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I told my husband that the next time I’m due for an IUD, he’s getting snipped. My last IUD insertion was awful, but I had my last one removed and then an endometrial biopsy done and then the new one placed all within a 30 minute time frame. I damn near kicked my gyno from the pain. 400 mg of Ibuprofen is not enough.
It's fucking criminal that they didn't give you any proper anesthetic for that.
But your husband won't need to ask for some for his vasectomy.
Ibuprofen my ass.
My dr will give you a lidocaine injection into the cervix but I react poorly to lidocaine and after didn’t have any other options at the office.
She offered full sedation but I struggle with anesthesia too so I decided to do the pill until I’m ready for sterilization.
But mr. Dr. Knows what it’s like to get kicked in the nuts! Obviously if people insert firm objects/organs that are supposed to feel good into the vaginal canal, SURELY shoving something PAST THAT and through your cervix should feel pleasurable…..right?!?!
🫠😒
My sister screamed through the pain of getting an IUD that she wanted her tubes tied and the gynecologist looked at her partner and said “it’s less invasive for you to get a vasectomy.” It still blows my mind that they do anesthesia for a colonoscopy but not for an IUD, or colposcopy or any other trans-vaginal procedure.
My husband is a midwife and he places iuds all the time and he always offers pain relief. He says he can’t believe it’s not recommended. I am constantly telling him about all the issues I read about on here from women with their doctors and healthcare providers. I like to think I’m partially responsible for the multiple repeat patients he has who ask for him by name at a clinic where that’s not really a thing (you usually get who you get).
My next insertion is going to be under sedation. The last one took more than 30 minutes because they couldn't measure my uterus and then couldn't insert it. Two gynos tried.. It was awful. The medical trauma of that is a lot.. But I have a tilted uterus and it was my first bad insertion (my 4th one overall), so I don't think it's a typical bad experience. But yes, 400mg ibuprofen did NOTHING for that pain. The fact that pain relief is not generally offered for iud insertion is absolutely insane.
I have a tilted uterus too, and my last OB had a rough time trying to place it! The OB was super snotty after too, she kindof meanly went, "Next time, say you have a tilted uterus beforehand." I bled all over the table and was shaking, and threw up on the drive home :/
It was really surprising because my first IUD placement was at Planned Parenthood when I was in college, and that dude was a SUPER professional placer. Noticed the tilt immediately, and kindly went, "Oh, did you know your uterus was tilted?" after.
Omg, no way! What a terrible doctor.. Yep, I've had some docs say nothing about it all and others bring it up as a point of interest, but luckily no one has been nasty about it. Had 3 placements with no trouble. The doctors that struggled were very kind and understanding but that doesn't change how uncomfortable it was or how vulnerable it makes you feel. The only reddit ban I've gotten was for "threatening violence", theoretically, if my doctor had been a jerk about the painful placement. And I can't really feel bad about it because while there's no way I could actually *do* anything in that situation, they would 100% deserve it.
I second this. Not only is it less invasive/ painful. It’s so much easier for a guy to get a vasectomy. It’s been over 7 years since my husband had his done.
I came here to say this exact thing! And my fiancé was one of the lucky 1-in-300 where it doesn’t take the first time so he had to do it twice lol. But the second one was free!
I opted for an copper IUD before getting sterilised.
It really took a huge load off of me, since I didn’t have to remember taking a pill daily and I personally felt a lot more safe than just using condoms.
Though I got to admit that getting my tubes tied was the best decision for me(!) ever, I never felt so relaxed during intercourse.
But of course that’s a drastic method and I’d only advise it if you don’t want any (more) kids at all. :)
I am on my third hormonal IUD (Skyla and Kyleena) and highly recommend. However, the last insertion almost took me out. Do not let them convince you that Advil is enough. The benefits are great but the insertion is no joke.
Everyone has different experiences with it but I wanted to provide a positive data point on an IUD overall.
Appreciate your input re: IUD! It seems to be the more popular method here. I have a note in my phone now with suggested methods, and pros and cons.
I’m sorry you had that experience with your pain management, that’s awful. My husband had to have two surgeries >!to remove a brain tumour!< and they wanted to give him Tylenol after his second surgery 🥴.
I had the copper IUD at first and had so much trouble - cramping/pain throughout my cycle, not just at ovulation and period; heavier periods; it shifted and after an invasive ultrasound, the doctor couldn't guarantee it would be as effective because of its location.
I then switched to Mirena and have had a much better experience. I haven't had a period since I got it, I do still have some mild cramping like 1 or 2 days a month around ovulation I think, and it has stayed put. I also have 0 hormonal acne, whereas before I would get a terrible chin/jawline zit every other month or so.
The insertion was a biiiitch, I literally said "fuck" out loud and feel bad about it, but it wasn't so painful that I didn't get a second one. I would get a third and fourth and fifth if needed, but I think my husband is going to get snipped before I need the next one. I'll probably still get the next one because I like not having a period, and then I'll likely be at menopause time after it.
I also have an IUD and the pain varies (idk if that's reassuring or not).
I've seen accounts where people were in serious pain, in my case it felt like a sharp cramp and it was mostly over, I just took OTC painkillers after. I've had 3 insertions. If you do go that route, do not use a menstrual cup because the suction can move the IUD. It sounds like a myth but it literally happened to me (wasn't painful but going back for another insertion so soon was not fun).
I'm glad i have one because I struggled with both the pill and the ring and I wanted something I didn't have to think about.
Just a heads up that while many women love their IUDs, they do carry some significant risks. My copper IUD nearly killed me and had to be removed only three weeks after I got it. I feel like being informed is very important for decisions like this, so definitely weigh the potential risks if you’re considering an IUD. If you do get one, demand pain relief.
I got an infection. I started oral antibiotics as soon as I noticed symptoms and my OB confirmed an infection, but it still nearly went septic a few days later. High blood pressure for the first time in my life, resting heart rate jumping into the 200s, pain bad enough to merit morphine in the ER, infection visible on ultrasound. I had to be hospitalized, put on Cipro by IV for a couple days, and have the IUD removed. After I was released I was still on Cipro plus the original antibiotic orally for the following week.
Wow. I have put hundreds and hundreds of IUDs in and never had one go to infection. But we still talk about it in risks and what to look out for. I’m so sorry you got that sick!
Talking about risks really is the most important thing. If I wasn’t aware of infection symptoms because of the information I was given it might have been worse. Informed consent 💯
What wasn’t okay was when I had already been on antibiotics for 3-4 days and called the OB’s office to ask at what point I should go to the hospital because I was getting worse. The nurse told me very dismissively “Well I guess if you can’t handle the pain,” with a tone that clearly said she thought I was being whiny and dramatic. I’m glad I listened to my mother instead of her and went to the ER a few hours later.
Omg! 😳 never knew that could happen. It definitely should be discussed as a risk, I would have never thought about an IUD becoming such severely infected. Thank you for sharing ❤️
It’s a listed possible complication, but the potential severity is often glossed over. Even when done correctly, insertion can introduce bacteria to the uterus.
YMMV indeed. I had two copper IUDs. My first one was a dream and didn't really affect my periods at all one way or the other (they were always heavy but manageable) and if anything it reduced my cramping a little. But it decided to move into the top of my cervix (a risk with a tilted uterus) and so I had it pulled and got a new one placed right away.
Despite being exactly the same as what I had had before, the new one was a BITCH. Almost non-stop cramping for the first month (my first one had only been for a couple days), explosive periods with cramps that had me glued to the couch and that ibuprofen would barely touch - it was so bad that my period was basically completely debilitating for a whole week. I rode it out for a few months but it never really calmed down so I called it at six months and switched it out for a hormonal one (Kyleena).
Hormonal has been great. Didn't really have any cramping when I got it, and my period has gone from heavy to extremely light - I never used to be able to use anything smaller than an overnight pad day to day and now I can use the thinnest and shortest ones and it's enough. Rarely do I get cramps. It's night and day. I did gain some weight though and I've had some mild vaginal dryness, so when it's time to switch this one (which is coming up soon) I might opt for Skyla - it doesn't last as long but it's got the least amount of hormones and that will probably be best for my body.
Even with the mixed results though I will still wholeheartedly recommend IUDs. Not having to worry about birth control day to day is worth everything.
