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Well the only 100% of course is abstainance. I have found in my experience which you can read a lot of in this forum is that it really varies from person to person. I HATE the pill but it is my only choice right now, thankfully this new one doesnt seem to cause the bleeding problems the mini pill caused.
I am going to add in a natural barrier method, since we have had 2 scares since I have been on the pill. I am going to use slippery elm and natural sea sponge. I thought about using a lemon juice mixture (lemon juice and olive oil) but I am worried it will cause me to dry out so slippery elm it is. I am allergice to latex and chemical spermacides so my only choice is natural.