Birth control patch vs Vasectomy

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.

Breakthrough bleeding lasted for 3 mos

Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets

Essentially painless procedure. Had a few aches here and there. Haven't gotten anyone pregnant.