mmm your options are limited.
i would see a good OBGYN with your views on birth control.
All hormonal options are very sensitive (i am no impressed with the push to allow the pill to be an OTC medication at all!)

DH had the snip and she has been fine, no problems, perhaps he could talk to a few different places about it - the can do it under local now.

You can get copper UID as well.

I have had a huge journey with hormones the past 18 months due to PMDD and i have avoided mirena as i am extremely sensitive to progesterone.

but there are so many ooptions for the pill the 2 you used are pretty broad, perhaps talk about one that only contains 2 hormones and low doses to reduce your risk of hormonal outbursts??