Copper coil (IUD) vs Cap or diaphragm

My 3rd coil now. 1st lasted years. Second one fell out and I didn’t realise so accidentally got pregnant. 3rd has extra long strings so hopefully that won’t happen again. Never had much pain during insertion or removal or any added pain any other time just slightly heavier periods. Overall have always been happy with the copper coil just need to be better at checking the strings after each period. Feel happier and have a higher sex drive while it’s in.

I switched to the copper IUD after 8 years with implants and always irregular bleeding with the implant. The fitting was a little uncomfortable as expected but definitely bearable with a paracetamol taken beforehand. My first two proper periods were heavy-ish but not unmanageable (I don't remember having particularly heavy or painful periods before using implants); I felt some lower back ache and cramping for a couple of days at the beginning of each period but again this wasn't too bad, and it was nice to recognise a normal cycle after losing this when using the implant. Over the next four periods my bleeding has got a bit lighter than the first two, and I only feel occasional cramps or back ache so I'm very happy with the IUD and would definitely recommend it.

I've had copper coil since february 2024 and I feel so good that my body can have a normal cycle again after years on a pill. The insertion itself wasn't nearly as bad as people say. Yes it was a sharp cramp but it only lasted around 30 seconds and I could still talk through it so it wasn't anything traumatising. I took 800 mg of ibuprofen beforehand and that's what the doctor advised as well, it definitely helped. On the day I had it done I felt a bit weak and my lower abdomen felt as if I did a great deal of ab exercise. Nothing a couple painkillers and hot water bottle couldn't solve. My periods did become much heavier and more painful but before I had a coil they were very light and I had no pain at all so it is probably just about the same as most women experience every month. For this reason I wouldn't recommend it to people who already have heavy and painful periods but for someone like me it is manageable. I definitely feel so much better with it than a pill, sex became way more enjoyable and I'm more in tune with my body. I had the procedure done at sexual health clinic so I would recommend it over a GP. Overall very good experience and If I don't get any side effects from it over the next 5 years I will definitely do it again.

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.

After bad experiences with the pill I wanted to avoid hormonal contraception, and did not think the coil was right for me. The diaphragm is therefore the only method of contraception (other than condoms) that I found available. I got it fitted at a local sexual health clinic fine - although I did have to ring up to request that my appointment was with someone trained with fitting it, as not everyone can do this. There were a few different sizes to make sure you get one that fits you. It's a bit tricky to get the hang of putting it in and taking it out at first, but if you're used to fiddling with a mooncup you'll pick it up. It's good when you have planned when you need to use it, as you can insert it a couple of hours before and not have to worry about it in the moment. My partner says he can feel it but it's usually not uncomfortable for him - occasionally when I'm on top. As someone who has had a lot of UTIs, I was a bit worried about the increased risk of cystitis (because the rim sits against your bladder) but have never got it when using the diaphragm. The downside is that it requires a bit of extra planning, so if I'm lazy I end up just using condoms instead. Also it's pretty gross when you take it out after leaving it in overnight, and a load of stinky semen-spermicide goo comes out! All in all, a bit of a faff but I'd way rather use this than hormonal contraception. I only use this occasionally as a result. I wish there was a really good non hormonal, non coil option out there!