Hormonal coil (IUS) vs Implant

I had the Mirena Coil put in for endometriosis. The actual insertion went well because I spoke to my gyno and asked for it to be done in the hospital, meaning that i had the option for general anaesthetic, local anaesthetic or gas and air. I went for the local and gas and air as I had had such a terrible experience having a copper coil put in 5 years prior. The gas and air distracted me and the previous coil removal and new coil insertion wasn’t much bother (i deliriously thanked the team in the room for not giving me as much trauma as the clinic i went to for my copper). The pain after insertion was significant but if you just prepare to have a day or two sat on the sofa taking regular painkillers it’s ok. After the insertion i almost instantly noticed a massive surge of hormones which my gynae had warned me about (she said i might feel ‘weepy’ for up to 6 months as if that isn’t a significant side effect lol). In the end I had major mood swings for around 4 months and was very irritable and all over the place. It did really damage my relationship as it was like i was having PMS every day. I wasn’t depressed or anxious, I just felt like i wasn’t in control of my emotions and i honestly felt like a hormonal teenager who is happy one minute and then angry and upset at something the next. (i also got a bit spotty in the first month or two after insertion - but this cleared up) Eventually after 4 months the mood swings stopped and I can honestly say Mirena is SO WORTH IT if you suffer from endometriosis. It’s completely stopped my endo pain to the point where i don’t even notice my periods anymore. Honestly Mirena gave me my life back within weeks of insertion. After suffering from daily pain for 5 years I now have so much more energy, my chronic fatigue is gone because the pain is completely gone and feel like i’m finally living again. I can make plans, hang out with friends and go into the office regularly - it’s helped me thrive again. It makes me sad that i wasted so many years in pain when this was an option and i would 100% recommend it!! I was initially hesitant to get Mirena because i was worried about the hormones affecting my mood and skin etc as im so susceptible and felt like a different person on the pill. But the important thing is that after the initial hormone “surge” you feel normal again - you just have to wait it out and hope that people around you will be patient with the crazy mood swings for a a few months. If you suffer from endo you will hopefully (everyone’s different) have the silver lining that you’re not in pain anymore so you gain a lot of energy that counters the mood swings. If you have endometriosis or even suspect you might have endometriosis I would really encourage you to get Mirena put in as a first port of call to try and treat it. In terms of my periods they’re SO light - literally just like brown spotting which i barely need a panty liner for which is amazing. sometimes they’re a bit irregular and can last a long time but honestly they’re so light i forget my period exists and Ill confidently wear white trousers whilst menstruating (it’s THAT light) The only reason i’m not giving 5 stars is because several months of feeling absolutely mental is not ideal BUT the level of freedom, energy gained instantly, lightness of period and now lightness of mood now i’m out of the surge period made it all worth it

I generally had an okay time with it but i kept getting spotting/or a light period every couple of weeks. much lighter than a normal period would be and without the usual pain i would get but definitely more frequently - which i found frustrating, and was often very bloated because i was so regularly getting a short period, it was quite annoying, so i stopped. I also thought it was making my hair shed. it was always pretty uncomfortable putting it in

This coil gave me really dreadful mood swings from ovulation time through to the start of my period. I felt really low and anxious, irritable with family, almost irrational about certain things, constantly crying, and passively suicidal. This persisted for around 8 months including months where I didn't have anything difficult/stressful going on personally. It clearly correlated with my cycle, and within a week of having it removed I felt like myself again. I know the hormonal coils work really well for some people - I have lots of friends who use them with no issues. But for whatever reason I am generally quite sensitive to medications and really noticed an effect from this coil. I've gone back to the copper coil which does make periods heavier, but I will take that over the mood destabilisation

I have attempted trying the implant twice. Once when I was 18 and recently at 25 after having a baby. Whilst insertion is quick, easy and pain free with local anaesthetic, the effects of the implant on my mood have been detrimental. The hormone caused me on both occasions to develop severe anxiety and depression almost immediately after insertion, as someone who doesn't usually suffer with mental health issues. It's like having PMS but on an extreme scale. The implant on both occasions made my life miserable. I had to have both removed early and funnily enough a week or so after I did, I felt like 'me' again. The implant has a massive amount of hormone in that runs through your body daily. A hormonal coil works much better for me as it has almost 1/6th the hormone amount of an implant which is mostly contained within the uterus.

First year and a bit on the implant absolutely perfect. Minimal periods and literally zero side effects. However coming up to year 2 I started bleeding a lot on it. Almost every other week I was getting my period. My GP recommended I get a new one fitted and sadly from the beginning I’m still having frequent periods and ache. It’s a real shame as I really enjoyed having it at the start but I will be switching now.

The fitting was not as scary as I anticipated (helped by an amazing nurse!), and have had similar side effects to the progesterone-only pill, but without the stress of remembering to take it at the same time which is a nice break after years! 'Periods' come every few months generally for me, and are about twice the length of usual but less painful and none of the usual emotional disregulation leading up to it.

overall a good experience, used to have very bad acne that was significantly improved. only bad thing I can point out is that my period went to very regular to irregular with ocasional spotting

I liked the implant however it caused a lot of irregular bleeding and bloating. Once I came off it after 8 years I developed PMDD

I’ve had this implant twice now both times had side effects I couldn’t deal with first time I gained nearly 3 stone and this time I’m on the weight loss injection and it seems to be countering the weight gain but honestly I’m so emotional and insecure my partner is struggling to deal with my emotions and so am I

At first, my experience with the implant wasn't too bad as I was still 'wet' and moist, but over time my natural moisture has completely dwindled down to nearly nothing. This severe dryness is driving me absolutely insane because it honestly makes me feel like I have a post-menopausal vagina. Because of this, I am now changing back to the generic Desogestrel mini-pill, as I know from previous use that I at least had a normal, healthy white and milky discharge on that method. I am just stating my own personal experience here, and I still think that other people should definitely try the implant if they fancy a different form of birth control, because everyone's body reacts differently to the hormones. so yeah, thank u, next with the implant.

Been on the implant for 6 years now, initially I was spotting for 6 months before it finally settled. Now much more lighter periods so I can cope better as previously really heavy and needed tranexamic acid to manage, mood is more level now also, very rarely get cramps which is a bonus, have gained a little weight and body hair, overall happy with it

I gain weight and got chronic fatigue. It was awful.

This i my first time, I discovered skin heat rash at the initial stage, presently loosing weight and loosing hair.