The pill I was on, Ortho TriCyclen Lo, was really tiny, sometimes I took them without water. It may be easier for you to swallow them than you think. It was a reliable form of birth control for me for 6 years - until I stopped taking it to start having children. :-) So, think about the pill if you don't want to go another route, and at least try a month's worth to see if you can swallow it. Like I said, they are really tiny, or at least the brand I used was.