This is about my 10th month on kariva and up until now I have had no issues. Right now although minor issues, but my skin is starting to break out a bit (like it would hormonally but this is only the second week of pills) and I have had a tiny bit of spotting. I know that's normal when you first go on it but what about this far in? FYI the main reason I take it is because of acne, I am not currently specially active.