Hormonal IUD vs Combination birth control pill

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.

If you are considering the hormonal IUD route, I highly encourage you to read this! I primarily chose to switch over to the Mirena due to the weight gain I experienced while on the pill. To preface, I never had any issues with vaginal dryness prior to the switch. Following the insertion, I have been almost completely unable to get wet. As I stated before, this was never a problem for me regardless of arousal. It has been over a year, and without using an external lubricant, I physically cannot have sex due to the severity of this issue. It can be humiliating if the person i’m getting with isn’t aware of the causation. Just wanted to make it known, because it’s impacted my life pretty significantly.

I took this for endometriosis and it dialed my pain and symptoms down from a 9 to a 2-3, for a whole year. Unfortunately after a year I felt the pain begin to creep back in, a little more intense every month after that year mark, so I decided to pursue excision surgery as a more permanent solution. If you’re not ready for surgery but want endo relief, definitely encourage you to give Mirena a try!

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

My moods increased, I lost 50 lbs, and my acne got better. I was using Aviane before this and I was ovulating on it. Since switching to Vienva I have not had any issues.

I’ve experienced these issues around or during my period

Had nausea the first week of both months 1 and 2. Only side effect was significant breast and butt enlargement, which led me to stop taking it.

no noted side effects very happy with this medication was switched to sprintec and not happy at all with sprintec

I actually didn't really have any "normal" side effects with this pill, I felt like I was mostly normal. But I did notice that my hair was gradually thinning, and it felt like it triggered some form of chronic hair loss for me. Interestingly enough, while it wasn't a huge issue, I noticed that I had "stinky" periods? I stopped having them after I stopped the pill.

Being on this actually helps me to get fewer menstrual migraines. I don’t seem to have had any truly bad side effects over the years I’ve been taking it.

I got major mood swings when skipping the placebo week, which is why I stopped.

I love my birth control

Overall discomfort.