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I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.

I think its getting better the breakthrough bleeding usually stops after a few months its just brown spots. Stops pregnancy very effectively and my period is like 3 days still pretty light i wear a flex disc and I cant tell at all. No cramps at all. A little back pain unsure why

So Great

i honestly wouldn’t recommend this, he first 3 months being on this birth control i had no period and began for months on end after that. Couldn’t predict my period at all so a lot of ruined underwear. Than sometimes it’ll some for 2-3 days and i would start bleed all over again. I got broken up with 2 weeks after having this and when i tell i was so emotional more than usual. Lastly i had the worse appetite while on this birth control. i weighed 129lb before nexapolan now i weigh 111lb and during that period of time i was not active.

The beginning i bled a lot, 40 plus day periods with few breaks in between. After about a year my periods went away and I only have spotting now. I recently found out I should only be using this form for no more than 2 years but this is my best option. It has been affecting my bones because I experience pain in my knees and hips that I haven't before this birth control. It does control my acne and is reliable which is a plus for me, i haven't experienced weight gain which is a common side effect. I have migraines more often after my shot and leading up to it as well. Overall I don't care for birth control in general and will be looking for other options.

My first IUD placement (Mirena) was without numbing shots, and it really was quite painful. The immediate pain lasted only a few seconds, but I had hot flashes for a few minutes afterwards. The next week, I got the heaviest period of my life, followed by about 4 months of light bleeding. After that, I lost my period completely for about 3 years, and then very light and irregular periods until I had it replaced. My period used to cause painful acne and very frustrating mood swings, which I was quite happy to go without. I did have some discomfort during sex, but only with larger partners and only in certain positions. My second IUD was the Kyleena. I did have numbing shots for the placement, and it was much more comfortable - similar to getting a pap smear. My period has gone away again, and I haven't noticed any pain during sex (Kyleena is a little smaller). My only real concern about the IUD is that if I were to become pregnant while the IUD is in place, it is very likely to be ectopic. I do take a pregnancy test every couple of months, so if it does happen I can get the care I need. I live in a state with very good and safe abortion care, so I would be able to get help right away, but it's still something to keep in mind. All that being said, I would 100% recommend an IUD. I have been nearly period-free since 2018, which is well worth the pain of insertion. I really appreciate being able to avoid the acne, pain, and mood swings I used to get with my period, and I really really appreciate that I have an incredibly effective form of birth control that I only have to think about once every 8 years. I love my IUD so much, and I am probably going to use IUDs as my primary form of birth control for the rest of my life.

Weight gain

The only negative is loss of sex drive, other than that it has helped my mood

I wish I had known side effects sooner! I wish I could sue for pain and suffering. Going on 2 years of vagina, itchiness and dryness. Never knew these were potential side effects and I always thought some other was wrong with me turns out it was the birth control.

Although I didn't get any physical symptoms, I did find notable mental side effects. History: I did have anxiety before starting the medication. Beginning (first month): I was an absolute raging b*tch. I could not control my anger. I was angry and crying all the time. I couldn't focus on anything. It was horrible. I felt like a monster. After the first month symptoms definitely leveled out. Like I said, no physical symptoms, but I noticed that the brain fog/inability to focus continued and although I did not experience clinical depression, I did feel like I just lost my overall happiness.