Copper coil (IUD) vs Cap or diaphragm

This post is for those considering the copper IUD. I know it is scary and you can find many horror stories online, so I thought I make the effort and share my IUD journey with you which has been very positive. Insertion: Got the IUD on the 4th February Insertion was uncomfortable and for a few seconds very painful but it did go away very quickly. I did bleed a little bit as well but I always do when they are examining my cervix. I’m very sensitive down there. Note:I have never given birth and my GP said that it can be more painful for those who never given birth vaginally. The GP who did the insertion was absolutely brilliant. She talked me through what she was doing and she prepared me for the most painful part. There was also a nurse present who was literally holding my hand through the whole procedure. It was such a positive experience. I’m grateful for both of them for making this experience so manageable. Right after insertion: I wasn’t in pain afterwards - I only had a mild sense of discomfort like you would have after a smear test. I even went for an hour walk right after the procedure, so it was really not bad at all. Please note that I’m a physically active person, so walking for an hour doesn’t tax me much. Others might have different experiences and it’s absolutely fine if you just go home and rest in bad for the rest of the day. That’s what i was told to do to be fair. Days After insertion: The cramping was moderately bad after the next 4-5 days, spotting was light After the 4-5 days cramping intensified especially after exercise and at some point the pain made it difficult to walk. Never felt cramping like that before. It made me very irritated as well. Normal painkillers didn’t work, I had to take cocodamol to get some relief but it was short term. Later it turned out that it coincided with my PMS. I was bleeding everyday after insertion, so it was hard to determine what was menstrual bleeding or bleeding because of the IUD insertion. Around day 11 cramping settled significantly. I only had occasional cramps which don’t require pain killers. I think I got my period on day 12 (16th Feb or 15th Feb) because the bleeding intensified around that time. It is the 17th February today. Moderate bleeding (more than usual but moderate) very light cramping. Fast forward March. After my period in February, I did not experience anymore unusual cramping - even after exercise. I got my period on the 9th of March. I did have some light cramping and mood changes as PMS but nothing unusual. The cramping was very moderate and did not require painkillers. Bleeding lasted 6 days with 3 days of heavier bleeding -3 pads a day- which for me is heavy bleeding. I have had sex a few times since insertion and my partner couldn’t feel the strings, so no problem there. Did not experience any dryness and my sex drive during ovulation is definitely higher than when I was on the pill. Overall very happy with my wee copper coil. 😊 Just a reminder that negative stories often get more attention than they deserve—people are more likely to vent about bad experiences than take the time to share positive ones Will keep you updated!

I’m writing this purely because of how terrified I was going to get the coil after all the horror stories I read about on here. If you are prepared the insertion is an absolute walk in the park. I took 2 feminax and 2 paracetamol about 45 minutes before my appointment, chose the local anaesthetic (call in advance to check you can get this!) - I literally hardly felt the anaesthetic at all and then the insertion is like sudden onset of moderate period pain but again it was nothing as bad as I was expecting!! The 24 hours after I kept using the pain relief tablets and I haven’t needed to use it since. A tiny bit of bleeding since which I think will continue for a few days but that’s it. If this fear of the insertion is what’s stopping you from getting either coil please read this! I almost didn’t get it because of the anxiety I had around fainting / extreme pain etc. that I read about. Eat before, take pain relief and get the local anaesthetic and you will be so fine

I got my gynefix mini online and had it inserted at the John Hunter clinic in London. I had paraguard before which gave me terrible cramps and incredibly heavy periods: I had Jaydess for 3 years which gave low but manageable mood but I started having terrible back pains either it. Once I had it removed, back pains stopped. I didn’t use anything for a while and then tried the implant, which was awful! It gave me terrible mood swings and anger! Went back to jaydess and back pains returned and low mood. I started looking for other options and found gynefix and I am so glad I did! Insertion was painful and my periods are significantly heavier but nothing I can’t live with. No back-pains, no horrible craps and no mood effects! Thank you whoever created this! I really forget it is there and only sometimes can slightly feel it, but this is by far the best contraception I’ve tried! It was hard to find a dr to get it fitted and I had to order it myself as NHS don’t supply it, but worth it!

Apart from the issue I'm currently dealing with (it getting stuck inside of me), I LOVE the diaphragm. I found out I wasn't never fitted (which is why it kept getting stuck upon removal), so my new, awesome doctor actually sized me. It's easier than popping in a tampon once you learn how to do it and then ya pop it out the morning after sex. No side effects, no hormones, no emotional hangover. It's very hard to find though. Pharmaceutical companies don't want women to buy one silicone object that lasts for the rest of your life, so finding the right size and actually getting it has been a challenge. My mom used it and only got pregnant to have me (her only child) and I've been using it for 5+ years with no issues.

