I'd been off the pill about 6 months when I started LC'ing. The next month's TOM was pretty nasty & they have honestly gotten worse. PMS used to be a day or two before, now, at least 5 days. Cramps are deadly to where I have to use a heating pad at night and clotting is massive. I went back on the pill for a month in July & had to quit b/c of the tremendous headaches I was getting. It did control my PMS & cramping for that month though...