Combined pill and period like cramps

The first few months of this pill felt great, but at around 6 months I started getting breakthrough bleeding consistently (3/4 weeks a month). I don’t think it’s a good choice if you’ve been advised to skip the placebos/break as it feels like the withdrawal bleed is necessary. I also haven’t seen much improvement in cramps. My mood and anxiety have also gotten worse since taking this. It’s a shame that prednisone is used instead of another progesterone as this is known to have bad impacts on mood.

I only stopped this method because I started getting migraines with aura, if this didnt happen I would've happily continued taking this method of birth control. when I did have breaks from it the 'periods' were light and minimal cramping, which was much better than what I had before. If I chose to have no breaks I had no periods or bleeding at all. there was a decrease in my libido which only really affected my initiation, as I wouldn't initiate sex myself but would still engage in it happily if my boyfriend initiated. however this was something we both noticed, I also stopped being as horny as I used to be so, which I didn't massively mind but it was definitely a change. this method did make me notice my migraine a lot more which is what led me to changing it however I did have these migraines previously. I did experience weight gain however I dont have the best diet so could be completely unrelated.

I was having very irregular, heavy, long periods to the point I became aneamic. This really helped bring it under control, it was great at first. With time I noticed I didn’t feel like myself, I couldn’t experience happiness like normal, I had put on weight, I was getting gut issues like reflux and sensitivity, my hair had thinned, my libido was gone and I was dry even when aroused. I stopped the pill and all these issues fixed themselves after about 6 months but now my periods are irregular again.