I took Alesse for years, and just barely escaped death as oral contraceptives caused me to have agrapefruit sized Hepatic Adenoma in the center of my liver! Without Medicaid, I would still be waiting for it to rupture and cause fatal internal bleeding! The risk is rare, but from someone who is part of that rare group, it totally sucks! RUN from oral contraceptives! Alesse did NOT pay a cent of my medical bills and extreme pain and suffering! But they should!