Copper coil (IUD) vs Combined pill

Seriously heavy periods (wearing nightime pads and a tampon and still bleeding through my clothes in like an hour) and sometimes extruciating cramping. A lot of spotting between periods also which I've never experienced before. Nurse has told me that the coil should not affect my bleeding and I've gone straight from the mini pill to this so it may have been that the pill was improving my regular symptoms more than I realised.

I chose to have the copper IUD inserted in January 2023 because I'd had a bad experience previously with the mini pill (mood swings, decreased libido, and vaginal dryness) and I wanted to try a non-hormonal contraception. The process of getting it inserted was one of the most painful things I've ever experienced with severe pain, cramps, and dizziness. The doctor and nurse I had were wonderful and very reassuring, which made the process slightly easier. I would however, highly recommend anyone thinking of getting it to ask for pain relief if it's available. I'm certain it would have made the process much better and less traumatic for me. What followed was 6 months of intense cramping and spotting at random times of the month and extremely painful, heavy, and long (between 10-12 days) periods (I was lucky to have very light periods before going on any contraception which is one of the reasons I opted for the copper IUD). After 6 months or so my periods settled down to become shorter (5-6 days) and more regular but remained extremely heavy with lots of dark blood clots and severe cramping/back pain - to the point where I would have to take days off work and couldn't exercise normally because I felt sick/dizzy from the pain. The severe cramps started like clockwork on the 7th day before my period was due and continued until the end of my period meaning I was having up to two weeks a month of severe cramping. I also experienced cramps and thick, brownish discharge/spotting around ovulation. Other than the heavy, painful periods, I experienced none of the mood swings, weight gain, or loss of libido that I'd experienced on hormonal contraception, so the copper IUD was great for that. If anything, I experienced a notable increase in my libido! I chose to have the IUD removed about two weeks ago, after just over two years, because I was finding it increasingly difficult to cope with the intensely painful cramps and heavy bleeding and I developed severe iron deficiency anemia, likely due to my heavier periods. I was nervous about the removal process after finding the insertion process so difficult but it was significantly less painful and super quick. I had some light spotting afterward and some minor cramps but nothing too bad. I'm yet to have a period after removal and I'm, so far, two days late (confirmed not pregnant). I would normally have had at least a week of intensely painful cramps by now but so far, nothing. Overall, the copper IUD was great at the times of the month I wasn't bleeding or ovulating and I liked not having any of the side effects that come with hormonal birth control, but it ultimately wasn't worth the heavy and painful periods/iron deficiency anemia for me!

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!

while it's generally alright while I'm on it, the periods are terrible. way more painful than normal and extremely heavy. I've gotta give it credit for the skin though- alot clearer than before

Please consider the effects AFTER you stop taking Yaz or Eloine (same pill different brand). I never had acne or even spots my whole life and 4 months after stopping Yaz I got post-pill acne. My whole face is red and scarred and there isn’t a part of it that isn’t swollen and bumpy with cystic acne. If I could show you photos you would immediately think twice about trying an anti-androgen contraceptive like Yaz/eloine. I have tried everything with my derm to cure the acne but I wish I had known before taking yaz that this might happen when I stopped. I’m honestly devastated. It’s now been two years since I stopped yaz..

Has been really helpful for my moods as i would get bad pms, i feel a lot more stable through the months. i gained a lot of weight at one point but then lost it. my boobs consistently got bigger, at certain times in the month they are very very tender. i had lost my sex drive for a few months when i first started but it then came back, but i was really not eager for anything for ages. It’s helped my back and chest acne, and my face is better but has flare ups. I get a period every 3 months but it lasts like 14 days but not that heavy.

I have been on 3 different pills 10 years ago of which the last one was a pill prescribed for acne, before I decided to switch to a non-hormonal IUD, which resulted into heavy-flow periods that looked like someone had stabbed me everytime I got my period. I never had a heavy flow period but the copper IUD definitely increased this. After 2 years, I switched to the hormonal IUD Mirena and no complaints except that my hormonal acne is still present. I actually lost weight and no more periods. I went to my Gyno to ask for a solution against my acne and she prescribed the Yasmin pill. I took it and stopped after 9 days because I got super lethargic, emotional and cried almost every day, I started getting cystic acne even though I never had any cystic acne before, but a few small pimples on my jawline & chin. My breast were tender and in pain, I felt nauseous and I got 4 headaches in 9 days. Generally I don't get 5 headaches, maybe a maximum of 3-5 per year and that's it and my breasts are tender & in pain only when I am on my period. Needless to say that, I was not willing to go through the 3-month period with these symptoms just to see if my acne can disappear. I feel like there is no miracle solution and that's the most difficult to accept. My dermatologist prescribed spironolactone for my acne, which apparently has similar effects than the pill in terms of acne, without all the side effects.

I started taking Dianette as my first ever contraception pill. It is a combined pill which gives me migraines for a period of time. I was told to stop using it immediately as it put me at an increased risk of having blood clots and stroke. Now I am left not knowing what to do. Overall it did not give me any other side effect and I see a big difference on my skin. It is just me having a reaction to estrogen-related pills.

Worked really great for many years. Still had the ocassionally leg cramp, and my breast started to be really tender. After some years I got panic attacks and anxiety. Quit the pill in june 2023, still strugeling with panic and anxiety at times

It went smoothly in the start. No side effects other than weight gain. Slowly the mood startet to be affected. I startet to swear more and react more angrily towards situations and people around me. Felt almost like I was a child and could not contain myself. My husband told me I had to get of because I was horrible to live with. The anger subsided when I stopped

I essentially started crying almost every day and couldn't fully function like normal because of how low my mood was. I took it for bad period cramps and it definitely helped with this but had to get off it because of the effect on my mood

I had a heavy painfull n long period after usage so i stoped it after 8 days but im still bleeding with pain after 2 weeks

I’ve tried 10+ pills all with various side effects and haven’t found one I’ve been happy with. I was on the Evra patch until recently but found that it had affected my anxiety a lot so i stopped using it. I started on Norimin as I’ve tended to tolerate higher dose pills better historically. I’m not thrilled with having to take the pill everyday as I’m very forgetful but it’s been the best one yet. No affect on anxiety yet, my skin has broken out a bit around my chin but nothing too bad. I have definitely gained weight as my appetite has significantly increased and my boobs are a lot bigger and more tender. Best of all, I’m able to skip periods as i have debilitating painful periods. With Norimin, I take it back to back for about 4 months then have a week break. I can have very light spotting about the 2.5 month mark but i don’t mind it at all and it clears up within a week. I’m only using this pill as a stop gap while I decide between the Nuva Ring or the Mirena coil but i’m happy with it for now!