C.J.
Weight gain or weight loss will also throw stuff off.
I'm healthy, 43 years old and had been on The Pill since I was 18 and my doctor said NO MORE. Make a decision because you REALLY shouldn't be on The Pill anymore due to blood clots. The bleeding was HORRIBLE after having our son at 40. My iron was always low and the cramping was almost as bad as labor!
I already had the Esure procedure done and just had Novasure done two months ago. It's awesome to be OFF THE PILL!
If you're done having kids it's time to get something done. You'll be SO happy you did.