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.

Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.

So far I love the mirena coil! Insertion was definitely painful (not just “uncomfortable”!), but the pain was very brief. I had cramps for a couple of days, and then light bleeding/spotting for about a month. However since then I’ve had no periods, and don’t even know it’s there. I get a few more spots now but that’s from rarely getting any when I was on the pill, it’s not a lot. My weight has stayed exactly the same. I was terrified of getting it fitted but am so glad I did, if it continues like this then I will take 30 seconds of pain for 8 years of not having to think about contraception, no periods and no side effects!

Had the coil for just over a year and bled daily (although only light). Only had a few days a month not bleeding

Generally the Mirena has been great. Only noticed most of the side effects after 4 years having it in - and they’re still very manageable.

So I’ve had the kyleena put in just over 2 years ago. For the first 18 months it was great, there was no side effects and my periods were getting lighter and less painful! After that, I started noticing quite a bit of hair loss during showers and brushing, visibly making my hair look thinner. I’ve always had thick hair so this was quite upsetting and I put it down to the stress I had during college. Now I’m in a new job that I’m loving, the hair loss hasn’t subsided. It’s still falling a lot everyday so I’m deciding to get the kyleena removed in a months time. I’ve been to the GP and got bloods done in which everything came back fine. So hopefully once I’ve the kyleena removed my hair will slowly start growing back :(

Not 100% sure what to think yet. Enjoying not having to worry about administrating my contraception as it’s in there and working. However I am having unpredictable spotting, some emotional mood swings and often being bloated.

Overall this was a good option for me. The insertion was painful but momentary, and was nice not to have to worry about taking pills. The spotting occurred more at the end of the coil’s lifespan (I’m having it taken out this week after 5 years). I did notice vaginal dryness (most noticeable when aroused, needing lube etc). Ultimately I am coming off this contraception because of this. I have vaginismus and the dryness hinders my ability to get/feel aroused. I know this is because of the coil because I have felt the effects wear off as the coil gets to the end of its lifespan (in the last 6 months of my 5 year stint)

I had the worst time on Mirena. I had a bad experience from day one at insertion - I found the whole experience so much more painful than I imagined that it would be - no one really prepares you for this. From the first day I started experiencing cramps and everyone said that they would ease up within no time however they did not. Month after month I experienced endless painful cramps and times where I would be doubled over in two on dates with my boyfriend - never have I had anything like that. As a girl, we very much always shut up and put up and I always felt like I could just push through it but there were times when it was really bad and I almost got it out, but you’d forget about it the next day as it’s such a good feeling to not have to Take a pill etc and it is very convenient. But it’s also crazy I actually had it in for as long as I did. I have never really had that bad periods and my bleeding was longer, the cramping much more intense and honestly just a whole lot worse than it was when I was off it. I didn’t really notice anything kind of sexually or from a weight or ski. perspective but I know that the cramping and the bleeding was enough for me to never touch this thing again. The Doctors kept telling me to hold out and just wait to see if it would change and it just never did. I would really recommend if you are having these symptoms any time past two months they are not going to get better and you’ll just continue to suffer. At the eight month mark I went and got it out and honestly it was the best thing I ever did. As soon as it was out, I felt like I could actually breathe again and havent suffered another cramp like it ever since (thank god!). I have gone back onto the mini pill now which I’m much more happy with - it does have some side-effects but nothing like that cramping!

I had this inserted and I was the worst pain ive ever experienced i kept telling the doctor to stop immediately after I blacked out from the pain kept being sick and it just got worser as the day went on I end up in ane with the same day and had it emergency removed. Never again will I have this would not recommend at all .

I feel like myself, which I cannot say for other forms of BC I’ve used. The weight gain may have more to do with some lifestyle changes, but I enjoy the way my body look regardless. I was able to collaborate with my doctor to find suppositories to help with the dryness during sex and that in turn has helped with my libido. I cannot imagine using another form of birth control.