i started with the pill about 3 years ago and I started with Orthotricyclen because they didn't have the lo kind or anything like that and I didn't have any side effects when I started, but then I decided to change not because I was having any problems but just because I wanted a change and I changed to OrthoEvra (the patch) and that is the best thing I have ever used! You only use it once a week and you can still swim and bathe and do everything normal with it and stays put! I really like that. I wouldn't recommend the Nuvaring though because mine kept sliding out and I didn't trust it. Hope that helped a little.