Thanks for writing to us with your health concern.
The OC pill has numerous benefits apart from contraception
It regulates menstrual patterns.
It reduces heavy menstrual bleeding.
ALso, due to regulation of the hormonal
milieu, it leads to remission of your hormone related mood changes.
It benefits headaches
and cramps also.
At 39, there is no reason for you not to take the pill if that is what suits you.Contraceptive
choice is highly individualized, one HAS to go by the cafeteria approach.
NO doctor can dictate what you should have, unless there are medical emergencies to take care of.
Another issue, a smear is not at all painful.
Wonder why you are so paranoid about them.
Please take the mini pill if that suits you.
Ask her to run through the medical eligibility checklist and if all is well, the pill is an excellent choice anyday, and there is no reason to recommend the coil over it.
All the best
Please feel free to discuss further.