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

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

All in all the desogestrel pill is easy to remember to take and really simple. It helps to give myself some peace of mind and hasn't given me too many bad side effects. I had no change to my mental health at all but did have irregular periods. For example I bled for 7 days then stopped for two days then bled again but then the next time I had a 5 day no bleed and then continued again. The periods don't really come with cramps which is good I did have some pain in my upper stomach but not sure if this was due to the mini pill or not. The only thing is the day before my period when I try to sleep my stomach feels uncomfortable but it's a good indicator to tell me if it's going to start. At first I did feel an increase in hunger but that decreases over time. Overall I like this pill apart from the irregular periods and will continue to use this pill for a while

I had always suffered with very minor anxiety, however once I went on this pill I was a wreck. It was like I became a whole different person, I was irritable, mean, and I was constantly upset. In the space of a month I went from a D to and E, and I gained weight like I never have before around my lower stomach. I had always been rather skinny around there, but even after 2 years of not taking it, I have never been able to return to how my body was beforehand. The first 2 and a half weeks were normal, but after that I bled consecutively for 9 weeks, with a few 16 days staggered in between where I only briefly spotted.

Cerazette has been great for me! Used to get very heavy and debilitatingly painful periods (though not diagnosed with anything), and now occasionally get a day or 2 of light bleeding with very very mild cramps. My mood is not effected by my cycle anymore and I feel much more stable and happy. Has also worked well as contraception, which is what I am taking it for!

I was put on this after being diagnosed with PMDD. I was wary to go on a hormonal pill after having a horrible time when I was a teenager on the combined pill but this has been lifechanging. I was losing 2 weeks out of the month due to my mood, especially with my AUDHD too. I have now got them back. I feel so much more level and calm. For the first 3 months, I had vaginal dryness (which made sex painful), spotting and nausea but this has now completely gone away. My bloating has also subsided a little and my boobs have grown A LOT, which Im not complaining about haha. My hot flashes have got slightly worse but I had them anyway with my ADHD meds and POTs. I am very relieved that this has worked as it has given me my life back. Try and stick with it for 3-4 months before giving up, as im so glad I did.

I have mild adenomyosis and pcos, i wanted to try out a POP before a method with estrogen or inserting something I need a healthcare specialist to take out. In the end I couldn’t stick this out for the 3 months that they advise. Since starting I’ve had different side effects. The first week was bad reflux, the second week I had leg cramps, then I had 3 weeks of a constant thumping in my head with a headache that comes and goes, I was referred for an MRV and told to stop the pill. It’s been a week since I’ve stopped, every day the thumping has gotten quieter, no sudden “hits” in my head and today it’s finally gone. For whatever reason, it’s not for me. I will admit it did lighten my bleeding and it looked like it was on its way to stopping, but it never actually stopped completely before the headaches started.

The first 2 years on this pill was fine, my moods were neutral and my periods stopped completely. However, this is my 3rd year using it and I’ve started growing darker facial hair on my chin and I’ve become more irritable with occasional breakthrough bleeding. Not sure if my body has just changed hormonally as I’ve grown older and doesn’t agree with Desorex anymore. My pharmacist recommended swapping to Noriday, so shall see how that goes and whether it improves my symptoms despite containing a higher amount of androgen than Desorex.

My side effects were all fine (basically non-existent) on Desogestrel besides very regular bleeding/spotting. The first 2-3 months were okay with a period-like bleed every 3 or 4 weeks with cramps too (although a lot less painful than my usual periods). But then the frequency increased. I tried to wait it out but after 7 months I was still experiencing spotting/bleeding every other week. Besides this I would’ve stayed on it and had no other problems. I’ve now changed to a combined pill which will hopefully make me bleed less.

I was put on Desogestrel after being on the combined pill (Rigevidon) for many years, but I was suffering from migraines. I was on Desogestral for roughly 5 months, and didn't have a single migraine for the entire time. I also had started to get period like cramps when taking the combined pill, but not when I was actually on my period. This also completely vanished for me which was great. Unfortunately the one big down side for me, which has caused me to try another type of mini pill was that I ended up having more days than not where I was bleeding. It wasn't always a lot, but it was always on my mind, and I didn't know which days would be clear and which would be not clear. Some days the bleeding would fade out but it might start like I was on my period, causing me to use a pad just in case it carried on. I stuck with it as the mentioned pros were so good that I really wanted it to work for me but in the end I just couldn't stand having more days that I bled than not, and I never felt like I could relax.

Ive been on this pill for over 5 months and I’m stopping. When I started about a month in I got horrible acne breakouts but I started using benzoyl peroxide and now it’s okay. I’ve had 3-4 periods and each one I’ve bled for weeks at a time so I am switching to a different one

Would have been ok apart from the bile acid diarrhoea anytime I ate anything with fat in it! Thought I was lactose intolerant, stopped pill and suddenly I could eat dairy again! Weird, went on it again after having my son and the diarrhoea suddenly came back doctors said it couldn’t be the pill but I’m not on it now and after 3 weeks no more diarrhoea. Bit of an odd coincidence if it’s not the pill