Sterilisation (Female / tubal occlusion) vs Combined pill

I had a laparoscopic bisalpingectomy. Obviously it is a surgery, which means a few weeks of recovery and scars can take a few months to properly heal and fade, but I am so glad I got it done. It is permanent, so that is something to keep in mind if you are not 100% sure, but very safe and reliable.

Feel much better not having extra hormones circulating through my body and not worrying about contraception.

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pros - clear skin, less oily, went up a cup size, lighter periods and option to skip them entirely cons - after a few years it just got rid of my sparkle. I’ve noticed whenever i stopped using it i was more outgoing, more horny, enjoyed sex more. One of the main reasons was just how dry it was down there making sex feel like a chore.

It's good, it stopped ovulation and didn't have an effect on my body except mental health. The first month was also a challenge, I bled every day (small amount but it was so annoying). Gave me really bad mood swings. It also made my periods somewhat irregular. When i would take placebo pills, even though theres 4 of them for 4 days of period, it would always be longer and never the same amount of days.

Worked well as a contraceptive. I didn’t get pregnant. However I noticed extreme mood swings/anxiety. I had a series of panic attacks whilst on this pill relating to things that normally wouldn’t have pushed me to a panic attack and the weight gain from this pill. The weight gain wasn’t too extreme but it was noticeable in a way that I didn’t like (very bloated, pregnant looking).

I was tri-cycling this pill and passed a a decidual cast after the first 6 weeks with no bleeding ( was not painful to pass). My periods were lighter when breaking between 3 packs. I did get some breakthrough bleeding during my second tri-cycle. I had really tender breasts in the first few months with some breast enlargement but that passed and no other issues.

I was switched from taking the Yasmin pill to Dretine. I was told they had the exact same hormones. I have polycystic ovaries and Yasmin had been working perfectly for me. The first few months on Dretine were hell. I became severely depressed. Crying every day, anxious and mood swings. This lasted 2-3 months. This did get better. But it shouldn’t be the case that you have to go through this when taking the pill. I’ve taken the pill in different ways to help control pain and breakthrough bleeding but nothing something seems to stop the breakthrough bleeding. It’s always dark brown and clots. I also experienced a major increase in my blood pressure. My skin has been clear and pain levels are low.

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.

Zero libido and very painful to have sex when I tried. Stopped periods which was great for endometriosis but slowed my digestion so much the bloating and endo belly was uncomfortable all the time, caused pain in hips, lower abdomen and lower back. Had constant reflux unless I slept upright which wasn’t ideal.

It was very convenient and I was on it for 28 years. Im not sure if it mighf have been a causal factor in my low sex libido and recurring depressive episodes.

The pill made me most suicidal. Anxiety and depression were through the roof.

I started the combined pill Drovelis late in my cycle. On day nine of taking the pink pill I got a breakthrough bleed. It's been 10 days and it only increased the last maybe 4 days. I am currently taking iron though and since I'm using it mostly to manage menhorragia im hoping the breakthrough bleeding will taper soon. In contrast my periods were terrible. Dragged over 12 days. Haemorragic. I never went to hospital for them in years but probably barely saved myself on time. I also had them every 26 days which was less than ideal so timed apart. Its worrying but I'm told to continue and see how it goes into the next pack or I'll have to consult with my GP and consider changing brand if my situation doesn't improve. My moods are terrible. I get crying spells and am a lot quieter than I used to be. I'm usually outgoing and very opinionated. Might review again next month. But since it's my first experience I thought id give it a shot