Hormonal coil (IUS) vs Implant

I’m 44 with recently diagnosed PCOS and endometriosis which is why my specialist told me to try the Mirena to lighten the lining of my uterus and help with my awful periods. I had to go off of the pill at 40 and suffered for 2 years while debating what to do. I got the mirena in at 42 and have had it 2.5 years now. I do get pelvic pain and cramping twice a month for a few days randomly and feel like I can tell which ovary is active but it is still better than dealing with the bleeding and irregular periods I had previously. My periods are non existant apart from spotting for a few days but not enough to even merit wearing a liner! Sex drive is definitely lower and dryness comes and goes as well but breasts have grown which I’m not upset about! I’m leaving it for another 2 years then will decide if I should opt for a hysterectomy.

Wish I'd got the Mirena coil sooner it's been great for me! I have no side effects, my periods have almost stopped except for a little spotting once a month. Insertion for me was a little painful and I had immediate cramps but by the end of the day they had passed (I had an anaesthetic injection which probably helped with the pain). My first period after insertion was heavier and more painful than usual and I had some spotting throughout the month for about 6 months, but now my periods have almost stopped.

I had an awful time getting it in and out. I have never given birth, which can make it worse. The cramping pain was so bad, I vomited when getting it in and they had to use arterial forceps to remove it as the strings got lost (ouch). My skin was better and my moods were more stable. My period also stopped which saved a lot of money. I gained a lot of weight, though and the amount and intensity of my migraines increased a lot. I also had terrible cramping pain despite no periods, which was linked to PCOS. I haven’t had any symptoms since getting it removed 2 years ago.

It was my first time on contraception, I was afraid to forget the pill and had the feeling that the implant had less hormones in it. My mood was very fluctuating for the first 4-6 months but then settled. My period was much lighter at the beginning and not painful for the first few months, then actually got irregular after 7-8 months (only a few days, then nothing for 2 weeks, then 3 weeks long period...) The insertion of the implant was very easy and not too painful, been able to feel it since the beginning.

Loved having no periods and the convenience around not needing to remember anything for 3 years at a time. But over time I did realise I was getting vaginal dryness and thrush more often.

I didn't get on with the implant. After 4 months of heavy bleeding most days, a nurse was worried it was exacerbating my endometriosis. I agreed it probably was, so went on the cerelle mini-pill for 3 months at the same time. Cerelle and the implant together did stop the constant bleeding for 2 months, but then it came back slowly and I was no better off. I suffered from low mood, leg aches, acne and bloating for the entire 7 months I had nexplannon, so it was a relief to get it removed.

Unfortunately the implant wasn’t for me. At first I didn’t notice any effects for the first couple of weeks, however, a few weeks in I started my first period on the implant which lasted two weeks, I then stopped for a week and then I started with some spotting which turned into a full blown period. This pattern was repeated for several months until I was prescribed a pill, to help regulate my periods, as a temporary measure, with the hope the implant would adjust. Unfortunately once I came off the pill I had bleeding for 6 weeks straight until I decided to start taking a combined pill and I have just today had the implant removed. Obviously everyone’s bodies work differently so I don’t necessarily want to put people off the implant but I would say from my experience to give it 6 months and if it’s not working try something else, don’t suffer in silence.

The implant has been great for me. It went in my arm and healing was quite quick. After a few months my periods stopped entirely which I view as a positive. Every 3 months or so I get period like cramps but no bleeding and this is now my regular pattern. My skin improved slightly with less spots and there's been not other noticeable difference to myself.

Before I got the implant, I was nervous about all the side effects after reading horror stories about it, but I was pleasantly surprised after I got it done. I had it fitted on the second day of my period, the next day I noticed that my flow went from medium/heavy to very light, definitely not complaining. My next period came 9 days early (according to my period tracker app), it was very light, however I did notice some cramping, nothing I can’t handle, but the headaches and the overwhelming amount of emotions was the worse, I was emotional, and had no energy. But after my period, I went back to feeling normal. I have also noticed that my hair started to become greasier faster than usual, but that isn’t a big issue for me. My skin hasn’t changed, no weigh gain or loss. One main thing that I have truly noticed throughout my experience is mood swings, they come and go, one moment I can be happy, the next I want to cry when nothing even happened, but I guess this is normal because of the hormones and my body still adjusting to the implant. Overall, my experience wasn’t what I expected and it’s actually pretty good, and it’s comforting to know that I can get it taken out whenever I want. If anyone is scared to get the implant because of all the stories, it is very good to do research, but I recommend to just do it, see how you feel, wait out all the side effects and then make your decision if you still want to keep it in or not. I haven’t had it in for long, but at the moment, I am happy and not planning to take it out :)

Was convinced to try this by my doctor and definitely regret it. Acne made worse and didn’t feel like myself, small issues would seem like the biggest issues ever. Came off due to increased anxiety, overthinking… and wish I had done so sooner.

I was keen to try the implant as it seemed perfect for me on paper, but I ended up getting it removed due to very low mood and mood swings. Within a few days of insertion, I felt emotional all the time, getting easily upset and crying most days, and I didn't feel like myself at all. I regularly felt depressed, hopeless and overwhelmed. I also had irrational worries and anxious thoughts. I persevered with the implant for two years because I was convinced that these side effects would lessen over time, but I didn't notice any improvement. Throughout the time I had the implant, I experienced nearly constant light bleeding and spotting as well as breast tenderness. I found these side effects irritating as they interfered with my daily life, although I would have been willing to put up with them if I hadn't had the mood issues as well. Once I finally made my mind up and had my implant removed, my moods were back to normal within a week, and my periods returned to their regular pattern right away. In hindsight, I wish I had listened to my body and had it removed much sooner. For me the only positives were that the implant was convenient and effective, and the insertion/removal processes were fairly painless. I would say it is worth a try if these things are important to you, but my personal experience was so poor that it has put me off hormonal contraceptives entirely.

Previously used Implanon for 6 years without any bleeding, switched to nexplanon and had regular periods initially and then they became heavy, painful, prolonged and unpredictable. Much preferred the previous version. Have had it taken out now and have changed to combi pill so will see how that goes.

Had continuous bleeding a few months into using the implant (have had two implants, replaced after 3 years) and had to supplement by also taking progesterone only pill.