For the discomfort in your penile veins and exhaustion, please consult a urologist or primary care physician for a proper evaluation, as these symptoms require a physical exam before any medication can be recommended. Regarding contraceptives, all oral contraceptive pills contain hormones and carry potential side effects; there is no highly effective contraceptive pill that is entirely free of side effects. If you are seeking non-hormonal options for a partner, consider barrier methods (like condoms) or a copper intrauterine device (IUD). Please consult a healthcare provider to discuss the safest and most appropriate options.

To delay pregnancy safely for around two years, doctors commonly prescribe low-dose combined oral contraceptive pills because they are effective, reversible, and convenient for long-term use when taken correctly. These pills prevent ovulation and help reduce the chances of pregnancy. In many women, they may also help regulate periods, reduce menstrual pain, and improve acne or heavy bleeding. The best pill depends on your age, blood pressure, smoking habits, migraine history, diabetes, weight, and risk of blood clots, so it is important to choose the medicine after a proper medical evaluation rather than starting it on your own. The pill should be taken daily at the same time for maximum effectiveness. Some women may notice nausea, spotting, headache, breast tenderness, or mood changes during the first few months. Please consult a gynaecologist to select the safest contraceptive option based on your health, lifestyle, and future pregnancy plans.