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I had been a Nuvaring user for years when I got a non-hormonal IUD. I was totally thrilled to get off hormones (because, like it or not, all our hormonal pee is actually really screwing up the aquatic life downstream) and to have the system just turned off for awhile without having to think about it or pay at the pharmacy every month. Gracious me, what a painful 7 months that was. Constant cramping and spotting and painful intercourse of all things! It's too bad really, works so well for so many, just not for me. Got a uterine fibroid somewhere along the way too - don't know which came first or if that was the pain or what. So back to the Ring while I debate sterilization - just get rid of the system if you really like sex but not into quitting smoking Ms. Harding! Non-surgical Essure blocks the tubes and you have control of your reproductive system!
C'mon - smoking? On the pill?! I'm not a smoker (of cigarettes at least) so I guess I don't get it. But please please don't complain like it's the doctor's or industry's fault. You have a plethora of options to obtain the lifestyle you desire - you are in control, after all.