Vaginal ring vs Copper coil (IUD)

I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.

The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.

I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.

My experience of the copper IUD is mixed, even if overall positive. I first got it as emergency contraception after my first sexual experience, and was not properly offered any pain relief. The pain was excruciating and slightly traumatic, but also as I wasn't used to things going inside my vagina either. However it served me perfectly for 5 years, and no hormones and side effects from those. When it was time for renewal I was prepared emotionally and knew what pain relief to ask for. The procedure itself was quick and felt very empowering. They offered me the 10 year one which was slightly bigger and I thought it was no big deal. I was in constant low level pain and discomfort with it, and periods became excruciating. I got it switched back to a 5 year one and this cleared up. Again. the procedure was fairly quick as I knew my body and had good pain relief. My last one suited me fine up until around 2020, when the combination of the stress from the pandemic and using an expired lube gave me recurring yeast infections that lasted at least a year. I then discovered that it had slipped and so got it removed, deciding to switch to Fertility Awareness Method. After that, the recurring yeast infections stopped.

Personally, I would never get another coil again. The reason for 2 stars is I actually had the copper coil inserted in 2018 and it was okay but I had it removed in 2021 after asking for it to be removed for over a year. My periods were heavier as expected, but I also had thrush every month, BV multiple times and it just became so uncomfortable dealing with this constantly. I had the copper coil again this year (march 2025) and it was awful. The insertion this time took an hour compared to the 10 minutes last time. I was in so much pain I was heaving, I have had three babies and this was worse than birthing a child. They finally got it in and I ended up with a mild infection probably due to how long and how many attempts it took. A week later it started to settle down 🤞🏼 however almost three months later and I'm having it removed next week. I don't know if it's misplaced (they will be checking this first) but I feel it 'stabbing' me randomly every day. I will be walking and suddenly stop and feel like it's stabbing me or trying to come out, but I can still feel the strings. On two occasions it's hurts me during sex which is a red flag. My periods are 10-12 days long and I'm getting through a pack of pads every 1-2 days, plus the thrush is back again. I was offered a replacement however I have declined and I am currently trying to decide which combined pill may be best for me, tho I am nervous about going on the pill now!

I was having heavier periods

I used to have fairly light and painless periods and I’m now in agony every month and bleeding through my clothes. I have it time to see if it would settle but it’s been a year so I’ve booked to get it removed and can’t wait.

I never had acne before but now I constantly have break out, my skin has not been pimple free in 2 years

After having children the contraceptive pill didn’t seem to work, I tried various types and had breakthrough bleeding. I decided to try the copper coil. Insertion was so painful but my periods have been regular and through tracking apps I’ve got to understand my cycle and know what my hormones are doing which I quite like.

The copper coil hurt the first day of insertion but then immediately settled. My periods have become slightly heavier and cramps a bit more painful but still very manageable with just paracetamol and ibuprofen. I am lucky in that my periods only last 4-5 days anyway. My moods change with a normal cycle pattern, I get some acne during my luteal phase. I love having protection but not having the negative impacts on my MH like hormonal contraception had. Would recommend.

It's so hard finding contraception that doesn't have side effects and I wanted a hormone free form, so opted for copper IUD. Insertion is manageable, with painkillers beforehand. The first period was tough, I invested in a tens machine pad but the cramps were hard, but not worse than the worst period I've had. Second period non existent, literally three days and barely any blood, but third was heavy and lasted for 10 days. I stopped using the coil not because of any of this alone, but because I'm sure the inflammation in my body was making me uncharacteristically anxious. So hard to put my finger on, but since I got it removed it's been a weight off my shoulders. I'm now worrying that hormonal IUD will make me more anxious, and I haven't had it put in yet. It's overall not been too awful- I wouldn't not recomend it but I had it put in for emergency contraception so hoping there is a better solution out there without the anxiety side effects.

Really liked this. Tried hormonal methods and ended up having a negative experience with them so had a go at this one. Works great. Most problems stopped after 6 months, like heavier bleeds and back pain etc. Eventually got down back to normal but it takes time to adjust. Genuinely made my life so much better, sex is great and I don't need to worry about hormones or my menstural cycle.

Seriously heavy periods (wearing nightime pads and a tampon and still bleeding through my clothes in like an hour) and sometimes extruciating cramping. A lot of spotting between periods also which I've never experienced before. Nurse has told me that the coil should not affect my bleeding and I've gone straight from the mini pill to this so it may have been that the pill was improving my regular symptoms more than I realised.