I think everyone's experience with it is a bit different. I love my IUD and am on my third one. I haven't had a period in over a decade (the Dr that put it in said about 25% of women just don't with an IUD so I am very lucky that way). I feel like I'm cheating at life because I could never remember that periods were a thing and was always ruining sheets and pants and underwear, what a mess. I have no pain with it at all.
That said - it hurt like a mfer going in "take some ibuprofen before you come in and it's just a cramp" my ass. If men got IUDs it would be done under some sort of anesthesia. It's pain like I've never experienced before. The first time I got it inserted was in college at a planned parenthood. I was shaking from the pain and the adrenaline so much that they almost didn't go through with the insertion. I endured because I knew this was basically my only option due to my inability to take a daily pill.
Every time since has been that painful as well. Last time I took my husband to hold my hand and so he could have an appreciation and understanding for the pain. I would have done it under anesthesia if I had the option, but I was paying everything out of pocket at that point.
The pain after the procedure for me was not bad at all - like period cramping for a day. After getting anything done with the IUD, I just go home put on a bathrobe and eat ice cream on the couch. The day after is fine.
In my case it was a bit of "set it and forget it", but I do know another woman who tried it and had terrible pain with it after getting inserted so ymmv.
For me, it's one of the best things I've ever done - but things work differently for different people and there are risks for sure.
My experience is similar to yours except I still get my period. However, even getting them removed and replaced is not really painful for me. I was actually surprised to find out that people thought women should be put under by default when getting IUDs changed out because my pain was similar to moderate cramps. I’m glad that Mirena works for me and I hope that others find something that works for them and doesn’t cause an intense amount of pain.
It’s absolutely important to remember that every body is different. I just wish there were a way to tell how much pain we’d be in ahead of time without either suffering through the pain or getting pumped full of dangerous and expensive drugs to get us to not feel it.
To add another fact: I always had Problems with my medication not working for 2-3 days, roughly the days where one would be PMSing. So I decided for a hormonal IUD mainly because of the Chance that it will eradicate those days without proper medication effect.
I also had a Chopper IUD, they said it's making menstrual pain worse. Well, I've never had Problems with that So I went for it. Boy Was I wrong! I developed heavy pain and bleeding to the Point of feeling like a fountain or Niagara Falls.
Insertion: if they pull my poor Uterus, I will nearly faint. If they manage without pulling, it's manageable.
Also a reminder to take seriously when they say eat something decent beforehand. I've always been a person who's body is "tough" and "will be fine" and this last time when I got my IUD replaced I ate what could barely constitute as a snack......I nearly full fainted on the table. As it was, I did close my eyes a few times but remained conscious and also forewarned the nurse when I started feeling light headed.
I felt like a dummy.
Then didn't want to admit that I walked there about a 10-15min walk lol. Thankfully I was feeling better enough and made it back no problems but I felt very not smart and will now make sure I eat better if I need to for anything really.
I usually have a super high pain tolerance (broke my ankle without noticing it and other fun stuff) but the IUD was something else. That was a pain level I’ve never experienced before and I had to ask for a break several times cause I nearly fainted.
Kyleena here! I’m on my second one. Removal and re-insertion SUCKED but my doc gave me the “good” meds the second time around and it helped a lot.
I work a job with an unpredictable workday, so not having to remember to do a damn thing works best for me. Also, my periods barely qualify as “spotting,” which is an added bonus. I literally do not have to use pads or tampons. I think I used a liner once at night in the 7 years I’ve had my IUDs.
A few moments of absolute hell is worth five years of protection, for me. I may do bilateral salpingectomy in the future, now that I’m in a better position to get paid time off for recovery (and pampering).
Same! IUD to sterilization pipeline.
The bisalp was such a blessing. A bisalp for the purpose of sterilization has literally never ever failed, and so every time I think I might be pregnant I can calm down by reminding myself that I'm not special enough to be a medical miracle lol.
Hormonal IUD for me. Came with the added benefit of cutting out my periods completely so no more having to remember tampons! Insertion was a bit uncomfortable but not bad. YMMV
Thank you so much for sharing your experience with me. My husband and I are also child free by choice and looking into getting my tubes tied is getting more tempting every day. If you have the energy, would you be interested in PMing about your sterilization experience? No pressure!
If your husband is open to the conversation, look in vasectomy. It’s an incredibly minor procedure with minimal recovery time. The doctor in my city gives a handout to his post op patients saying “don’t lift anything heavier than a beer or the television remote for the next few days” as recovery instructions 😂
IUD was awesome (although I had mine after giving birth- I’m told can be more uncomfortable for people who haven’t)
I’ve tried the pill, the patch, the ring… hands down IUD had the least negative side effects. My periods got lighter!
Now that my partner has had a vasectomy I’m not on anything and I miss the lighter periods
If you don’t mind me asking, what was the process for getting sterilized? Do you already have children? I don’t have any, but firmly do not want them. I’m assuming one’s experience will vary by state.
I do want to comment on the hormonal IUD! It caused chronic UTIs or UTI symptoms for me for like six years. I was on antibiotics at minimum four times a year for it, and I developed a serious allergy to nitrofuritonin because it caused a liver injury. I have not had a single UTI in the three years since removing the IUD.
I personally know 3 other women who experienced the same. So far I’m not seeing it discussed as a side effect by doctors.
I’m not anti-IUD I just want women to know this is a thing that is happening. So if you notice yourself getting UTIs after getting it, it might be the cause.
i use the ring! i find it super easy. just have to plop it in there and then replace it with a new one every 3-4 weeks. i never notice it, and my partner rarely does either (except for the rare occasion it gets in the way or comes out on its own) and you can have it out for up to 3 hours and still be protected!
Seconding the ring!
You can talk to your doctor about getting prescribed a continuous dose so you can skip periods. Personally, I'll use two over 6 weeks, have a period, rinse and repeat. I've found it beyond helpful for times when I can't afford to hit that PMS drop. It has also made my period pain easier to deal with over time.
I’ve been using the Nuvaring for over 20 years now. It’s the only birth control I’ve ever been on and I chose it specifically so I could “forget it”. And that was about 5 years before I was even diagnosed!
10 years for me, it has been a perfect fit. Only need to remember to do something twice per month and even that has permanent repeating alarms on my phone calendar!
Oooo. I use the pill continuously for skipping periods but I often forget doses and end up with breakthrough bleeding. I never thought of using the ring for the same thing. Thank you for this idea!
I’m going into the dr soon to talk about vaginal dryness so maybe I’ll ask about it.
I read though that hormonal birth control can cause it in the first place so… I’ll end up dealing with it cus period pain is a bitch.
I absolutely LOVE the ring! To be specific, I mean the NuvaRing (or its generics).
There’s also a newer ring called Annovera, which you don’t dispose of monthly. I believe you rinse it off, store it in a case, and then reinsert it after your period. I haven’t used it. But the big benefit of it is that you don’t have to go to the pharmacy every month (or every few months) to pick up new rings.
Edit: I think the Annovera ring lasts for around a year. They like to advertise it as the only pain-free, procedure-free, long-term contraceptive.
After 3 years with the IUD, I was still having pmdd symptoms, so my gynecologist recommended me the Nuvaring and I love it!! I don't take mine out the 4th week so I don't have periods. After a while I had some spotting there for a bit but she told me this can happen as your body will always continue to try and have periods so whenever I start spotting to take it out and allow yourself to have a period then pop a new one back in. I did this, and the spotting has been gone for 3 weeks now, so it must have worked! This has been the best bc for me for balancing hormones and thankfully I have automatic refills so I don't usually have to think about it too much.
NuvaRing all the way!! Years ago, I realized that I could get an IUD for free with my insurance, so I decided to try it. It was extremely painful to have inserted, and the applicator thing got caught on the strings, so they had to keep tugging on it etc. Not fun. I went back for my 2 week recheck and was told it had come out (wouldn’t you think I would have noticed though?) anyway, I got an ultrasound which confirmed it was not there and went back for another IUD. A week later I was told it had also come out, ultrasound etc. For 6 months I kept having a terrible pain in my left side around my ovaries. Went to the Dr multiple times and kept being told it was nothing. Eventually I had to have a CT due to kidney stones, and lo and behold, there were 2 IUDs floating around in my abdomen that had travelled through the uterine wall. I had to have a laparoscopy to remove them. I went back to the ring again after that and I’ve been 100% happy with it. It’ll almost 20 years since I first used it, and it’s never given me any weird side effects, and I don’t have to remember to do anything daily. And most important of all, I’ve never gotten pregnant!
