Thanks for the feedback everyone. My cycle had been perfect before pregnancy, at least for the last couple years anyway. Basically, I used to have no cycle/constant cycles but after losing about 70-80 pounds, it was every 27-28 days always. I suppose it's possible that it isn't the birth control pill causing the issues now, but considering I had this problem before while on the pill, I believe it's safe to say it's the pill.
I am very, very rarely off more than 10-15 minutes on the timing, although the times that I do take it a bit later (within a couple hours though, and this is maybe 1x per month tops), it doesn't seem to cause any symptoms, at least not immediate ones. So I don't think when I take it is the issue either, but thanks for that suggestion!
I saw my OB last week and she said that I was likely in need of a higher dose pill too. However, my blood pressure was high... higher than it was at my PP checkup when I was about 30 pounds heavier... higher than it ever was during pregnancy... 149/90 I believe is what it was. It's never been like that. The ONLY other time my blood pressure has been high was when I had just gotten married, we were both working opposite shifts with just one car, I was trying to finish college, and working a retail job during Christmas, and had a urinary tract infection. I'm going to assume it's up mostly due to all my stress. Not that it makes it okay, but regardless, my OB said it would be "irresponsible" of her to prescribe a higher estrogen pill with my blood pressure at that level and that she really wants me off the estrogen period. Of course, it probably didn't help that I mentioned the pill makes me moody and irritable, and slows my weight loss down... all issues that she said tend to mean I need LESS estrogen.
She instead strongly recommended I go the Mirena route as it's only progestin and no estrogen. But I'm not exactly sure how I feel about it. I know there was someone here who had a terrible experience with it, but also people that love theirs. My friend just had a copper IUD inserted and she nearly passed out and then dry-heaved from the pain.
That freaks me out, but supposedly it's harder to insert. She's also never had a baby AND she has a tilted uterus, sooo... different situation. I doubt that it would hurt worse than natural labor and childbirth. But then the issue of uterine perforation is obviously worrisome.
Meh. I have a couple weeks to think it over. I go back to see my doc on the 14th to talk about it and any other options. She went me with info.