I've used Caya several times over the past couple years (they last up to 2 years- due for a new one now). I use it on the edges of my fertile window (with fertility awareness) and/or combined with withdrawal or condoms to boost efficacy during the fertile window. Always use with Caya/Contragel- they come with an applicator to re-insert the gel into the vagina, as you need to reapply the gel each time you have sex. Watching the YouTube instructions on how to put it in (plus the instruction manual in the box!) helped me understand how to use it properly and to have an idea of how it was inserted properly.

I used the caya cap. It has been a game changer after previously taking the pill. I feel in control, no need to remember to take a pill, just put it in when needed. Better than condoms as it is women based and not detectable. Effect of not taking hormonal contraceptives has been amazing. All the side effects that I had ( migraines, reduced sex drive, dryness, breast tenderness, strong period pains, breakthrough bleeding and emotionalness) all gone. I wish someone had told me about it before!

Having experienced terrible physical and mental health side effects from both types of contraceptive pill (Combined and POP), and permanent pain and repeated UTIs with the copper coil, I hoped that Caya diaphragm would be a suitable non-hormonal method to try. Unfortunately, I found insertion very tricky - it seems I have a case of "deep vagina, small fingers", as I could never tell whether I'd pushed the diaphragm up far enough to cover my cervix, and sex was always a bit uncomfortable. I'm naturally prone to cystitis and thrush, and getting both while using the diaphragm also put me off using it long term. However, on the plus side - I didn't get pregnant (though I was still breastfeeding a lot, and my periods hadn't yet returned postpartum), and I did manage to avoid the hormonal depression, skin changes and weight gain/loss that I've experienced in the past with pills.

All in all it was acceptable

Fiddly and a faff. Didn’t bother a couple of times and ended up pregnant. He’s nearly 20 now and I’m still married to his father so not all bad :) Tried the copper coil for a bit after but it gave me very heavy periods and stomach cramps which had never been a problem before. Switched to the mirena coil and now on my third - no periods for 15 years and no menopausal symptoms despite being 52. What’s not to like?

I was only using it shortly, as I wanted to avoid hormones. It was not bad, but the need of using a spermicide as well was the reason why I stopped, I had vaginal discharge caused by the spermicide.

As someone who has struggled with more mainstream contraception, this was a miracle. Zero side effects and non-invasive! You're able to insert it up to two hours before sex so it doesn't have the moodkiller effect of a condom, and neither partner can feel it once it's in, unless you're searching for it with a finger. Inserting and removing it takes a little getting used to, but the initial learning curve is very much worth it. (And any Mooncup users will find it easy enough.) Note you will need to be fitted by a nurse/ health practitioner to ensure its effectiveness. This can be tricky to find unless you live in a larger city/ you have a very thorough doctor, but it was worth persisting for me.

A bit fiddly until I got used to it.

An oldie here! I was first fitted with a Cap (can't recall the brand) when I was 27. I had been married for just over six months but, more importantly, had been on the Pill for more than 10 years and was keen to use a contraceptive method that was ultra-reliable and guaranteed to have no side-effects, either short or long term. The Brook Advisory Clinic in Tottenham Court Road fitted my first Cap, I'd been going there since I was a schoolgirl and stayed with them because it was clear they were far more expert in contraceptive medicine than my GP - and I suspect that is still the case. Before deciding to use a Cap all available methods were talked through with me by a nurse, specially trained by Brook and, frankly, with better knowledge that our family GP (who I knew well as a family friend) or any other doctor I knew. Before coming off the Pill I was taught with a practice Cap how to coat it with spermicide gel and how to insert correctly. I was sent out to walk around the area for 20 minutes, ostensibly to see if I had inserted it correctly but in reality I suspect this was more of a confidence building exercise to reassure me that it wasn't rocket science and that the Cap would remain in place until it was removed*. I was encouraged to start using my Cap while I was tailing off the last month of Pills so that when the time came I would be confident in using it "for real". Once I was dependent on a Cap I found it to be a quick and easy method. No need to insert hours before you think you may need it: carry in your handbag and simply insert when you go to the loo (if out for a date) or last thing at night before you go to bed. One huge plus is that if your period starts while you're out-and-about and you have your Cap in there are no embarrassing leaks and no stained underwear - the Cap catches it all! I used a Cap for 10 years, only stopping when I decided the time was right to have children. I had no side effects of any kind and no failures. As a child of 1960s and have grown up with the expectation of always having aan active and lively (and varied!) sex-life. The Cap proved more than equal to the task. So long as you use it correctly, this is the one sure-fire female-led method with no side effects and plenty of pluses. One very important point: DON'T expect your family GP, or the practice nurse, to be very enthusiastic about fitting you with a Cap. It is still the case that contraceptive medicine is barely touched on in standard UK medical training for doctors, and I'm told it doesn't happen for nurses either. In any case, I'd strongly advise any woman seeking proper, accurate and informed contraceptive advice to go, at least for the first year, to a specialist clinic such as those run by Marie Stopes or the Brook. * I'm concerned by at the comment by another reviewer that her Cap can slide around in her vagina: if this is the case either it doesn't fit properly or she isn't using it correctly; whichever, if it isn't securely in place over her cervix then it cannot work properly.