If you already aren’t fucking, then deciding to not be on birth control really doesn’t change much.
There are many reasons to take birth control besides contraception. My tubes are tied so I don’t need the pill to prevent pregnancy, but I take it because I suffer from premenstrual dysphoric disorder (PMDD), which is like PMS on all the steroids. Two out of every four weeks were hell. I’m 42, so yes the risk of blood clots is elevated, but the benefits are amazing. I take it continously, it has no negative effect on my libido or ability to finish, it doesn’t make me gain weight, and because I skip the placebos I never have a period. I don’t have the rage and despair; I don’t have the bloating, aching, nausea, lightheadedness, and cramping; I don’t have to plan my life around bleeding; and I never get surprised by an early period (which became a huge problem because of perimenopause).
I know I’m a sample size of 1 but I really can’t say enough good things about my pill. I wish I’d gotten on it sooner!