Birth control patch vs Hormonal IUD

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.

Breakthrough bleeding lasted for 3 mos

Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets

Has helped overall by stopping my periods which were long (5-7 days) and heavy.

It's ok. No unplanned pregnancy but my periods last for 2-3 weeks and I gained 25lbs in 2 years with no changes to eating habits.

Went on the IUD bc I had super painful periods. Modena stopped my period and once a month now I’ll have just a little bit of phantom cramps—but none that ever pose an issue. The first month was quite painful adjusting to the IUD, but COMPLETELY worth it in the end. Only negative side effect I’m experiencing is vaginal dryness. Vaginal discharge has decreased and when I’m with my partner, no matter how aroused I am, I’m still pretty dry.

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

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.

So far i’m loving mine! The spotting for the first month has been very annoying but nothing horrible. Cramping went away in four days, only negative so far is i’ve had a lower heat tolerance and (i’m blonde) my leg hair has gotten DARK. I have been consistently loosing weight since starting and plus, in my opinion, my sex drive is way up. My partner is on testosterone therapy so i’m finally able to keep up with him and we love it! I highly recommend so far!

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain

So far I've had this for about a month and some change and I love it! Made my period significantly less painful this time around ❤️