Hormonal IUD vs Sterilization

I'm almost 28 years old, have had periods for the last decade and a half. They have always been regular and heavy to the point that if I didn't take iron supplements 5x a week and tranexamic acid during my periods, I'd have anemia. So I got Kyleena in December 2024. Insertion was fine, some cramping but nothing too serious. I had cramping on and off during the times my periods were supposed to come and some spotting/bleeding, but it was usually what I saw towards the beginning of my cycle. I had one reduced-level period in mid-August. I have had to go from 36D to 36DD to 36DDD/38DD bras over the span of a few months. At first I thought it was just weight gain (went from 170 to 195lb), but I have been almost 200lb before and my breast size increased this much this quickly. Even after losing 10 pounds my breast size has shown little to no decrease. I hate it. I also suspect that the IUD influenced my sciatica in my lumbar spine, which began in February 2025 and has taken several weeks of PT and a round of oral steroids to resolve. I am still not up to 100% all these months later. Overall a 2/5. The decreased period length, flow, and frequency is almost not enough to justify having this torture device in. If I get pregnant w/this in, I'll be so angry.

I've had horrible bloating. From when I wake up till I go to bed my clothing size changes up to two pant sizes because of the bloating depending on what I eat. As in it's so much worse with things like potatoes. I've had to switch to basically only wearing stretchy clothes because it gets so bad.

Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous

It’s just that my periods are all over and I hate having them anyway so I really hate how they are so irregular

Every one that I spoke with told me that they haven't been able to conceive after taking the Depro Vera shot! Even women that are half my age! Said that it made them sterile as well. I've been seeing commercials for law offices mentioning a certain kind of Cancer. But I've never heard of any pertaining to it making them sterile.

I am not deliberately using birth control. The survey needs to have a choice for “I am not using birth control.” I had a hysterectomy after developing dangerous cysts.