Copper coil (IUD) vs Patch

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!

I went back on the patch a few months ago as it's probably my most preferred form of contraception (I'm often not on any and am reluctant to use anything but needs must). I actually have fallen pregnant on the patch in the past and have a 5 year old son to show for it but so far this time round it seems to be doing the job. Pros: It's so easy to use, changing once a week is so much easier than trying to remember a pill each day. I usually use the whole pack back to back so appreciate less frequent periods. It stays put with no issue at all. Cons: My moods have been awful, to the point I feel quite depressed some of the time, I'm crying a lot and not coping with challenges very well as I normally would. My periods are generally heavier, I have a couple of days of constantly leaking through tampons in a very short space of time. I'm getting headaches quite regularly which won't shift with painkillers. Also feel nauseous quite often. This month have started breakthrough bleeding after just a couple of weeks since last patch free week. Overall, not loving it at the moment. However I've had such bad experiences with other forms of contraception that I still think this is the best of a bad bunch. Really rate the convenience of it. No noticeable difference to weight or skin thankfully.

I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.

Breast tenderness and headaches

First few months were GREAT- my skin and hair looked amazing, breasts looked the best they'd ever looked, periods were regular and only negative side effects I had were nausea and breast tenderness. Did not have big issues with the adhesive, even though I have sensitive skin, and was not bothered by the lint that stuck to the edges of the patch (I stuck it to my tummy or my bum so it was hidden by clothes anyway). Thought it was a blessing for the first 4 months on it. Started having issues further in, due to the high levels of oestrogen, where I began having extremely heavy and longer periods and went on to have daily pelvic pain after about 8 months on the patch... now on the waiting list to see if I have endometriosis. The patch itself did not negatively impact my sex drive and it did not worsen my anxiety (I did cry more and have some brain fog though). I only gained a small amount of weight and my body looked the best it ever has. Overall, it didn't work for me and has potentially worsened endometriosis (high oestrogen can feed endo), but it has prevented pregnancy and it is so convenient and harder to mess up than taking a pill every day.

Having tried 12 birth control pills previously that nearly all had intolerable side effects for me, mostly making my IBS worse, I decided to try a non-digested birth control method and settled on the Patch. It took me a few tries to get used to applying it correctly and for the first 2 weeks I had very light daily spotting. Now having been on it for 4 months, I am so happy I tried it. I have gained weight and I have definitely noticed an increased appetite but for me the lack of other side effects is 100% worth it. It has had no impact on my IBS, my skin is the clearest it's ever been and I love the convenience of using it weekly. I currently use it continuously because I've always had heavy and painful periods. Every 2 months or so I do have a few days of spotting/ bleeding but it's not heavy or painful and then I have no bleeding for another few months. I did notice a little increase in my Anxiety but I take antidepressants so I can't say how much it affected my mental health. My boobs have gone up a cup size but not that noticeable as I was only an A cup before. Overall I couldn't be happier with my experience so far, it's definitely the best I've tried yet. definitely recommend if you're sensitive to the pill/ digested birth control.

Overall positive experience. The longer Ive been on it, the more irregular the periods have become. I often use the whole cycle before having a break rather than the 3 doses

I think I’ve nearly tried every possible contraceptive pill there is out there. I really had high hopes when first started the patch. It was really convenient not having to take a pill every morning and the patch would stay on really well even in the shower/pool when on holiday. Easy enough to hide too! After a couple weeks I noticed lots of little bumps under my skin particularly in my jaw area. This would then quickly turn into really painful acne and take a long time to heal. I seen a massive difference in my skin when having patch free days compared to when I was on it. Unfortunately had to stop it due to how badly my skin reacted to it whilst on it.

I mean, it did its job and I'm not pregnant. However, after 6 months of use, my periods started being irregular, I was starting them on the patch and stopping midway through patch free week, which was very annoying. The biggest issue was when I bled for a month constantly. They run all the tests, nothing was wrong with my body - it was the patch causing it and I was told to change the method. Now I'm on a Ring, let's see how it goes...

After switching from the combined pill due to depression, I was interested in the patch as I could change it weekly instead of remembering to take a pill everyday. I started the patch and my periods became regular and my mood increased greatly, I do experience bad PMS but It is much better compared to when I was on the pill. I do get cramps sometimes between periods but nothing too bad. You can also use the patch to skip periods but I enjoy having a regular “cycle” and when I did use it to skip a period for a holiday I ended up spotting for a month! Overall the patch is great for me and I don’t plan on changing as it has helped my mental health so much.

I had near constant breakthrough bleeding the entire time