Hormonal coil (IUS) vs Progestogen-only / Mini pill

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!

Was put on this to help with my severe period pains. It has helped but I'm not sure it's worth it with the side effects. I can honestly say I am depressed. I have zero motivation, zero energy, zero inclination to do anything I used to enjoy. My sex drive has disappeared it doesn't matter because I've bled for the majority of the time I've been taking it. I want to stop but my GP won't try me on anything else until I've been on this for 3 months.

I have been taking Desogestral for just over 6 months. It took 3-4 months of irregular bleeding/spotting before my periods seem to have stopped completely. I do notice that I have had several occurrences of thrush along with weight gain/increased hunger, tender breasts and occasional period like cramping without bleeding. Mood overall has been slightly lower and feel like I am prone to pms symptoms still (teary, low mood) at the time I would have previously been due on. Had been off contraception for several years as combined pill previously contributed to anxiety/depression. Wanted something to control v heavy periods and not impact mood greatly and this seems to be working so far despite some unwanted side effects

Awful , periods went on for 16-28 days over 3 months. Decided to stop taking this totally as it was awful. Don’t recommend at all.

It helped with my anxiety and insomnia. I definitely started sleeping better

I started taking the minipill about 6 months ago because of my really heavy and painful periods. And the first three months I still had my period, but it did get a lot lighter and less painful. The last 3 months I've had no period except for a week of spotting. My mood has become more stable, I used to become almost depressed before my period. I do however become nauseaus a lot faster especially if I'm stressed, I have lost 5 kg almost because of that. I don't think this is the best contraceptive, but I do like that it only contains one type of hormone and that I don't have my period anymore. But I'm not planning on taking it for a very long time.

The minipill gave me pretty bad acne, which took years to resolve after I gave up the pill. It also completely killed my sex drive.

Most of my life I was on Mercilon combined pills which was the only one working for me after tried few in my early 20tis. Had them with some breaks . Later I tried mini pill for few months which didn’t work for me. Mostly because of painful red spots on my neck like acne. Now I am 50 can’t take combined pills and trying the progesterone pills. Tried 1 month Cerazette but stopped after 1 month. I didn’t want to eat Titanium dioxide . Now 2 months in I am on Zelleta. Having acne on my chin and around my mouth. Now have very bad numbness in my hands especially during the night . And some in my legs too . Finishing 2nd pack but coming of it now . Can’t feel my fingers. My hands hurt . It’s not menaupase or lower estrogen level as got this suddenly within days. Very low sex drive like I am switched off completely . Also mood swings with anxiety. I am done with desogestrel pills they are not good for my heath, never was. I am trying natural cycles with app next . And my period should be completely stopping soon with my age.Also, Didn’t have any period with these pills.

Started this pill as I had horrendous migraines on Rigevidon. Was excited to start the mini pill and to not have bleeds in between pills but was I wrong. The first 5 months I’ve had random bleeding- which I expected (but not for over a week straight) I’ve also been heavily dizzy, nauseous and have had 0 sex drive which has affected my relationship heavily.

Hana has worked like a charm for me. I was a bit worried about starting it, as I had a horrendous experience with the combined pill, but my periods are heavy and painful, and I just couldn't stand it anymore. Not getting pregnant was a reason to start Hana, but I was mostly looking for period relief, and it really has delivered. At the beginning I had a few unusual periods - some shorter, some longer, and a bit irregular, but they were immediately lighter and less painful. After about 3 months, things had evened out, and now 2.5 years later, I can't even remember the last time I had a period, only that it lasted about a day or so and was so light I barely even needed a pad. My partner and I have had no pregnancy scares, and it works wonderfully for me. I think my mood is absolutely fine - it felt maybe a tiny bit flat at the beginning, but more because it was no longer fluctuating so much during my cycle. Now it's like I get to be at the end of the first week after my period, all the time. My main negative with starting Hana is that it really increased my appetite at the beginning - about 6 hours after taking it, I *had to* eat snacks. It felt impossible not to. This contributed to some weight gain, and while I've gotten used to the snack-attacks now and can manage them, I haven't been able to shift the weight, despite using methods of weight loss that have worked for me in the past. I can't say for sure if this is because Hana is making it harder for me to lose weight, or if it's just because I'm getting older. I am currently contemplating taking a break from Hana to see if I can lose the weight off it, but I'm reluctant to as it has had such a positive impact on my quality life. If you're also experiencing an increase in appetite, and want some advice, it really helped me to change the time I take Hana - I moved it to later, so that my craving hits much closer to dinner time, which is perfect. All in all, Hana has worked much better for me than I could've even hoped, and I would recommend trying it to see if it works for you.

I've only been on this pill for two months so there's a chance this may calm down after the full adjustment period, but the side effects have been interesting. Most notably, my cycle has gone from around 35 days to 13 days, and I have been having a period every other week. The first two periods gave me hope because they were significantly lighter - to the point where I was questioning whether or not I should even log it as a period - and painless. However, the next three periods I've had so far have been gradually getting heavier and I'm getting more cramping. It's weird though because, for most of my period it's still quite light, but on around the second or third day, I do have a few hours where it's quite heavy and crampy, then it subsides again and the rest is light. I had spotting between the first three periods but that's stopped now. Other than the annoying cycle changes, I had a constant lingering headache for the first two weeks, I'm getting more acne than usual, and some vaginal dryness before my period. I don't know if this is worth staying on as I'm only on the pill to manage my painful and heavy periods. Current plan is to finish my three months' supply and take it from there.