Gedarel 30/150 pill and vaginal dryness

This pill has been amazing for me. I've been on and off for several years and can confidently say this pill completely clears my hormonal acne - where other treatments have not worked. No negative side effects either!

More agitated for the first month. Very tender breasts and they grew a lot but have gone back down a bit since. Periods are heavy but only for 2 days then finish on the 4th day which is much shorter than before. Cramps are very bad on those 2 days tho. My contacts get sooo dry but after 4 months the other side effects calmed a lot.

It did control my periods making them regular each month. I was hoping it could control my heavy periods due to perimenopause and adenomyosis. I tried continuous pill taking with this and it does not work. After or nearly at finishing a blister pack, my body just starts bleeding like I'm on a period, so I have to give it a 4 day pill-free bleed. I'm happy that the periods are regular and 4 days long per month, but not happy that the periods are so very heavy still, in the first few days. I started feeling anemic even though I take iron supplements, so I was forced to take tranexamic acid during the 4 day bleed to reduce the bleeding. Tranexamic acid works but it always gives me a bad headache. So basically I feel unwell all through the 4 day bleed - either I'm bleeding profusely and low on iron, or I'm taking tranexamic acid and not bleeding profusely but have a bad headache all day while I'm taking tranexamic acid. So for that reason it's not an ideal pill though does improve things a bit. I'll also add, the first month I was on this, I felt unusually fatigued all day, falling asleep at my job, wanting to sleep 10 hrs at night, etc. I also had severe stomach cramps which could not be alleviated even if I took the pills just before bed - I'd just wake up middle of the night from the stomach cramps too. And it gave me bad flatulence, like IBS, for hours after I take a pill, farting all the time. And I had loss of sex drive and vaginal dryness too. I switched to Gedarel 20/150 for a lower estrogenic dosage to reduce all those side effects but then I started spotting pretty much a couple days after starting that, so this means the estrogen wasn't high enough to control bleeding. So I went back on to this Gedarel 30/150 and thankfully I seem to have regained myself and all the side effects were gone. So I stuck with the Gedarel 30/150 for 2 months already. My body got used to it, all side effects gone, no more vaginal dryness, low sex drive, stomach cramps. The heavy periods during the pill free days however, are not great as I described above... and also the fact this pill doesn't seem to work for continuous pill taking regime for me as my body always wants a bleed at the end of a pack... Not sure why.