Hormonal IUD vs Withdrawal or pull out method

Wish doctors were honest about how Kyleena (and hormonal IUDs in general) cause acne breakouts in women. I asked doctors and they repeatedly assured me that since hormonal IUDs use a localized progestin, the hormone doesn't enter into the bloodstream and cause acne. But this is not true. I had never struggled with acne prior to my Kyleena insertion. I've now had my IUD for over 3 years, and ever since I have persistent hormonal acne on my chin. It's still a good birth control product, but please keep in mind that acne is a common side effect of the hormonal IUD, affecting between 14-30% of people who have one.

initial "spotting" turned out to be almost 10 days of light to medium bleeding but cramps and bleeding have become much lighter compared to my regular cycle

None just increased sex drive

its stressful for me

None

I was on a iud for 9 years for endo

Made me gain weight

I have my tubes tied.

I don't recommend going multiple rounds. Otherwise, seemed pretty effective.

Annoying to have to fuss with putting the condom on, and I don’t enjoy the change in sensation while using a condom. But I feel protected against pregnancy. I occasionally rely on pull out method, and the anxiety over my partner accidentally not timing this correctly (ie not pulling out soon enough) negatively affects my sexual experience.

Still can get pregnant with pull out method or anal

I get pretty sick on the pill and with same partner 3.5 yrs no issues but recognize not most effective practice.

It worked but I was terrified I was pregnant until I got my period. I had no sex drive because of this and was incredibly stressed. It worsened my mood as well.