Copper coil (IUD) vs Combined pill

My experience of the copper IUD is mixed, even if overall positive. I first got it as emergency contraception after my first sexual experience, and was not properly offered any pain relief. The pain was excruciating and slightly traumatic, but also as I wasn't used to things going inside my vagina either. However it served me perfectly for 5 years, and no hormones and side effects from those. When it was time for renewal I was prepared emotionally and knew what pain relief to ask for. The procedure itself was quick and felt very empowering. They offered me the 10 year one which was slightly bigger and I thought it was no big deal. I was in constant low level pain and discomfort with it, and periods became excruciating. I got it switched back to a 5 year one and this cleared up. Again. the procedure was fairly quick as I knew my body and had good pain relief. My last one suited me fine up until around 2020, when the combination of the stress from the pandemic and using an expired lube gave me recurring yeast infections that lasted at least a year. I then discovered that it had slipped and so got it removed, deciding to switch to Fertility Awareness Method. After that, the recurring yeast infections stopped.

Personally, I would never get another coil again. The reason for 2 stars is I actually had the copper coil inserted in 2018 and it was okay but I had it removed in 2021 after asking for it to be removed for over a year. My periods were heavier as expected, but I also had thrush every month, BV multiple times and it just became so uncomfortable dealing with this constantly. I had the copper coil again this year (march 2025) and it was awful. The insertion this time took an hour compared to the 10 minutes last time. I was in so much pain I was heaving, I have had three babies and this was worse than birthing a child. They finally got it in and I ended up with a mild infection probably due to how long and how many attempts it took. A week later it started to settle down 🤞🏼 however almost three months later and I'm having it removed next week. I don't know if it's misplaced (they will be checking this first) but I feel it 'stabbing' me randomly every day. I will be walking and suddenly stop and feel like it's stabbing me or trying to come out, but I can still feel the strings. On two occasions it's hurts me during sex which is a red flag. My periods are 10-12 days long and I'm getting through a pack of pads every 1-2 days, plus the thrush is back again. I was offered a replacement however I have declined and I am currently trying to decide which combined pill may be best for me, tho I am nervous about going on the pill now!

I was having heavier periods

Absolutely legendary pill, I’ve been on a few others this one by far is the best. Haven’t had any changes in my emotions and most importantly not pregnant! And I really do push that to the test weekly. I was A cup before taking and now I’m pushing B cup so for me that’s great

Low mood, caused depression anxiety and lethargy

I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.

Used Rigevidon for 6 months, had to stop due to mood. It didn't make me depressed or anxious just a lot more sensitive, took my quite a while (another 6 months) for my hormones to finally balance out again. My weight didn't change a massive deal, I gained a little bit, probably more due to me being more upset than usual. Stopped period pain and made periods a lot lighter and easier and grew my boobs a bit. Also very clear skin which is a bonus. Overall okay pill I just didn't like the mood swings.

sadly got swapped as my pharmacy isn’t stocking it anymore. it served me well for 5 years. can’t really complain

I’ve managed 10 days on this pill - but have stopped for my mental health. Never have I suffered with anxiety like I have on this pill. It has been horrendous. My mood is so low and I’ve not been able to function normally for days. I’ve not eaten or drank normally. The headaches and nausea are constant.

I used this pill a few years ago during a difficult period and wondered then if it impacted my mood, but it was a difficult time so it was hard to gauge. Tried again this time around and sadly no the pill was definitely a contributing factor. My pill free week I had a constant feeling of anxiety, which then followed into my next round. Im not really an anxious person but by week 4 on this I felt constantly on edge. Im a light sleeper anyway so I didn't make the connection last time between insomnia symptoms and night sweats but I think this contributed. I wonder if its linked to the heightened anxiety. A shame because otherwise no impact on skin, weight or periods sadly it just does not work with my mental health. I recently switched to Yasmin and it was like a light came on almost to the day I switched. I'd avoided it because of some negative stories id heard but for me its been much better so far. Sadly its a bit of trial and error to find the right one for you.

Vagina is very dry and sex has become a chore as I also have a low sex drive now

This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.

Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.