Drovelis pill and lower back pain

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 have switched to drovelis due to extremely low mood caused by previous combined pill (ethinylestradiol and gestodene pill). I was extremely depressed after 4/5 months of the previous pill and It felt like my mood was artifically altered so I quickly realised It's the pill which prompted me to changing the pill. Drovelis has been wonderful despite some intial issues with at times intense breakthrough bleeding around the 3 and 6 months marks. These days I do not experience any breakthrough bleeding or any issues. I very strictly adhere to the pill regimen and it works wonderfully for me. I forgot about my intense period cramps I have been dealing with ever since i was 16.

I didn't start it on day 1 of my period. So this month I got my period anyway. I went to my GP (who prescribed it to me) and we determined it's my period due to timing, consistency etc. Good to note however that since I took it to control menhorragia. 10 days into taking it, my cycle lengthened to a week (minus spotting) and it's a lot less heavy than I know it. I'm hoping to feel better next month and thinking to skip the placebo entirely but I was told it can lengthen the spotting/breakthrough bleeds. There doesn't seem to be a right or wrong. Just trial and error then adjust. Note : Don't take it mid cycle. Take it as they tell you day 1 of your period. I did this because of severe reasons at the time and was also very sick. I hoped it would prevent the usual mess. In a way I succeeded somehow, just not the way I'd have liked. But then I'm too hard on myself too.