.
I had really easy periods and no PMS before the pill/patch and same after so I can't be of much help there. I do get cramps sometimes, but definitely manageable, pretty much the same as before. Guess I'm pretty lucky there.
As for effects of bc on IBS, this is something I'm very curious about. My IBS started about 2 years ago in conjunction with a) going on the pill, b) following a round of antibiotics, and c) moving in with someone/moving to a new city/starting university. Who knows where the cause is there. I haven't been off bc since but I'd like to try it sometime to see if it helps my IBS...
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