So glad this thread was bumped!
I've just recently started the pill (Estrostep). I should have done this a long time ago... but I had a really bad experience with a gynecologist when I was a teenager, so it took me well over ten years and a lot of nagging from my husband before I'd go see one, even to get on the pill.
Three reasons... don't want a baby right now (though if I got pregnant I'd keep the baby)... I get horrible menstrual cramps... and I recently had a big problem with mittelschmerz (pain associated with ovulation) that landed me in the ER.
So far, so good, aside from a month of breakthrough bleeding
Sex drive has definitely gone up, much to my husband's delight.
I'm due for a follow-up appointment in a month or so, and I'm putting together a list of questions, some based on this thread.