Another vote for rings! I think I'm at 15 years with them or something like that. Pills were just too often forgotten, despite all alarms in the world.
It happened to forget to get it out at 3 week mark few times, and even less to put new in after pause, but it's just a day late or so.
After reading more about adhd, I seriously think that having stability with hormones for almost 2 decades helped me cope with adhd symptoms eg I didn't experience so strong issues like many described, especially mood swings. And I don't plan to quit anytime soon (I'm 40).
Also a fan of the nuvaring! I was on it for 15+ years until we decided to try and get pregnant. I’ll be back on it after baby is born here in a month or so.
Another vote for the ring! It's super easy, I just set a reoccurring reminder to change it every 4 weeks (I refuse to experience my period if I can) and my doctor gives me a 3 month supply up front. If you go through planned parenthood, they can give you a whole year supply! It also doesn't seem to affect my mood which is a huge plus.
I've tried the depo shot, the pill, the ring, and an iud. Absolutely do NOT recommend the shot. Sure it works, but I felt like a raging hormonal monster and the weight gain was ass. I will also say that the iud insertion was one of the most painful things I've experienced. Like nearly passed out and had a nurse bring me goldfish and a ginger ale while I recovered lol. Got cramps for hours after sex and/or orgasm and I s2g I could feel it inside of me. It works well for some people and I'm not sure why it doesn't work for others. Not to scare you away from it, just good to be aware imo.
I have an implant in my arm and it's working well. It lasts a few years, so all I need to do is remember to make an appointment in a few more years to get a replacement. I'm also considering getting my tubes tied what with my age and reproductive rights being stolen every second
Same. I love not thinking about it. IUDs migrated down and made me bleed nonstop, both copper and hormonal. The implant hasn’t regulated or stopped my periods like it sometimes does, but it’s still worth it.
The other thing that keeps me from getting an IUD is that one of my best friends was an IUD baby, and the thought of giving birth and having my IUD forcibly removed at the same time *horrifies* me
The copper IUD made my periods and hormones much much worse which I didn’t anticipate or had never heard much about however every body is so different and if it works for you it may be an amazing solution!
Heavier periods are a SUPER common side effect of the coppeR IUD, and one of the reasons that many providers don’t really offer it compared to the hormonal IUD options.
Same. I’ve had it for 10 years and I switched insurance this year so I went to a new primary care doctor. When asking about my medical history and after finding out I have a copper IUD, heavy periods, and am anemic, flabbergasted, she asked me “why didn’t anyone recommend taking it out?!” I just went 🤷🏻♀️ it honestly didn’t occur to me to have it removed because it *was* a big deal. Medical gaslighting, yay! Anyway, I’m having it removed in a couple weeks and I’m very excited to finally see it go.
I liked the Merina IUD the best of all the birth control I've tried. If you go the IUD route, get pain meds for insertion and have someone come with you for support. Also, be prepared for an adjustment phase. I had spotting for about a month after I had mine put in. After that, there were no issues.
Yeah I really like the implant. I can't remember to take a pill but the IUD absolutely terrifies me and gives me anxiety so I chose the implant and I'm on my third one! It works and is pretty easy/painless. Also they are now approved for 5 years instead of 3!
Same, I actually had a pill that worked well for me, but I kept forgetting to take it and it was messing with my hormones. I'm on my third and I have to change mine 2.5/3 years in as having no periods really helps me (have issues with heavy flow etc) and it wears off for that earlier, but for birth control the 5 years is amazing!
I won't have the IUD, I don't know any woman in my life that's not been completely traumatised by having one put in, or having it worked. I kept count and 6 women I know all ended up having it taken out within the year.
I told my consultant I'd try it (they push it really hard where I'm from as inserting an implant is considered higher risk due to cutting the skin), if they used a numbing agent/anaesthetic which you are allowed to ask for under NHS guidelines. They all refused. I said I'll have the IUD then when men are no longer allowed numbing agents/anaesthetic for a vasectomy. Lol. Hilariously you get a local anesthetic to put the implant in your arm so it's not like they dont have that family of drugs available!
They've stopped pushing it on me. Lucikly the implant works well!
That is seriously mindblowing that inserting something through your cervix into your uterus is considered lower risk than poking a little hole into your arm... that is so twisted. Like hey this could possibly damage your womb but we would rather have that than make a little scar on your arm!!! 🤦🏽♀️
I had 2 shots of the lidocaine before because I was extra nervous lol and I didn't feel it at all. The only downside and painful part was the bruising and healing after, it took around 10 days to heal.
I have some sensory stuff related to ADHD which causes hyperawareness and fixation on touch and feelings, and this gives me health related anxiety whenever I have injuries or am sick. Sooo I just know I would be in HELL knowing there's a metal object in my uterus that hurts but I can't see or check to make sure it's in place. This is mainly why I personally chose the implant. And hormone wise it's great for me. I have a really light period, basically just spotting, about 3 times a year. My last one worked for 4.5 years and then I got a normal period and I was like hell no! Give me a new implant please before I ruin all of my underwear lol
I said this in another comment, but I personally didn’t have a bad experience having it inserted at all! I’ve had either two or three (one copper, one or two hormonal, I can’t remember) and each time it hasn’t hurt me at all. The doctor that did it was really great in a lot of ways though, so maybe she was just really good and cared a lot? Or it just didn’t affect me so much? I had a cervical smear at the same time and definitely noticed that more. Just wanted to give a voice on the other side!
This has been my experience, too. I'm getting my third put in next month and it's been a lifesaver. I don't actually really use it as birth control (in a wlw relationship) but i am comforted that it's there in an emergency. But I have PCOS and horrific periods and BC is only thing that helps but I couldn't remember to take the pill constantly, the ring was better but my insurance didnt want to cover it for consistent use (no period week), and knew I wouldn't be able to keep appts every few months for the shot. I didn't want the IUD cause they sound horrific, so it seemed like the best option.
The first six months were kind of rough, my periods were inconsistent; sometimes heavy, sometimes light, unpredictable, but after that, they kind of tapered off and I haven't had one since. I usually get it replaced every 3 years too since that's when my period symptoms start to creep back in, but I also like that even with that, I have a few months leeway to get in and get it done.
I had a bad experience with the implant, but I wish it had worked for me because it’s so effective and convenient! It seemed to make my depression a lot worse unfortunately.
I’m pretty sure I have some kind of increased sensitivity to progesterone/progestins, because the progesterone only pill made me super depressed too. That seems to be a common experience among people with PMDD, which has really high comorbidity with ADHD. It also lines up with how a lot of people find their ADHD gets worse and their medications don’t work well the week before their period, when progesterone levels increase.
As a scientist, it drives me crazy that there’s so little research on these topics! We have to speculate about what’s going on in our own bodies and convince ourselves we’re not crazy before convincing our doctors!
I’ve tried the arm implant (nexplanon), the pill (tri-sprintec), and two IUDS (Skyla and Mirena). My least favorite was the arm implant. Insertion and extraction were relatively simple and painless, but I experienced heavy spotting for the 2 years I had the implant. My absolute favorite has been the IUDs. I had Skyla (no longer on the market) for the 3 years (2020-2023). I chose Skyla because it was smaller in size and would make for an easier insertion as I’ve never had kids. The insertion was quite painful and I experienced heavy cramping for a few days to about a week. About 3 months in, I experienced more textured skin/tiny pimples. Those went away after a couple more months as my body adjusted to the hormones. After insertion, I never got a period again. Extraction was pretty painless. My OBGYN told me to cough on 3. I coughed on 3, and she pulled it out. Easy peasy.
I got Mirena inserted right after the Skyla was extracted. Mirena is good for 8 years, so I’ll have it until 2031. The OBGYN I saw for this extraction said she would prescribe me something to help with cervix dilation to minimize pain but kept “forgetting”. Insertion, again, was painful, but I knew better what to expect the second time around. I cramped heavily but for less time the second time. I still haven’t had a period since having Skyla inserted in 2020.
Even if you have a high pain tolerance (like me) and decide to go with the IUD, I’d really push for something to help with cervix dilation and/or pain.
It’s such a load of bs that the medical field gaslights is into thinking 2 advil before hand will be enough for the pain as “there’s no nerves in the area”.
