I m 24 now, 23 when it all started, I was a smoker at the time & had been for a few years. I had a miscarriage before i started on the depo shot. I had one shot & didnt like it so i switched to the pill after about 3 months of being on the pill I ended up in the ER with a PE in my right lung they weren t sure what has caused it im not the healthiest I m over weight and don t eat the best. But im not lazy, 2 weeks before this I had been given a promotion to be a Store Manager. So i was super stressed out but working 70 hours a week, & not just sitting at my desk so they ruled that wasn t the cause. So they assumed it was a mix of smoking & birth control & stress ,tho they still thought i was too young. So they started me on blood thinners kept me for 4 days & released me to be on Xarlto for 6 months. With follow up appts & to a specialist who had a bunch of blood test ran. Turned out I have a protein S deficiency & the pills triggered it. Now I m almost to my 6 month mark & my doctor told me that in order to continue any form of birth control I d have to stay on the Xarlto. My bf can t do condoms & we tried the pull & pray method ie the miscarriage. I m not sure yet if I want kids so I don t just want to completely cut that option out just yet & I m def not ready for one now & if or when I m pregnant I have to be on the blood thinners throughout the pregnancy. So either i stay on both pills or just stop having sex completely.... My main concern is staying on the blood thinners for a long period of time, it s been affecting my menstrual cycle the past 2 months & I still feel run down & tired alot of the time which i know is part of the clot. I m just wondering if I have another option in this. I don t mind the pill for the most part expect I m cold 24/7 now. Can u give me some advice plz?