It’s up to you if you want to go on birth control or not. There are other options, although most of the require you to be more in-tune with your cycle than most women are accustomed to (unless they are actively trying to conceive).
When I was first pregnant, and the midwife was taking my medical history, she asked if I had ever been on birth control; when I said, “no,” she quickly and enthusiastically replied, “Oh, good!” I’d never given it much thought before — I don’t like to take medicine, and prefer to avoid drugs unless they are necessary, so I never took birth control pills. Now I see that there are many reasons why that is a good idea.
Here is an article about Johnson & Johnson’s multi-million dollar payment to settle lawsuits about adverse reactions from their birth-control patch. These adverse reactions included heart attack, strokes, and blood clots.
Hearing stories like this doesn’t make me feel any more comfortable about using hormonal birth control. Especially when my cousin developed a blood clot from her birth control pills, and was even hospitalized for a time. (This happened well over 10 years ago — I think she had her hysterectomy about 10 years ago, and her only child — conceived when she went off of her birth control pills because of the clot — was several years old at the time.) So, if genetics has anything to do with risk of developing a clot, then I’m that much better off by totally avoiding it.