Man, yaz gets a lot of hate but it’s honestly the only pill that was symptom-free for me. I tried around 4 different pills before landing on yaz, and they all had various bad effects – acne, menstrual pains, bloating, weight gain, mood fluctuations, etc. With yaz, even if I missed a pill or didn’t take it on time I was totally symptom free. And without birth control I often had incredibly debilitating cramps that became WAY more manageable with yaz. I stayed on it for 7 years (through most of my 20s) without a single issue. In the end, I think it’s really down to our own individual bodies. Nobody’s hormone levels are exactly the same and so different pills will affect each woman a lot differently.
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Very-low-dose birth control pills are usually started on the first Sunday after your period starts. If you're perimenopausal but you aren't having regular periods, you can probably take a hormone called medroxyprogesterone acetate (brand name: Provera) to start your period. (Your doctor will check you for pregnancy first.) These pills are taken for 21 days in a row and then not taken for seven days. During the seven days without medicine, your period will start. Seven days later (this will be on a Sunday), you'll start taking the very-low-dose oral contraceptives for another cycle (21 days on the hormone pills, seven days off).