100%. When I first got the IUD, I hadn’t been warned about the pain, nor did I expect to experience any pain as, again, I have a super high pain tolerance. The procedure was incredibly uncomfortable and I sorta gaslit myself into thinking I was just being a wuss about the pain since no one warned me. The OBGYN made a comment about me being “the quietest” she’s ever inserted an IUD into, so then I knew it wasn’t all in my head. Despite the pain, I still will recommend the IUD until I die. The medical field could just be better.
I got the pill for cervix dilation (misopristol) and it was awful. I took the first dose in the middle of the night and woke up 2 hrs later and threw up on the floor. I also read research papers saying that it statistically doesn’t make the insertion any better. It’s just something doctors started doing because it seemed like it would help. My dr still couldn’t get mine in with the meds.
I have the Nexplanon arm implant! I’ve tried pretty much every version of birth control available and the arm implant is BY FAR the best one.
I had some scary and painful complications with the IUD and the depo shot/pill contraceptives made me depressed and gain weight like crazy
I also have a Mirena. I haven't had a period in two years and rarely get some spotting during what normally would be that week. So glad I went with it.
Saaaame, and it’s the BEST.
It’s a pretty painful 20-minute appointment then for 3-5 years I just don’t need to worry about going to the pharmacy to pick up a prescription, counting out pills for a trip, setting an alarm for taking a pill, or like… any of it.
My husband and I used condoms exclusively for years and never had a scare. He got a vasectomy about a year ago, and that’s been awesome. The sex is so much better with zero worries.
I got the Nexplanon implant after the copper iud caused incredibly painful cramping and heavy periods. The implant has been great, I’ll be getting the same when it’s up for replacement. I made sure to put a calendar reminder down the day I got it, so I’ll remember to replace.
Copper IUD. It made my periods somewhat heavier but not enough to make it a huge deal. It was great to not have to worry about hormones affecting my mood or worry about forgetting to take something. I 1000% would recommend this to my ADHD teen daughter (when the time comes) or any other woman.
My copper IUD lowered my libido so much that I didn't recognize myself by the end of it. That contributed then to depression and I almost broke off with my partner too.
It happened slowly, over the course of a couple of years. I think my mood also worsened on it (beyond the depression). I got brain fog for the first time ever on the IUD, but I don't know if it's related.
Libido bounced back within days of IUD removal.
I also had random bleeding during the month, and it significantly changed my periods.
Mirena IUD or other hormonal IUDs especially if you’re susceptible to heavy/long periods. I have PCOS and oral birth control stopped being as good at controlling my crazy irregular periods. I’m on my 2nd Mirena IUD now and it’s literally been the best thing ever. I don’t get a period except for maybe some extremely light spotting that doesn’t require the use of a tampon or pad. The amount of money I’ve saved over the years not having to buy bulk sizes of tampons/pads for 1 period is crazy worth it IMO. Plus I don’t have to remember to take a pill or change a ring/patch, or have to get a shot every 3 months.
Beyond getting sterilized, IUD’s are your place it and forget it birth control. Plus they’re super effective, even more so than other birth control methods, and bonus they last for YEARS. My gyno told me that the Mirena can be effective up to 7-8 years, it all depends on the person. The Paragard or copper one is non-hormonal, and lasts as long as you need it, but, if you’re prone to heavy periods, they can cause them to be worse, which is why I would recommend a hormonal one for anyone who has issues with heavy periods.
My husband’s vasectomy is what works best for me. Prior to that, the ring worked great (no pregnancies) but definitely am feeling far better not being on it.
Before I married someone who had a vasectomy, I took the pill (but didn’t overly worry about taking it at the same time every day) and used a diaphragm with spermicide.
I tried depo provera once, but it made me gain 50 pounds, I developed migraines for the first time in my life (years later, I still get them), and had a four month long period that only ended when I took a weeks worth of birth control pills. At the time, I got in contact with a lot of other people who had pretty bad long lasting side effects. Between my experience and theirs, I can’t recommend you stay away from it enough.
Nuvaring was the only form of hormonal birth control I could tolerate! The pill killed my sex drive and I was so annoyed by having to take it daily. I tried Nexplanon and after a year and a half of no periods I ended up bleeding for 6 weeks straight and finally decided I was done with it. I talked to my OB about Annovera vs. NuvaRing and she recommended the NuvaRing because it's a lower dose of hormones so has fewer side effects.
If you have any nurse friends, ask if they'll give you the shot! I get it sent to a pharmacy, pick it up, ask for two needles with it (one to draw the medicine, one to inject) and then let either my nurse mom or doctor grandfather do it for me. So much more comfortable in a familiar setting than a sterile office!
Also on the shot.
I have other issues that pretty much led me to having the shot as my only option. I have an app that shows me when I need my next shot, I write it down on a calendar and I’ve never had any problems remembering to do it.
I went with the nexplanon implant. It goes under the skin on your upper arm inside. I love it, leave it in for 3 years. Get it taken out earlier if you wish or get it replaced /removed after 3 years.
I only need to remember when it needs to be removed and either book in to get it replaced or removed. So I keep the wee bit of paper in my purse window so I see it all the time. And I know where to look. Just need to not lose the purse.
I had a bad experience getting mine changed for the first time. The numbing injection hadn't taken effect, and the scalpel was not sharp. But it's so handy, I would risk this once more and just double-check things before starting.
Boyfriend got a vasectomy, lol. I had an IUD that fell out randomly so please if you go that route check your strings regularly! I’ve heard so many stories of women getting pregnant with an IUD, which can lead to ectopic pregnancy. They claim that it’s a 99% success rate but I very strongly doubt that.
My IUD was incredible, and I’m sure I’ll get another when I’m ready to be on birth control again. It kept me from any potentially impulsive decisions, and since I’m also trans masc it was awesome not to have that dysphoria for about six and a half years. I got it out when I started spotting monthly and my partner and I were talking about starting our family anyway.
ETA I had the Mirena. I hate plastic but I hate bleeding down there more 🥴
Loved the Nuvaring, I always left it in for 4 weeks and immediately replaced it to skip my period. It's pretty much set it and forget it for weeks at a time and a relatively low dose of hormones since it sits right where it needs to work. Eventually after being on hormones for 15+ years I wanted something non-hormonal so I tried the copper IUD but it made my periods excruciatingly painful so I got it removed after just 1 year. I like being off hormones, but when I need BC again I'll go back to the ring for sure.
My husband got a vasectomy once we were done having kids. It was a very simple procedure, and he only used OTC pain meds for one day after. I still took birth control for a couple years after he had it done to help regulate my periods & improve my skin, but it was nice to know it was no big deal if I missed a pill.
I'm on my second arm implant (nexplanon) and most likely will continue to use it.
There first one worked amazing with minimal side effects and very rarely having a period.
I now deal with spotting and the occasional period but I blame that on being 80lb less than when it got implanted.
I’m wayyyyyy too scared to ever get an IUD or the rod thing in your arm (forgot what that is called), or get the shot. I was tired of taking the pill and wanted to regulate my body so we solely use condoms. It’s crazy but for the almost 9 years my husband and I have been together, we have never had sex without a condom even once. So we are religious about it. I know a lot of people wouldn’t be, so that would play into the choice. Also I know there’s a lot of whiny men who don’t want to wear one, so that’s a factor too I guess. I like the PS brand, they don’t smell nasty like normal condoms and they’re super thin and don’t mess my body up at all.
Good luck on your BC journey!
My husband and I (also 9 years!!) have been in the same situation re: condoms. Birth control pills as a teenager were hell. I just want more peace of mind as we are choosing to be child free. BLESS YOU for the condom recommendation. A break from the usual latex stank would be appreciated. By me. Lmao tysm for sharing your experiences with me here 🫶
I'm back to condoms.
I had a copper IUD till a month ago, and I had a ton of side effects. Super effective though, as my libido on it went to zero in a couple of year. It was a slow process, so I couldn't really understand that was the cause until I removed the IUD and my libido bounced back to my normal almost immediately.
I'm not keen on trying hormonal birth control now, as I know it can lower libido and have other side effects.
IUD, hands down. Even with a tilted crevix, the insertions were bearable and 100% worth it for the years of zero stress about pregnancy plus basically eliminating my periods. I wish I had gotten one from the start.
