Options

I am out of options. I’ve got a doctors appointment tomorrow and I don’t know what to do, I might have to remove my final birth control option.

I have tried:

The pill (loooads of side effects)

The implant (worsened my migraines)

The Mirena IUD (experiencing mass hair loss)

Unfortunately I’m limited on my options. I can’t have estrogen due migraines and I need localised hormones because of them too. I also couldn’t use something like the paraguard because my periods are heavy and painful as it is. It’s due to this that I don’t want to use non hormonal methods, and they’re not as effective and I don’t want to risk pregnancy. I just don’t know what to do anymore, if my hair loss is due to my Mirena then I’ll need it taken out and then im completely out of options. Have you got any suggestions?