Hormonal IUD vs Vaginal ring

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

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.

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.

I like the ring, I have gained a bit of weight though. I am also very nervous about blood clot risk so I might switch to minipill, but the ring has made my periods very bearable and I can choose to only have them every two months! I also had a decrease in body acne on the ring, particularly on my back. I would recommend this method if you are not overweight, smoke, or are over 35 as the risk of blood clots goes does a lot and it’s easy to use! I also have experienced headaches for the first time in my life since being on this, they’re mild but not fun.

This birth control caused me to have 2 strokes and I almost died. I do not recommend it at all. My doctor insisted I use it and within the first year I had more frequent and more severe headaches. I gained a ton of weight and my cholesterol shot up despite my being a very active vegetarian and working with a dietician. After 18 months on it I had my first stroke and it went undiagnosed, I had a severe headache and I went blind. The hospital sent me home and told me it was "just a migraine." 10 months later I had a massive bilateral stroke that has ruined my life. I am only in my 30s. Run far away from this medication.

I was on this birth control for 10 years until I got a blood clot and had to be on blood thinners for a month. Not fun.

I’m not a birth control novice and wanted to try Annovera due to its novel progestin and ease of use. It’s worth noting that I’m extremely sensitive to progestin related side effects. I have never felt worse in my life than the week I used this ring. I endured episodes of uncontrollable vomiting, horrendous body aches, and a constant feeling of internal rage!! Plus, the level of discharge it caused was frankly disturbing and unlike anything I’ve experienced in the past. Felt better almost immediately upon removal. Obviously every person’s experience will be unique but I definitely wouldn’t recommend Annovera to anyone.

First three months were great. No period no break through bleeding no side effects. On month 4 I started having extreme cramps and breakthrough bleeding often. I would remove ring (1 hour) and re insert it due to the cramps. I even tried having regular cycles. Nothing helped with bleeding or cramps. I like not having to take a pill everyday, but I don’t think it’s worth the cramps and break through bleeding.

Very easy to use. Periods were heavy at first but very light on last days. Main problem was discharge. Caused a increase in my migraines

I’ve used NuvaRing for over 20years and highly recommend it. It’s super easy to put in and take out. And I really like that I don’t have to worried about it for 3 weeks!

I generally like my Nuvaring, when I'm responsible about using it correctly. I feel confident that it works and I can forget about it most of the time, until I forget to take it out or put it in on the right day. I have used it to skip a period every once in a while. When used inconsistently like that, in combo with not taking out or putting in on the right days, I developed terrible migraines and strange neurological symptoms, like lightheadedness and scalp numbness/tingling. But when I used it regularly again, the symptoms disappeared. I do think I gained weight on it.

Overall, the birth control is reliable. I like not having to worry about it on a daily basis and it does not interfere with sex.