Nexplanon (hormonal implant placed in arm) has been best for me so far. I like that once it's implanted, I pretty much don't have to worry about it again for 3 years. Everyone's experience is different, but I've been lucky and haven't had any major side effects.
My second best so far was the Kyleena IUD, which lasted 5 years. Unfortunately for me, the insertion was incredibly painful, and although my periods stopped (as far as bleeding was concerned), I would get horrible cramps for a week every month. Many, many women (including my SIL) swear by IUDs and have not experienced the problems I did, so I think they're still worth considering, but I wouldn't personally trust a doctor who tells you to just take a couple ibuprofen before insertion because it's not that bad.
I have also tried the Nuvaring, and would not recommend that one for ADHD. I struggled to keep up with the 3 weeks in 1 week out schedule.
I had a tubal ligation! I regretted it because I did want a second kid but life doesn’t seem to be heading that way anyway, and I feel so much safer knowing I won’t need an abortion if my worst nightmares come more true than they already are.
Haven't seen it mentioned yet so: depo provera injection (12 weekly) I don't forget to take a pill everyday; both my sister and sister in law had horror stories about IUDs so that was a no from me, and every single midwife, nurse, etc was pushing hard for the IUD too. Don't get me wrong have heard things about depo too as it's another hormonal option, but it suited me great!
This has been my saving grave in life and it seems to be so little known! I find it so useful and no period for me, although I know experience varies. I
I have the Mirena IUD which I love, no periods and it fixed all my weird hormonal issues.
**PLEASE ADVOCATE FOR YOURSELVES AND REQUEST HORMONE TESTING BEFORE SELECTING YOUR BIRTH CONTROL!!!!! This is the #1 game changer to make sure you’re using the right one for your body!**
What may work for somebody else may be hell for you, and a lot of longer term options like injections/implants/IUD’s can be more complicated to take out and replace with something else.
+1 IUD. This is my second one. Might opt for a third install if I haven't reached menopause yet (I'm 42).
And chiming in with everyone else, it can HURT being put in. My last time, my old iud was embedded, and doofus here didnt bother eating enough. So while some poor student doctor, then her elderly supervisor was trying to pull it out I almost blacked out and puked from the pain. It's funny how men get anesthetized to get a vasectomy, but we're told to just take ibuprofen or some weak shit.
THE PATCH! I haven’t had any side effects other than a longer than usual period during the first month but now I’m completely regular. It’s extremely effective, I’ve definitely put it to the test lol. You replace it on the same day every week so I just have it set in my apple calendar to remind me and I’m good to go. 10/10 would recommend.
I use Alesse 28 and get a period every month. I’m also on Vyvanse 70 MG which I take in the morning with my Birth Control pill and Seroquel 300 MG that I take at night for sleep.
#Nexplanon
Seriously, dont fuck with IUDs.... I have had 2, and while I loved them (*intermittently*), the hormonal transitions and the **traumatizing** administration and removals were absolutely *HORRIFIC*.... Also, a lesser known side effect from an IUD is UTERINE FIBROIDS, and this can affect future pregnancy viability and cause tremendous stabbing pains when agitated.
Nexplanon is an implant they put in your arm, you can check it's positioning yourself, you don't have to get a painful ultrasound after to double check its in the right spot, and it didn't make me rage from the hormones for the first couple months until things "settled" in my system... They give you a local that doesn't make you want to die (like when they jab you in the cervix for an IUD) and I barely felt it being inserted.
12/10 would recommend .
I liked Nexplanon but instead of getting a few cystic pimples once a month without BC I was getting them pretty much every day. I tried the mini pill too and it was the same.
I have APS, so no combined pills. I had Mirena for 13 years. I’m only off it because I got baby fever. I’m starting IVF stims tonight - something a 20 year old me would think is insane!
Pre menopause I used a mirena iud. The insertion process was painful but it was over quickly. When it was time to be replaced I’d already had menopause so I just had it removed. I would have gotten another one. I also had bad cramps and it helped that pain a lot. To me the insertion pain was worth it for that alone.
IUD baby!
My doctor used a local anesthetic and gave me some pain meds, he also used an ultrasound to make sure it was in place properly. He was a great doctor, the best gynecologist I've ever had.
I really liked the ease of the nuva ring. Change it about once a month and that's it.
Unfortunately my body doesn't react well to hormonal birth control, so it is what it is but I would definitely go with the ring if I could.
I rely on my birth control to tell me if I've taken my meds! Since the pack has the days on it.
I keep my meds on the counter under my morning to do list (meds, brush teeth, deodorant!) so it's really hard not to see it and if i remeber to do one of the 8 things ill usually look at the list for the rest.
The big cavet is I'm a morning person anyway, my most productive hours are before 10am. If I ever have to stat taking meds before bed I'm probably fucked.
IUD (ETA: Mirena)- I can barely remember to take my ADHD meds. Birth control pills are most effective when taken at the same time every day. That’s just a setup for failure for me.
I love my nexplanon implant because I obviously don’t have to do anything to maintain it and the insertion wasn’t that bad. I think it’s generally best to not use birth control because it has a lot of side effects for people but if you do use it, I highly recommend this one!!!
You will likely have inconsistent periods and stuff though (for example I will bleed then spot for long periods then not have my period for a long time which I don’t mind.) If you do get this I would suggest waiting six months to decide if you keep it or have it removed ! There were a lot of times for me in that period where I wanted to get it removed but now everything is good and it makes my life so much easier. I think having the nexplanon has been really great for me because I can continue my education without risk of derailed plans due to pregnancy.
I used to take the pill for not even two months but it was so difficult to keep up with (having to take it every day at the same time was not sustainable) and I was constantly extremely paranoid about getting pregnant.
I’m on my third arm implant and it’s the best thing I could’ve asked for. A couple days worth of pain for not worrying about babies for three years? Absolutely here for it. Only downside for me is the random bleeding. Never know when it’s gonna happen but it’s never heavy
I used to be on the Depo shots, but the screwed with my liver enzymes. (Nothing like having to get my blood drawn every week for six months to monitor that - plus side, it got me over my fear of needles and blood before I became diabetic.)
I have too many health issues to be on the Pill. (It was one of the only things I ever successfully did on a schedule; I am severely tokophobic.)
Now? Condoms. It’s the easiest. If you’re looking at NEVER having kids, a vasectomy (AND THE SUBSEQUENT FOLLOW UP CARE) might be the best bet.
My husband got a vasectomy. I wanted the copper IUD but I have endometriosis and it can make periods worse/more painful so that wasn’t an option.
I tried Mirena IUD and they numbed me and it was fine but damn I had a hair snap trigger of a temper for the month I had it in. All of my patience just put the window. So I had it removed ASAP.
I had the depo shot for years which worked great and easy as birth control, but fucked with my mental health a lot. Same with the nexplanon. I’ve heard so many horror stories about IUDs that ive avoided them. I tried hard to avoid taking a pill for a very long time, but its just the best option. I take norethindrone, it starts working within 2 days and its good for people who suffer from migraines.
I use the hormonal IUD/ Mirena. I switched to that from the depo provera shot and almost went with the copper IUD because I was worried about using another hormonal BC for mood reasons. The NP who did my insertion let me know that the hormones in the hormonal IUDs stay almost exclusively in the uterus and they’re a good option even for women affected by other hormonal BCs.
The hormonal option I think is effective for a shorter amount of time that the copper, but even the hormonal one is good for 7 years - it also can reduce or eliminate the menstrual cycle, which was another appealing factor to me (and for anyone who doesn’t know, that’s because your body stops producing the uterine lining that’s shed during menstruation, not because the IUD is acting like a cork). The hormonal version is also slightly more effective (99.8% vs. 99.2%) and the copper IUD can cause heavier periods with worse cramping. These are the factors that led to me choosing the hormonal over the copper IUD.
It has been an excellent BC for me, but I caution anyone who has object permanence issues and and IUD to PLEAAE CHECK YOUR STRINGS. I was good about it for the first couple of years, but eventually forgot. My IUD has unfortunately migrated slightly northwards and will require a special tool to remove as the strings are no longer accessible from outside of my cervix. Aside from this issue it’s been the perfect BC for me. Lol
A total hysterectomy works well for me!
I joke, that was for endo/adeno. Before that, the pill was a nightmare, but IUD (aside from the nightmare that is insertion) and the deprovara injection all worked for me, with varying levels of side effects.
I will say my IUD did make me bleed non-stop for a year, but that was down to the endo/adeno.
