Birth control patch vs Withdrawal or pull out 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

I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.

I don't recommend going multiple rounds. Otherwise, seemed pretty effective.

Annoying to have to fuss with putting the condom on, and I don’t enjoy the change in sensation while using a condom. But I feel protected against pregnancy. I occasionally rely on pull out method, and the anxiety over my partner accidentally not timing this correctly (ie not pulling out soon enough) negatively affects my sexual experience.

Still can get pregnant with pull out method or anal

I get pretty sick on the pill and with same partner 3.5 yrs no issues but recognize not most effective practice.

It worked but I was terrified I was pregnant until I got my period. I had no sex drive because of this and was incredibly stressed. It worsened my mood as well.

No side effects