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

I started using Natural Cycles a few years back. I was never on any birth control as a teenager as my mum didn't want my young body being put on hormones. However, once I settled down with my current long-term partner, I wanted to have the peace of mind that I wasn't going to fall pregnant. The first few years of using Natural Cycles were great and empowering, understanding the changes in my body and knowing when I had ovulated was great. What I had failed to understand was it predicted with its algorithm your date of next month's ovulation based on your previous month. Well. I managed to fall pregnant not once, but twice in the space of 8 months. The first time around, I thought it was my fault and I had not taken my temps properly (even though I never had an issue in the past). I had a surgical abortion as I was 3 months pregnant before I actually found out. I was willing to try again and really get to grips with it even though the clinic was very strongly advising me to go on some form of HBC. In the past 6 months, my body has recovered from the abortion and got back into its usual swing of periods and I saw I was ovulating again. This time around I invested in an Oura ring to pair with my NC app to be certain of my temps being taken. All was well, I stuck to my green and red days religiously. I use the pull-out method on red days (if we do have sex). And I trust our pull-out method completely because we definitely know he does not ejaculate inside of me or we tend to stick to oral sex rather than penetrative. I noticed my temperatures lately had been higher than usual and my ovulation was confirmed a bit earlier than usual. I didn't think much of it as I had stuck to our red days and green days as shown. When I went on calendar view, I saw that my fertile window just gone was a lot shorter than 6 days and I had unprotected sex (on a green day) that was 2 days before I ovulated. I did a test and indeed am pregnant yet again. I contacted NC straight away and got them to go through my data, which they did and have taken full responsibility for the muck up with their algorithm. I advise you to check your fertile windows and note any other observations (cervical mucus), because the algorithm cannot be trusted. And from what I now know, ovulation may change throughout different cycles (stress, sleep etc). I will no longer be using them ever again which is sad as I did so enjoy using it.

Amazing

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.

After having a bad experience with the Nexplanon implant (very low mood) I decided to try the Jaydess coil as recommended by my doctor. Insertion is very painful as expected but the taking out is fine, I am currently coming to the end of my second coil so I'm swapping to the Mirena for a longer lifespan but I have loved this coil - I had some painful cramps for about 3 months at the beginning of the first coil but after about 6 months everything settled down. I've had no periods, no mood changes, no weight gain, my skin hasn't been great but it has improved recently and I wouldn't confidently say this was down to the coil anyway, more likely lifestyle choices.

Kyleena was good within the first 2 years that I had it, but I think that when the hormones start depleting that new side effects occur. Better than any other options I had, and insertion wasn’t painful as the healthcare provider used LA during. Looking at either swapping it out for a new Kyleena or to swap out for the copper coil as I’m now suffering extreme bloating and acne 3.5years after insertion. Hope this helps.

Kept me from becoming pregnant but at a very high cost... Extreme cramps throughout the month, even after removing the original coil (it was seen to be in the wrong place via ultrasound) and replaced with new one. Pain actually got worse as time went on, after about 8 months I had to get it out as the cramps were debilitating and extreme. I also had a migraine for the first time in my life, and often experienced dizziness and nausea. I also had a patch of recurring thrush infections which was hard to get over as it was so stubborn. The only positive sides were the reduction in bleeding/periods and lack of pregnancy. I will never use a coil again.

After 4 years of having the Kyleena I got pregnant and so have had the coil removed. The main symptoms I struggled with throughout the 4 years were weight gain and lack of libido.

I had the coil for 4 and a half years and started getting infections with ever increasung severity. I would swing between thrush and bv pretty much back to back especially in the last year and a half of having it. The doctors kept just giving me treatment for it and didnt say that it could be linked to the pill and it was only when i went on a deep dive of coil side effcts that i found out that it can cause infections. I then asked the doctors and then said they could see a correlation amd suggested removing it. I spent hundreds of pounds on prescription and over the counter medicine and spent such a long time feeling totally disgusting. Before i got the coil i had has thrush a few times and so i wonder whether i am more susceptible to getting it and thar should have been a consideration before choosing to have it.

