Copper coil (IUD) vs Progestogen-only / Mini 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

I started using slynd around 6 months ago for period control due to heavy flow and pain Initially I felt optimistic I never took the placebo green pills as I was on tricycling method I still had a period every month with ovarian pain I had a 4 week spotting episode I’ve had 3 utis which I never had in my life every month for the last 3 My sex drive dropped off the earth and there was none My mood went from frantic cycling cleaning the house and obsessing over things to emotionally crying before feeling stupid and back to normal The biggest thing for me was hair loss at least half my hair fell Out in week one I stayed commuted thinking it would get better until bald patches started to appear in month 5 that’s when I jd enough I also had graphic nightmares waking up with sweating so bad my sheets were soaked Since finished this pill I feel like I’m getting back to me with no mood swings or low mood I am 38 and maybe I needed some Oestrogen to balance it out this pill was not for me

I swapped from the combined pill to Cerazette because I was having anxiety, dizziness and low libido. These have both improved since changing. The most annoying thing has been inconsistent bleeding and spotting. I won’t bleed for 3 months then will have spotting out of nowhere for 3 weeks. I have also got acne on my chin which I didn’t have before. Overall though these extra inconveniences have far outweighed the reduced anxiety, dizziness and libido issues.

I’m very satisfied with the pill. I only been taking it for few weeks but my mental health improved so much ! I can’t actually believe it. I used to suffer mood swings due to hormonal fluctuations . None of this is happening . Very happy. No side effects either

I was so concerned about weight gain and mood changes but have not experienced this. I have barely any side effects and have had a really positive experience!

I use this pill in combination with a copper coil and it has helped enormously with my PMDD symptoms. I used to really struggle around ovulation with feeling very unwell and now that I don’t have a cycle everything is a lot calmer. I’ve had some spotting and I’m sweating more but it’s much better than having hellish and painful periods. I now don’t have periods at all, which is so much less stressful. I feel like I can finally enjoy my life.

I tried the mini pill after experiencing migraines after 6 years on the combined pill. First I tried Zelleta which gave me such low mood and tearful all the time, as well as constant spotting. I wanted to try Norgeston as the synthetic hormone is different. My mood definitely improved (although a little more anxious) and I’ve had no spotting, but my periods are so irregular, really close together and so heavy I can get through more than 3 pads a day. I’ve had 2 periods a month for the last few months and will end up with an iron deficiency at this rate! Running out of options

I must say that this pill absolutely saved my life. Suffering from severe endometriosis pain & PMDD and it reversed the effects of that. I have control of my moods and body back and I’m so grateful. I must leave a positive review because it’s not all bad. The beginning was rocky with irregular bleeding but this stopped after 8 months or so. It was worth it.

I started using this pill to help with endometriosis symptoms. Instead of making me bleed less, I was bleeding every 12 days, and for about a week at a time which was exhausting and painful. I would also get night sweats and felt very low in mood at times. I tried it for 5 months but I couldn’t deal with 2 periods a month, so I have switched to a combined pill to see if that is any better.

I was put on this pill after I suffered from bad migraines from the combined pill- I wanted to try contraception to tackle my low moods, PCOS and acne. I became so depressed over the course of about 3 months, to the point where I went to the GP to try and get some therapy/talk about possibly taking antidepressants. Straight away the GP was like 'oh just stop taking the pill'- I did and a few months later I felt normal again. Literally can't believe that GPs prescribe this stuff without giving you proper warning- I felt like an empty shell of a person for a few months literally all because of this pill.

Positive