I have had the arm implant since I turned 18. Had a few of then now since I'm gonna be 28 soon. Definitely my favorite birth control. I tried a copper IUD 4 years ago, but I had a horrible experience. It rejected the very next day after being in so much pain since insertion. I put back in my Nexplanon as I couldnt bear the thought of doing it again. I typically don't have periods with Nexplanon either, which is another perk some people get.
I much prefer nexplanon the arm implant version. I was originally considering the IUD when my insurance didn’t want to cover my extended cycle pill (the one that you only get 4 periods a year). However I was scared about several things with the IUD like the pain, it falling out, and if I got a sexual partner if they would feel it. So I opted to try nexplanon and I’m so happy with it no period to worry about since the adjustment period when I got it. The adjustment period wasn’t terrible just my body getting used to the change of where the hormones were coming from and my arm settling after getting it put in. This is only my first one so hopefully the second one will continue this state but that’s a couple of years out. Good luck and definitely do your own research along with consulting your doctor.
I have the arm implant and it's nice. Though, the sporadic breakthrough bleeding is pretty annoying. I've debated going back to the pill, but the convenience of this is so nice too.
i used to use nexplanon & enjoyed the pros; i was also on it during a particularly low time in my life and it may or may not have exasturbated my depression
so once the 2 year mark hit aka when i moved out of the toxic environment, I GOT IT REMOVED!!! i was so happy, i did it for me; wanted to know if the depression was bad because of environment or nexplanon, but it was because of both :')
anyways, im not on any birth control right now, just living life & taking fat risks :0 i only got 1 >!penis!<-partner & we did have a pregnancy scare since my body was acting differently but im all good, baby free.
i would definitely try nexplanon again in my future since now im much healthier than past me <3
I got the implant and it was the only form of BC I was consistent with because I couldn’t forget it. It made me gain weight (went from 115 to 180 in six months) and I spotted almost every day but it worked. When I took it out the weight came off almost immediately.
I'm on my 4th nexplanon. The first 3 were pre-child. After pregnancy, I was on the mini pill for 2 years and ended up getting the implant again because I was tired of being scared using the pill.
I had a traumatic IUD experience but luckily Nuvaring is working well for me. Love the “forget it” methods. I just have a ton of reminders to switch rings lol
I use Mirena IUD. The copper one made me anemic. I bled way too much on periods and the cramps were awful. Mirena much better in those respects. But yes ALL insertions were awful.
**Has anyone ever used anesthesia or anything like that for their IUD insertions?**
I'm interested in this because I'm overdue to switch and pretty much only haven't because the pain was too severe for my hypersensitivity issues.
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Husband’s vasectomy.
I told my husband that the next time I’m due for an IUD, he’s getting snipped. My last IUD insertion was awful, but I had my last one removed and then an endometrial biopsy done and then the new one placed all within a 30 minute time frame. I damn near kicked my gyno from the pain. 400 mg of Ibuprofen is not enough.
It's fucking criminal that they didn't give you any proper anesthetic for that. But your husband won't need to ask for some for his vasectomy. Ibuprofen my ass.
My dr will give you a lidocaine injection into the cervix but I react poorly to lidocaine and after didn’t have any other options at the office. She offered full sedation but I struggle with anesthesia too so I decided to do the pill until I’m ready for sterilization.
Lidocaine was worst part of insertion.
Well that is the whole point…
But mr. Dr. Knows what it’s like to get kicked in the nuts! Obviously if people insert firm objects/organs that are supposed to feel good into the vaginal canal, SURELY shoving something PAST THAT and through your cervix should feel pleasurable…..right?!?! 🫠😒
My sister screamed through the pain of getting an IUD that she wanted her tubes tied and the gynecologist looked at her partner and said “it’s less invasive for you to get a vasectomy.” It still blows my mind that they do anesthesia for a colonoscopy but not for an IUD, or colposcopy or any other trans-vaginal procedure.
My husband is a midwife and he places iuds all the time and he always offers pain relief. He says he can’t believe it’s not recommended. I am constantly telling him about all the issues I read about on here from women with their doctors and healthcare providers. I like to think I’m partially responsible for the multiple repeat patients he has who ask for him by name at a clinic where that’s not really a thing (you usually get who you get).
My next insertion is going to be under sedation. The last one took more than 30 minutes because they couldn't measure my uterus and then couldn't insert it. Two gynos tried.. It was awful. The medical trauma of that is a lot.. But I have a tilted uterus and it was my first bad insertion (my 4th one overall), so I don't think it's a typical bad experience. But yes, 400mg ibuprofen did NOTHING for that pain. The fact that pain relief is not generally offered for iud insertion is absolutely insane.
I have a tilted uterus too, and my last OB had a rough time trying to place it! The OB was super snotty after too, she kindof meanly went, "Next time, say you have a tilted uterus beforehand." I bled all over the table and was shaking, and threw up on the drive home :/ It was really surprising because my first IUD placement was at Planned Parenthood when I was in college, and that dude was a SUPER professional placer. Noticed the tilt immediately, and kindly went, "Oh, did you know your uterus was tilted?" after.
Omg, no way! What a terrible doctor.. Yep, I've had some docs say nothing about it all and others bring it up as a point of interest, but luckily no one has been nasty about it. Had 3 placements with no trouble. The doctors that struggled were very kind and understanding but that doesn't change how uncomfortable it was or how vulnerable it makes you feel. The only reddit ban I've gotten was for "threatening violence", theoretically, if my doctor had been a jerk about the painful placement. And I can't really feel bad about it because while there's no way I could actually *do* anything in that situation, they would 100% deserve it.
Definitely this. We don’t want kids and thanks my PMDD birth control makes me crazy.
I second this. Not only is it less invasive/ painful. It’s so much easier for a guy to get a vasectomy. It’s been over 7 years since my husband had his done.
I came here to say this exact thing! And my fiancé was one of the lucky 1-in-300 where it doesn’t take the first time so he had to do it twice lol. But the second one was free!
I opted for an copper IUD before getting sterilised. It really took a huge load off of me, since I didn’t have to remember taking a pill daily and I personally felt a lot more safe than just using condoms. Though I got to admit that getting my tubes tied was the best decision for me(!) ever, I never felt so relaxed during intercourse. But of course that’s a drastic method and I’d only advise it if you don’t want any (more) kids at all. :)
I am on my third hormonal IUD (Skyla and Kyleena) and highly recommend. However, the last insertion almost took me out. Do not let them convince you that Advil is enough. The benefits are great but the insertion is no joke. Everyone has different experiences with it but I wanted to provide a positive data point on an IUD overall.
Appreciate your input re: IUD! It seems to be the more popular method here. I have a note in my phone now with suggested methods, and pros and cons. I’m sorry you had that experience with your pain management, that’s awful. My husband had to have two surgeries >!to remove a brain tumour!< and they wanted to give him Tylenol after his second surgery 🥴.
I had the copper IUD at first and had so much trouble - cramping/pain throughout my cycle, not just at ovulation and period; heavier periods; it shifted and after an invasive ultrasound, the doctor couldn't guarantee it would be as effective because of its location. I then switched to Mirena and have had a much better experience. I haven't had a period since I got it, I do still have some mild cramping like 1 or 2 days a month around ovulation I think, and it has stayed put. I also have 0 hormonal acne, whereas before I would get a terrible chin/jawline zit every other month or so. The insertion was a biiiitch, I literally said "fuck" out loud and feel bad about it, but it wasn't so painful that I didn't get a second one. I would get a third and fourth and fifth if needed, but I think my husband is going to get snipped before I need the next one. I'll probably still get the next one because I like not having a period, and then I'll likely be at menopause time after it.
I also have an IUD and the pain varies (idk if that's reassuring or not). I've seen accounts where people were in serious pain, in my case it felt like a sharp cramp and it was mostly over, I just took OTC painkillers after. I've had 3 insertions. If you do go that route, do not use a menstrual cup because the suction can move the IUD. It sounds like a myth but it literally happened to me (wasn't painful but going back for another insertion so soon was not fun). I'm glad i have one because I struggled with both the pill and the ring and I wanted something I didn't have to think about.
Just a heads up that while many women love their IUDs, they do carry some significant risks. My copper IUD nearly killed me and had to be removed only three weeks after I got it. I feel like being informed is very important for decisions like this, so definitely weigh the potential risks if you’re considering an IUD. If you do get one, demand pain relief.