I got my kyleena almost 4 months ago. It’s the first birth control I’ve been on and I put off getting any for ages because I was scared of the hormones. I’ve seen too many of my friends get depressed from the pill and so was very anti pill. My mental health is good overall and I didn’t want anything to mess with that. I wasn’t keen on the copper coil either because I didn’t want heavier and more painful periods. I’d never heard of an IUS/hormonal coil before my GP mentioned it and most people I’ve mentioned it to haven’t either but really should! I chose kyleena in the end because I liked the fact that yes there were hormones but because it’s a small dose and localised (directly in your uterus), you’re not supposed to get any mood effects. The most common side effect is irregular and lighter bleeding and for me choosing birth control came down to deciding which side effects were the least bad for me. Insertion I'm generally fine with pain and injections etc, minor operations don't really bother me so it will be different for different people but insertion was really quick and easy for me! I took some painkillers beforehand as advised and there was about 10 seconds of painful cramping where I was wincing but nothing I couldn't handle :) It was a bit uncomfortable because it was my first time with a speculum but my GP was great! I started bleeding lightly pretty immediately after and some mild cramping. The GP showed me how to check my threads on a model and I checked at home by myself relatively easily, it was weird at first but used to it now and easy to find. Side effects So far the only obvious side effects for me have been changes to bleeding and cramping. My periods used to be very regular and not too bad. Every 27ish days and lasted for 6 days with days 5-6 being very light and only days 1-2 being heavy. They’re still changing as my body gets used to the coil but appear to be getting lighter and lighter and maybe going away completely. My first period post insertion was noticeably a lot lighter. I used to use a mooncup and haven't used it at all since, because I'm just not bleeding enough (and the advice on whether you should use a suction cup with an IUD/IUS is slightly confusing). I'm just using light flow period pants (WUKA's period thongs specifically which I love). I bled most days for the first maybe second month but still really light. It's gradually getting less frequent and lighter so I've gone weeks with no bleeding before having an extremely light almost unnoticeable period. My cycle length is varying from 18-30+ days which is a bit annoying for someone who used to be so regular but I'll take it over other side effects. I’m still ‘spotting’ throughout my cycle but it’s almost unnoticeable it’s so light. Not quite safe in white underwear yet but any bleeding I have is more like brown/pink discharge and doesn't stain the way blood would. Cramping Pre coil my cramping ranged from non existent to mostly there for a few days but not too bothersome to occasionally needing to be strapped to a hot water bottle feeling sorry for myself on days 2 and 4. I now get random cramping at any point throughout my cycle and it doesn’t really line up my my period anymore. I do get cramps on my period but not in the pattern I used to. Sometimes it’s the most painful I’ve had, more often and is sometimes more of a stabbing than a dull ache but it’s still manageable and I imagine loads better than copper coil. Sometimes I think the hair on my stomach is ever so slightly darker (common progesterone side effect) but I’m not sure how true that is. I do complain about the irregular bleeding and cramping, it can be irritating but it’s not the end of the world and seems to be levelling out 🤞 I’m ultimately very happy that my coil so far seems to have no effect on my mood which was my main concern. It’ll obviously work differently for different people but I’d recommend looking into it and considering it! I’m still new to it and am curious to see how it goes long term but so far largely good!

The mirena coil overall worked very well for me. It took a few months to settle initially, and I’m glad I stuck it out. However, at the 5 year mark I started to experience unpleasant symptoms - hair loss, pelvic pain, recurrent thrush. So I’ve now had it removed and gone for kyleena coil, so will see how that goes!

I was nervous to try Jaydess as I have previously struggled with mild hormonal acne. However after 11 months, there have been barely any side effects apart from spotting in between periods. I found the pill had so many more side effects! My mood is unchanged, body unchanged, skin broke out ever so slightly but mainly fine. Sex drive unchanged. The only negative is it is painful having it inserted (and I had cramping for 2-3 months around the time of my period). But now I barely get cramps and my period is very light! Would recommend!

Overall it has made my hormonal state worse. I am having it removed after 5 months as the moment I enter my luteal phase I have horrible mood swings, and depression-like symptoms and have become extremely sensitive to sugar, which then affects my mental state to the point of crying for no other reason. I also had a traumatic experience getting it in, please do your reading before getting any IUDs in. Ask for pain relief.

The mirena coil was excruiciating to have inserted, I am so shocked that no pain relief was offered and i had to spend the rest of the day in bed with severe cramps which continued for a few days. My skin had a very poor reaction and i developed quite bad cystic acne across my face, chest and back as a result, which I did not have previously.