Copper coil (IUD) vs Vaginal ring

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 have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.

NuvaRing greatly affected my mood, at one point I thought I had depression and got prescribed antidepressants by incompetent doctors. The second I stopped using NuvaRing (based on INTERNET RECOMMENDATIONS), all my mental problems went away

I used the NuvaRing/Syreni ring for over a year without any apparent issues until I began experiencing severe stomach cramps. The pain was so intense that it often woke me up at night, leaving me unable to move or sleep for hours. Despite multiple doctor appointments, my concerns were repeatedly dismissed, and I was left feeling anxious and on edge, uncertain about the cause of my pain. Frustrated with the lack of answers, I decided to take matters into my own hands and removed the ring myself. Remarkably, after five months of excruciating cramps, they stopped immediately upon removal of the ring. It's been five weeks now, and I remain cramp-free. While I cannot say with absolute certainty that the vaginal ring was the cause, the timing feels far too coincidental to ignore.

No side effects at all but the ring kept falling out so i always felt it while standing up

I really loved using the ring, compared to the pill the side effects were minimal and absolutely no bother in remembering it. Unfortunately my doctor just made me come off it as my blood pressure has steadily gone up over 3 years of using it. I did experience loss of sex drive, and vaginal dryness which led to thrush infections. But no changes in mood or skin!

Love the Nuvaring. Hardly have to think about changing it. I can get the odd bit of breakthrough bleeding if I don't take my 7 day break. Overall, I'm a big fan!

Things started out really well. No side effects and I didn't take ring breaks so no periods. My skin got less greasy so I got fewer spots, and I had 3 months blissfully free of painful period diarrhoea. Sadly after 3 months I started to get breakthrough bleeding every day and minor versions of my old period symptoms like back pain, cramps, and digestive upsets started to flare up. I tried removing my ring but that just made it worse and within 4 hours I was having a bad time on the loo and put a new ring in just to make it stop. The new ring helped, but now I feel kind of trapped having a constant mini period all the time with no alternative since the only pill that worked for me in the past has been discontinued, and progesterone only contraceptives have never agreed with me, so nothing else seems as convenient as the ring. All in all, bit of a mixed bag.

Switched to the vaginal ring after using the pill. When first trying it I could feel some pressure in my lower abdomen but this feeling passed after 1 day and havent had it again since using it. The first 2 periods I had were shorter but heavier than usual but after each period (basically the break week) each period got lighter and my 3rd period was lighter than my usual. Apart from that no other side effects - the above ones I experienced I would say linked to my body adjusting to a new contraception (similar to the pill where they tell you the first 3 months you may experience some side effects). I dont feel as moody as when I was on the pill and the great thing is I dont need to remember to take something everyday so the peace of mind is an additional benefit.

I've been using the ring for almost a year now and so far it's been working rlly well for me. I pretty much forget it's there when it's in and its rlly easy to change. It's the first hormonal contraceptive I've used so I was extremely apprehensive about it but slowly I've got used to the idea and now it's just a normal part of my routine. The side effects I've experience are minimal and very manageable. A slight decrease in sex drive particularly a couple of months in, and a very slight increase in weight but both are managable and Ive gotten used to. My periods are really regular and I have very little period pain which is great. I would really recommend giving this method a go, overall I'm very glad I did.

I didn't have any bad experience with the nuvaring while using it but I stopped 6 years ago and i've had problems with my periods ever since... when I stopped, i was having spotting for 9-10 days before my period, my doctor told me everything would be back to normal after about 3 months, but it's been 6 years. It gradually got better, now i only have 1 to 3 days of spotting before my period. I don't know if the ring caused it but it's getting better and better since i stopped using hormones that's why i think it might be linked.