Combined pill and lighter periods

It is a balancing act, but, overall, I am happy with the results. I take the pill back to back as my cramps were so bad that they were effecting my personal and work life terribly and I could no longer stand the pain. Unlike other pills I have tried before, this stops my periods. After 3 or 4 months I get heavy spotting and take a break for 7 days which sorts it out - the breaks are fine with only mild cramping and nothing like my periods before. It has saved my ability to work. I have had negative side effects - weight gain and mood. I have no history of depression, anxiety or struggling to process things until I started taking this pill but I now struggle with these things most days. Compared to the pain, for me, the impact on my mental health is a trade off I've accepted.

Zoely was brilliant for managing my cyclical mood symptoms and essentially stopped my periods which was great in the context of endometriosis. I had no period pain on this pill. However unfortunately I struggled with significant vaginal dryness which honestly felt like perimenopause and made sex intolerable. I also noticed significant hair loss, but I can’t say 100% if this was Zoely or due to life stress.

I always feel tired, no matter how much I sleep it feels like it's never enough. Most days I don't feels in control of my emotions. And my hair falls in clumps but my gyno tells me not to worry.