Fertility awareness methods (FAM) vs Hormonal coil (IUS)

Before using FAM, I was using the copper IUD religiously for about 11 years. I had a mixed experience even if overall positive with it, but back in 2021 after a year of chronic yeast infections and finally discovering it had slipped, I decided to not replace it. In that time, my periods were always like clockwork and I was tracking my cycles in a few years leading up to this. Not just tracking the days, but my symptoms and body sensations as I entered into each phase. I was using a period tracking app called Eve, but I knew not to rely on it religiously, it was just for a rough idea of when my fertile times and period would be. I decided to just continue with this, because I had built such a deep relationship with my body and have no problem checking my cervical fluids. I used it until 2022 when we decided to try to conceive, and we conceived within a few months, even though sadly, it was ectopic. I wouldn't recommend this method to anybody without months of really knowing your body and listening to it-- learning your cues for when you know you're about to ovulate, roughly timing how long your follicular phase is, and it helps if your periods are regular. While apps can be really helpful, you have to do the hard work of building that relationship with your body. I wouldn't recommend it for somebody just starting out, or if your periods are irregular.

I had been on PoP contraceptive pill for nearly 10yrs, I have also tried CoC's and injection prior. I wanted to learn more about my body and be natural. This method takes a lot of research and understanding in order for it to work and be effective. I read books and watched YouTube videos to educate myself and joined FB/Reddit group. I use an app called read your body to input my temperature and other symptoms to track where I am in my cycle. It is all done manually by me and not relying on a system like natural cycles to do it for me as this is less reliable....Since stopping the pill my libido came back which is great and I feel emotions depending on where I am in my cycle. My Cycle regulated within 2 months after stopping the pill and for the past 3 years I have learned what is normal for me. My cycle is very text book 28 days long on the dot every month, I ovulate on day 15. This method works for me, I haven't gotten pregnant but on the days during my cycle I could get pregnant, we use condoms rather than abstaining. I would say it took me about 6 months to learn and feel confident in this approach.

I’ve been using NC since 2021, I use to love this app and tell everybody about it until I had sex on a green day and got pregnant. I used to think it would never happen to me as I’ll use the app right. Measured every day and was very religious with the app. However, I ovulated earlier and fell pregnant! The app only goes off previous ovulation compared to current meaning it doesn’t prevent pregnancy as yes you have red days but it’s just a prediction! For example green day on day 6 (had sex) and ovulated on day 10 (red days) and fell pregnant. Ovulated 5 days early! Sperm can live inside you for 5 days hence why I’m pregnant and will be getting an abortion.

I swapped to the coil as I started getting migraines on the combined pill and wanted a longer term solution GP advised to give the coil 6 months to settle in but during that time my skin has gradually got worse with bad acne, I still have periods which are lighter granted but lasting 8-9 days, much worse periods cramps than on combined and then for last 2 months spotting almost everyday and bad period like cramping. GP thought these symptoms suggested coil displacement but USS confirmed it was in situ and these must just be the side effects I personally get from mirena. The cramping and constant spotting and acne is affecting my sex life and general mood day to day so trying to get the coil removed and tempted to try the copper coil (although I went for the Mirena as I’d read you can get the symptoms I’m currently having on the copper but only time will tell!)

Had the Mirena coil for 4 years. Insertion wasn’t a fun experience but only cramped for a few days. A bit of spotting for first few months but reduced to nothing for the next 4 years. Very happy with it, only getting removed to get pregnant.

I was told to take painkillers (paracetamol & ibuprofen) before the procedure which I did. For the procedure I had two lovely ladies who were supportive and talked me through all of the steps. I was offered pain relief including gas and air, so all of that was great. What I didn’t realise was the “bad period cramps” you are warned about were actually more like mild contractions, and having had a traumatic miscarriage a few years ago. The coil fitting unfortunately ended up triggering this trauma along with my anxiety, when I spoke to my GP they mentioned it was PTSD and that this can happen after a coil fitting. Afterwards the coil felt really uncomfortable for about 4 weeks where I could feel it inside me all the time and sometime it felt like it was scratching around in there! Also certain exercise & stretches were uncomfortable & often aggravated it leaving me in pain. My hormones were also all over the place on week 3 but that passed fairly quickly. I’ve had great support from the clinic and was referred to have an ultrasound to confirm it was in the correct place. On a more positive note I’ve only had one heavy bleed a week after it’d been fitted and no further bleeds and so far only spotting once. It’s now 11 months later and things have settled, so this is now working for me which is a relief.

Had Mirena fitted to manage endometriosis after a laparoscopy. The period cramps felt worse than when I was on the contraceptive pill before the surgery. Also struggled with depression and low energy. Acne was about the same as before I started the contraceptive pill.

I really like the Mirena Coil, especially as the combined pill was my previous contraception which negatively affected my mood. I had a lot of spotting for the first month and now have the very occasional spotting, but it's great not having a period anymore.

I've had a mirena coil for about 7 months now. Before getting it I had severely heavy periods. Most months I got a bad migraine. My iron was low. The GP didn't suggest anything to help with the heavy periods/monthly migraines/low iron. However when discussing contraception mirena coil was suggested. (I'm 40, have had 2 children). I was wary to mess with my hormones but the doctor said it could calm down my periods too. It was a long wait (almost 12 months). As soon as I got it I haven't had such heavy periods. Migraines haven't been an issue and my iron levels are back to normal. I haven't noticed any mood or weight changes. I've been happier and healthier because I haven't been dealing with the bad periods anymore. My periods are irregular, but very light. The only negative is a couple of times I've had stomach cramps, quite painful ones, they've gone away in under a day. There has been no follow up with a health professional. It would be nice if they did this to reassure everything is normal and ok.

I had it put in at the end of January. Insertion wasn't fun and did hurt but no worse than the period cramps I used to get. Did spend the afternoon in bed. First few months were ok, some period pain but less than before and lighter periods. But as a few more months have passed I've been getting more migraines again. Also my body hair is more noticeable. My mood is mostly stable except now when I'm ovulating or period about to start, I get very irrational and angry. My last period was heavier than I would have had before the coil but hoping that was just a blip. Have also been spotting constantly the last 2-3 months.

Year 1 was a lot of hormonal changes, strong random cramps and spotting (i had to get the position adjusted slightly about 8 months in), but the effect on my periods was almost immediate. Regular lighter periods with reduced cramps(outside of above) that no longer impacted my life negatively. It's a game changer. Once that all settled down, I was abel to start tracking my periods and moods and for the first time in my life knew when something was "outside the norm" and could get things checked out as they came. The positive impact outweighs the negative by far in my opinion. Peace of mind and regular light periods is absolutely worth it for someone who's emotions and hormones and periods have always affected negatively (before jaydess I'd pms what felt like 3 out of 4 weeks, cramp so hard id pass out and bled through so many clothes)

I got the coil fitted to control heavy periods with contraception as a bonus. I’m aware I might be still in the settling down phase, this is my experience so far. Fitting was uncomfortable but I’ve had 3 vaginal birth so nothing touches that! Cramps for a few days but settled down. So far I have been bleeding most of the time since having it fitted, not heavy, light, but constant and irregular patterns. Very annoying. Low self esteem and low mood. Weight gain, despite being more physically active and eating healthily. Increase in headaches and migraines. Generally unimpressed at the lack of connection with healthcare professionals and Mirena coil users. So many women reporting poor experience yet doctors aren’t relaying this information. Will be having it removed. I choose control over my body over convenience.

First 6 months is an adjustment period so I had plenty of headache and feeling sick but after a while my body used to it and I am fine. 100% contraception effectiveness and no heavy period.