Kindra,
much like you, i've had little luck with pills easing my cramps & making my pms a little less hellious.... I've tried ortho tri cyclen lo as well as alesse and in both cases, the pills make me feel even worse. My clinician basically told me that i'm one of those people who's body just doesn't respond well to the hormones in the pills, and while I can change my bill brand as many times as I want, I may never get the desired results.
Anyway, I choose to just live with the side effects I get from taking alesse because on the bright side of things, that pill makes my periods much much shorter and I have a wonderful boyfriend who understands the moodiness that comes with the territory. However, there's a lot of woman out there that once they switch to a different kind of pill, their symptoms subside considerably.
You may want to talk to your doctor about trying a different brand of pill. If you're on ortho tri cyclen lo, maybe alesse will work wonderfully for you. It seems to be the miracle pill for a lot of women. ;) or, if you're not sexually active and the pms you get naturally isn't as terrible as the kind you get on the pill, you may want to go off of it altogether.
Nicole