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I was with my ex for 5 years and for 2 of them in the middle we didn't use anything but birth control pill, with no issues. When she went on a new medication for her narcolepsy, it was one that interacts with her birth control, so we had to start using condoms again... but for the 2 or 3 years that we only used BC no issues. It's really a question only you can answer about how you feel about the risks. An additional factor that would weigh into that would be your stance on abortion - and how liberal with it's use you're willing to be. At the end of the day you have to live with whatever consequences come of it (babies, abortions, diseases, etc.)
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