Ethinyl estradiol / levonorgestrel
"Just started my second pack of this pill. I switched from tri-sprintec due to side effects from that such as nausea, constant breast tenderness, and increased anxiety. I have had no side effects with Orysthia so far. My breasts did get tender before my period, but I'm used to that anyways. My period started the 3rd day of placebo pills and I had mild cramping. My period did last for 5-7 days but was not heavy. My sex drive  is pretty low, but it has been ever since I started taking any form of birth control about 7 months ago. Overall, I'm really pleased with this pill!"