Copper coil (IUD) vs Implant

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!

took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!

I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!

Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕

Normal for me I’m a U.S. bodybuilder nothing has change a lot of women gain weight because it can be an appetite enhancing affect. I’ve stayed the same tracking calories my spotting is normals as other off and on some missed periods and most lighter and little do not heavy. Experiencing hard sore nipples. And depression seems more there but not to bad. Do feel tired though out the day.

Used this for 1,5 years and I love it. The implant completely stopped my period this whole time, except 1 small break-thru bleeding 1yr ago. Insertion was not painful. Started using due to painful periods. Now living pain-free!

Positives of the Nexplexon implant is it is a very effective contraceptive and the insertion was quick and painless. However, I have been constantly bleeding (spotting and heavier bleeding) since I had it inserted 6 months ago. I have had bad cramping and lower back pain along side the bleeding. My overall mood has been effected as I feel exhausted most of the time, although I do work some night shifts so this may be a contributing factor. My sex drive has been lower than normal. I have noticed my boobs ache and feel sore. I am considering having it removed, if the bleeding does not settle.

I believe it ruined mindset, mental health and confidence. I am normally not over the top and this sounds like an exaggeration. Although I had a really tough year and these would've affected my perspective. I always have and would utilise those negative situations to motivate me and channel sadness into action. But when I was on the implant: - I had lost all confidence in myself and abilities - My skin got worse and I have always had super clear skin - I had more hair than usual - I was super easy to agitation and struggled to regulate my emotions - I became anxious and depressed (please note some of this would be situational and not just the implant). I thought it was all situational. Until I got it removed a month ago. I am still in the process of my hormones regulating which has been difficult. But after a month I am slowly finding my personality coming back. I am not isolating as much. I am channelling my energy into action and turning my life around again! I feel more like myself day by day.

50/50 experience overall. My skin improved to the point where it is clear aside from the occasional hormonal spot. Definitely would recommend if you’re like me and always forget to take the pill daily. I don’t get periods but when I do I bleed for about 2-3 weeks heavily. I have noticed some weight gain but nothing to be worried about. My boobs have grown 2 whole cup sizes. No mood changes as far as I’m aware. The implant insertion process was quick and painless so nothing to worry about there.

Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.

Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different