I've been on the pill of some sort for the better part of 20 years. I was on Levlen for at least 10 years because for that time I felt it helped with my migraines as well as period pain. After DD2 I struggled badly back on levlen with shocking migraines so ended up on Yaz for a while - my understanding is that its designed for older women (I'm almost 42). That was good for a couple of months but then gave me even worse migraines and no period for months and then whammo, enormous blood loss. FWIW, I didn't find any libido issues but I think we're all very different when it comes to that sort of thing.

In the past the benefits of being on the pill outweighed (for me) the potential side effects of long term use, but my body and hormones have obviously reached the point now when they don't take kindly to oral contraceptives so I'm weighing up my options for what to do next. Like you, I fall pregnant seemingly just taking my clothes off if I'm not on the pill so there is no way I'll wing it. DH seems to be struggling with the idea of a vasectomy, which significantly limits my options given that my migraines make me more than likely unsuitable for things like mirenas.