If you are going off the pill because the hormonal forms of birth control are affecting you too much/too great a risk, I'd really suggest picking up a copy of the book "Taking Charge of Your Fertility." It's amazing. It teaches you how to read your body and learn the stages of your cycle, and gets you in the habit of charting your symptoms (which can be important with migraines anyway, learning to recognize patterns and narrowing down triggers...now I have a record of when I felt "off" or had headaches and am noticing patterns). It teaches you what days you're fertile or infertile (just use condoms on the fertile days), but most of all I learned SOOO much about my own body that I never had been taught before. It's amazing how little I knew about how the hormones were released and timing and all that.

I had to stop the pill because it was causing migraines and shaky panic attacks, so I knew other forms of hormonal birth control would likely also give me issues. This has been a great way to track everything, and there are tons of women who have used the methods for years without conceiving. You do have to take your temperature every morning when you wake up and write it down, but honestly it gets to be routine, just keep it by your bed. No different than taking a pill every day.

If you're ok to get something like Mirena, that could work great for you too, if you don't want any more kids. I'd talk to your doctor.

When my doc wanted me off the pill, we used a diaphragm until we decided we didn't want more kids. Then my husband got a vasectomy.

Liliana