Recently I have been considering going off the pill for a variety of reasons. First, now that the Supreme Court has a conservative majority that may vote to repeal Roe v. Wade, the threat of pregnancy stresses me out even more. I’ve been researching the IUD because of its extremely high effectiveness rate, which is higher than any other form of birth control at 99% (aside from sterilization and abstinence). The effectiveness of the birth control pill varies based on how good the user it at taking it at the same time every day. I’m not very good at this. I tend to take the pill when I’m going to bed, which could be at 10pm or 2am, as opposed to a regimented daily time.
Second, I want to take a break from the hormones that I have been ingesting every day since I was 17. Being on the pill has provided me with some great benefits, including better skin and lighter periods. However, lately I’ve had this overwhelming urge to detox. I have friends who said their mood got remarkably better after they went off the pill, or that they felt more like their old selves. I just want to take a break to see how it makes me feel, because it’s been so long. My mother also recently told me a story of a friend of hers who had a stroke from the pill, and another friend who developed a blood clot. The potential risks never scared me before, but to hear my mother has not one but TWO friends who had serious complications has definitely made me re-evaluate things.
Third, remembering to take a pill every day is ANNOYING. I know this reason doesn’t seem like much compared to the others, but it’s how I feel. This is another reason as to why I’ve been considering the IUD, because once it’s in, you don’t think about it. At least, that’s what SHOULD happen. I’ve heard great things about the IUD from some, and horror stories from others. For example, one of my sisters has reported a great experience with her IUD; she barely thinks about it, has no side effects, and it works great. But my other sister had a terrible experience; hers fell out of place and put her in extreme pain, which forced her to have it removed only a few weeks after it was initially inserted.
My point is, every form of birth control has pros and cons, and it can be exhausting to find the right one. Right now I’m stuck between remaining on the pill and switching to the IUD. No other form of birth control appeals to me. My doctor advised against the shot (concerns about bone health), I tried the patch (ITCHY), the implant freaks me out because I’m squeamish (my roommate had one and she would move it around in her arm to try to gross me out), and everything else either requires too much effort/mechanics for my taste (inserting a ring each month? or a sponge every TIME?) or has a lower effectiveness rate (according to Planned Parenthood, every method aside from the ones I’ve already mentioned falls below a 90% effectiveness rate). My boyfriend has been very supportive, saying he wishes he could take on this burden instead of me, and has suggested returning to using condoms as a non-hormonal, side-effect free alternative. However, condoms are expensive (as opposed to the pill, which is free through my insurance), and not as enjoyable for either of us.
I’m still in a state of ambivalence, so if anyone has information or stories to share please comment! I’m trying to gather as many details and perspectives as possible so I can make a decision.