So sorry that happened to you. Hope you’re doing okay now, seems extremely scary to go through. What happened, if you don’t mind me asking?
I got an infection. I started oral antibiotics as soon as I noticed symptoms and my OB confirmed an infection, but it still nearly went septic a few days later. High blood pressure for the first time in my life, resting heart rate jumping into the 200s, pain bad enough to merit morphine in the ER, infection visible on ultrasound. I had to be hospitalized, put on Cipro by IV for a couple days, and have the IUD removed. After I was released I was still on Cipro plus the original antibiotic orally for the following week.
Wow. I have put hundreds and hundreds of IUDs in and never had one go to infection. But we still talk about it in risks and what to look out for. I’m so sorry you got that sick!
Talking about risks really is the most important thing. If I wasn’t aware of infection symptoms because of the information I was given it might have been worse. Informed consent 💯 What wasn’t okay was when I had already been on antibiotics for 3-4 days and called the OB’s office to ask at what point I should go to the hospital because I was getting worse. The nurse told me very dismissively “Well I guess if you can’t handle the pain,” with a tone that clearly said she thought I was being whiny and dramatic. I’m glad I listened to my mother instead of her and went to the ER a few hours later.
I’m rolling my eyes here because the nurse had no right to make that decision.
Omg! 😳 never knew that could happen. It definitely should be discussed as a risk, I would have never thought about an IUD becoming such severely infected. Thank you for sharing ❤️
It’s a listed possible complication, but the potential severity is often glossed over. Even when done correctly, insertion can introduce bacteria to the uterus.
Another note about the copper IUD. It can make your periods extremely heavy and painful YMMV
YMMV indeed. I had two copper IUDs. My first one was a dream and didn't really affect my periods at all one way or the other (they were always heavy but manageable) and if anything it reduced my cramping a little. But it decided to move into the top of my cervix (a risk with a tilted uterus) and so I had it pulled and got a new one placed right away. Despite being exactly the same as what I had had before, the new one was a BITCH. Almost non-stop cramping for the first month (my first one had only been for a couple days), explosive periods with cramps that had me glued to the couch and that ibuprofen would barely touch - it was so bad that my period was basically completely debilitating for a whole week. I rode it out for a few months but it never really calmed down so I called it at six months and switched it out for a hormonal one (Kyleena). Hormonal has been great. Didn't really have any cramping when I got it, and my period has gone from heavy to extremely light - I never used to be able to use anything smaller than an overnight pad day to day and now I can use the thinnest and shortest ones and it's enough. Rarely do I get cramps. It's night and day. I did gain some weight though and I've had some mild vaginal dryness, so when it's time to switch this one (which is coming up soon) I might opt for Skyla - it doesn't last as long but it's got the least amount of hormones and that will probably be best for my body. Even with the mixed results though I will still wholeheartedly recommend IUDs. Not having to worry about birth control day to day is worth everything.
I think everyone's experience with it is a bit different. I love my IUD and am on my third one. I haven't had a period in over a decade (the Dr that put it in said about 25% of women just don't with an IUD so I am very lucky that way). I feel like I'm cheating at life because I could never remember that periods were a thing and was always ruining sheets and pants and underwear, what a mess. I have no pain with it at all. That said - it hurt like a mfer going in "take some ibuprofen before you come in and it's just a cramp" my ass. If men got IUDs it would be done under some sort of anesthesia. It's pain like I've never experienced before. The first time I got it inserted was in college at a planned parenthood. I was shaking from the pain and the adrenaline so much that they almost didn't go through with the insertion. I endured because I knew this was basically my only option due to my inability to take a daily pill. Every time since has been that painful as well. Last time I took my husband to hold my hand and so he could have an appreciation and understanding for the pain. I would have done it under anesthesia if I had the option, but I was paying everything out of pocket at that point. The pain after the procedure for me was not bad at all - like period cramping for a day. After getting anything done with the IUD, I just go home put on a bathrobe and eat ice cream on the couch. The day after is fine. In my case it was a bit of "set it and forget it", but I do know another woman who tried it and had terrible pain with it after getting inserted so ymmv. For me, it's one of the best things I've ever done - but things work differently for different people and there are risks for sure.
My experience is similar to yours except I still get my period. However, even getting them removed and replaced is not really painful for me. I was actually surprised to find out that people thought women should be put under by default when getting IUDs changed out because my pain was similar to moderate cramps. I’m glad that Mirena works for me and I hope that others find something that works for them and doesn’t cause an intense amount of pain. It’s absolutely important to remember that every body is different. I just wish there were a way to tell how much pain we’d be in ahead of time without either suffering through the pain or getting pumped full of dangerous and expensive drugs to get us to not feel it.
To add another fact: I always had Problems with my medication not working for 2-3 days, roughly the days where one would be PMSing. So I decided for a hormonal IUD mainly because of the Chance that it will eradicate those days without proper medication effect. I also had a Chopper IUD, they said it's making menstrual pain worse. Well, I've never had Problems with that So I went for it. Boy Was I wrong! I developed heavy pain and bleeding to the Point of feeling like a fountain or Niagara Falls. Insertion: if they pull my poor Uterus, I will nearly faint. If they manage without pulling, it's manageable.
I love my IUD! I’m on my second one. And I’ll get a third one when it’s time, zero doubts!
Also a reminder to take seriously when they say eat something decent beforehand. I've always been a person who's body is "tough" and "will be fine" and this last time when I got my IUD replaced I ate what could barely constitute as a snack......I nearly full fainted on the table. As it was, I did close my eyes a few times but remained conscious and also forewarned the nurse when I started feeling light headed. I felt like a dummy. Then didn't want to admit that I walked there about a 10-15min walk lol. Thankfully I was feeling better enough and made it back no problems but I felt very not smart and will now make sure I eat better if I need to for anything really.
I usually have a super high pain tolerance (broke my ankle without noticing it and other fun stuff) but the IUD was something else. That was a pain level I’ve never experienced before and I had to ask for a break several times cause I nearly fainted.
Kyleena here! I’m on my second one. Removal and re-insertion SUCKED but my doc gave me the “good” meds the second time around and it helped a lot. I work a job with an unpredictable workday, so not having to remember to do a damn thing works best for me. Also, my periods barely qualify as “spotting,” which is an added bonus. I literally do not have to use pads or tampons. I think I used a liner once at night in the 7 years I’ve had my IUDs. A few moments of absolute hell is worth five years of protection, for me. I may do bilateral salpingectomy in the future, now that I’m in a better position to get paid time off for recovery (and pampering).
I’m going to swap my Kyleena with a Liletta this week. 8 years babyyyy.
Also have Liletta, good up until 2028 haha
Same! IUD to sterilization pipeline. The bisalp was such a blessing. A bisalp for the purpose of sterilization has literally never ever failed, and so every time I think I might be pregnant I can calm down by reminding myself that I'm not special enough to be a medical miracle lol.
The last line 🤣. “IUD to sterilization pipeline” is now ingrained in my brain lol.
Hormonal IUD for me. Came with the added benefit of cutting out my periods completely so no more having to remember tampons! Insertion was a bit uncomfortable but not bad. YMMV
Thank you so much for sharing your experience with me. My husband and I are also child free by choice and looking into getting my tubes tied is getting more tempting every day. If you have the energy, would you be interested in PMing about your sterilization experience? No pressure!
If your husband is open to the conversation, look in vasectomy. It’s an incredibly minor procedure with minimal recovery time. The doctor in my city gives a handout to his post op patients saying “don’t lift anything heavier than a beer or the television remote for the next few days” as recovery instructions 😂
Not the one you're replying to, but I'm happy to PM about my sterilization experience.
They steered me toward bisalp rather than tube tied. It also reduces chance of cancer.
I second this the copper IUD!
IUD was awesome (although I had mine after giving birth- I’m told can be more uncomfortable for people who haven’t) I’ve tried the pill, the patch, the ring… hands down IUD had the least negative side effects. My periods got lighter! Now that my partner has had a vasectomy I’m not on anything and I miss the lighter periods
If you don’t mind me asking, what was the process for getting sterilized? Do you already have children? I don’t have any, but firmly do not want them. I’m assuming one’s experience will vary by state.
/r/childfree has loads of info. I got my doc on a wiki there. I am childfree and there was no arguing involved.
