When I tried Livial it was great but I'm prone to getting posts and my acne got too bad - one of the reasons why I wouldn't try Testosterone, as I think this can also make spots worse. I didn't get any bleeding with Livial (Tibolone), slept really well and generally felt really good - it was such a shame that I got so spotty. I think if you are not prone to spots then Livial can be great. DG x