I have always had problems with my menstruation cycle, I was never regular and have skipped up to three months at a time. I got on birth control last July to help correct the problem and some of the symptoms I would get, fatigue, nausea, headaches, very severe lower back pain, severe mood swings. I have been on the pill for awhile now, and granted I am not always the best at remembering to take it (I may miss 2 or 3 days out of a month at most, something I am trying to correct and have gotten better about by setting an alarm on my phone and leaving myself little notes all over the place). However even though I am on the pill and have been for some time, I am still getting fatigue and severe lower back pain, headaches etc. Sometimes my period doesn't sync up like it should with the pills (I will have my cycle the week before the placebo pills although this month is synced up.) I am going to see a gynecologist over my spring break (I am overdue for my yearly exam and I recently became sexually active) should I bring this up with her? Is this anything to be concerned about or is the dosage of my birth control not high enough? Has anybody else had problems with this?