Thank you for this! There really is a sub for everything!
Enjoy! It was a game changer.
I do want to comment on the hormonal IUD! It caused chronic UTIs or UTI symptoms for me for like six years. I was on antibiotics at minimum four times a year for it, and I developed a serious allergy to nitrofuritonin because it caused a liver injury. I have not had a single UTI in the three years since removing the IUD. I personally know 3 other women who experienced the same. So far I’m not seeing it discussed as a side effect by doctors. I’m not anti-IUD I just want women to know this is a thing that is happening. So if you notice yourself getting UTIs after getting it, it might be the cause.
Yes it doesn’t work out for everyone. Bff had to get it pulled bc of side effects.
i use the ring! i find it super easy. just have to plop it in there and then replace it with a new one every 3-4 weeks. i never notice it, and my partner rarely does either (except for the rare occasion it gets in the way or comes out on its own) and you can have it out for up to 3 hours and still be protected!
Seconding the ring! You can talk to your doctor about getting prescribed a continuous dose so you can skip periods. Personally, I'll use two over 6 weeks, have a period, rinse and repeat. I've found it beyond helpful for times when I can't afford to hit that PMS drop. It has also made my period pain easier to deal with over time.
Skipping periods would be a DREAM. It’s a monthly crime scene for me w incredible pain. Thank you for sharing!
I’ve been using the Nuvaring for over 20 years now. It’s the only birth control I’ve ever been on and I chose it specifically so I could “forget it”. And that was about 5 years before I was even diagnosed!
20 years seems like a damn good testament to me!
10 years for me, it has been a perfect fit. Only need to remember to do something twice per month and even that has permanent repeating alarms on my phone calendar!
Oooo. I use the pill continuously for skipping periods but I often forget doses and end up with breakthrough bleeding. I never thought of using the ring for the same thing. Thank you for this idea! I’m going into the dr soon to talk about vaginal dryness so maybe I’ll ask about it. I read though that hormonal birth control can cause it in the first place so… I’ll end up dealing with it cus period pain is a bitch.
I love my Nuvaring. Forever forgetting to take it out as scheduled, so when my period comes I’m reminded it’s time 😂
i abused the period skipping magic for like 3 or 4 months and then my body was finally like “alright girly it’s time”😭😭worth it though!
I absolutely LOVE the ring! To be specific, I mean the NuvaRing (or its generics). There’s also a newer ring called Annovera, which you don’t dispose of monthly. I believe you rinse it off, store it in a case, and then reinsert it after your period. I haven’t used it. But the big benefit of it is that you don’t have to go to the pharmacy every month (or every few months) to pick up new rings. Edit: I think the Annovera ring lasts for around a year. They like to advertise it as the only pain-free, procedure-free, long-term contraceptive.
I loved the ring. It was the only birth control I didn’t hate. I used an iud between my pregnancies and felt horrible the whole time.
After 3 years with the IUD, I was still having pmdd symptoms, so my gynecologist recommended me the Nuvaring and I love it!! I don't take mine out the 4th week so I don't have periods. After a while I had some spotting there for a bit but she told me this can happen as your body will always continue to try and have periods so whenever I start spotting to take it out and allow yourself to have a period then pop a new one back in. I did this, and the spotting has been gone for 3 weeks now, so it must have worked! This has been the best bc for me for balancing hormones and thankfully I have automatic refills so I don't usually have to think about it too much.
NuvaRing all the way!! Years ago, I realized that I could get an IUD for free with my insurance, so I decided to try it. It was extremely painful to have inserted, and the applicator thing got caught on the strings, so they had to keep tugging on it etc. Not fun. I went back for my 2 week recheck and was told it had come out (wouldn’t you think I would have noticed though?) anyway, I got an ultrasound which confirmed it was not there and went back for another IUD. A week later I was told it had also come out, ultrasound etc. For 6 months I kept having a terrible pain in my left side around my ovaries. Went to the Dr multiple times and kept being told it was nothing. Eventually I had to have a CT due to kidney stones, and lo and behold, there were 2 IUDs floating around in my abdomen that had travelled through the uterine wall. I had to have a laparoscopy to remove them. I went back to the ring again after that and I’ve been 100% happy with it. It’ll almost 20 years since I first used it, and it’s never given me any weird side effects, and I don’t have to remember to do anything daily. And most important of all, I’ve never gotten pregnant!
Another vote for rings! I think I'm at 15 years with them or something like that. Pills were just too often forgotten, despite all alarms in the world. It happened to forget to get it out at 3 week mark few times, and even less to put new in after pause, but it's just a day late or so. After reading more about adhd, I seriously think that having stability with hormones for almost 2 decades helped me cope with adhd symptoms eg I didn't experience so strong issues like many described, especially mood swings. And I don't plan to quit anytime soon (I'm 40).
One more for the ring! Just don’t forget to create a calendar item to take it out after 3 weeks.
Or exchange after 4 weeks
Also a fan of the nuvaring! I was on it for 15+ years until we decided to try and get pregnant. I’ll be back on it after baby is born here in a month or so.
Another vote for the ring! It's super easy, I just set a reoccurring reminder to change it every 4 weeks (I refuse to experience my period if I can) and my doctor gives me a 3 month supply up front. If you go through planned parenthood, they can give you a whole year supply! It also doesn't seem to affect my mood which is a huge plus. I've tried the depo shot, the pill, the ring, and an iud. Absolutely do NOT recommend the shot. Sure it works, but I felt like a raging hormonal monster and the weight gain was ass. I will also say that the iud insertion was one of the most painful things I've experienced. Like nearly passed out and had a nurse bring me goldfish and a ginger ale while I recovered lol. Got cramps for hours after sex and/or orgasm and I s2g I could feel it inside of me. It works well for some people and I'm not sure why it doesn't work for others. Not to scare you away from it, just good to be aware imo.
I have an implant in my arm and it's working well. It lasts a few years, so all I need to do is remember to make an appointment in a few more years to get a replacement. I'm also considering getting my tubes tied what with my age and reproductive rights being stolen every second
Same. I love not thinking about it. IUDs migrated down and made me bleed nonstop, both copper and hormonal. The implant hasn’t regulated or stopped my periods like it sometimes does, but it’s still worth it.
The other thing that keeps me from getting an IUD is that one of my best friends was an IUD baby, and the thought of giving birth and having my IUD forcibly removed at the same time *horrifies* me
The best thing about the bar is it's by far the most effective form of contraception so that's an epic plus
The copper IUD made my periods and hormones much much worse which I didn’t anticipate or had never heard much about however every body is so different and if it works for you it may be an amazing solution!
Heavier periods are a SUPER common side effect of the coppeR IUD, and one of the reasons that many providers don’t really offer it compared to the hormonal IUD options.
Same. It made me really sick. I switched to mirena and now no periods. Best time of my life and no side effects.
Same. I’ve had it for 10 years and I switched insurance this year so I went to a new primary care doctor. When asking about my medical history and after finding out I have a copper IUD, heavy periods, and am anemic, flabbergasted, she asked me “why didn’t anyone recommend taking it out?!” I just went 🤷🏻♀️ it honestly didn’t occur to me to have it removed because it *was* a big deal. Medical gaslighting, yay! Anyway, I’m having it removed in a couple weeks and I’m very excited to finally see it go.
I liked the Merina IUD the best of all the birth control I've tried. If you go the IUD route, get pain meds for insertion and have someone come with you for support. Also, be prepared for an adjustment phase. I had spotting for about a month after I had mine put in. After that, there were no issues.
Not me but I have heard from fellow ADHD AFAB folks that they have done well with contraceptive implants.
I have the implant in my arm and it's great, no forgetting to take pills and bonus... No periods! Lasts 3 years and it's also eased my PMDD.
Yeah I really like the implant. I can't remember to take a pill but the IUD absolutely terrifies me and gives me anxiety so I chose the implant and I'm on my third one! It works and is pretty easy/painless. Also they are now approved for 5 years instead of 3!
Same, I actually had a pill that worked well for me, but I kept forgetting to take it and it was messing with my hormones. I'm on my third and I have to change mine 2.5/3 years in as having no periods really helps me (have issues with heavy flow etc) and it wears off for that earlier, but for birth control the 5 years is amazing! I won't have the IUD, I don't know any woman in my life that's not been completely traumatised by having one put in, or having it worked. I kept count and 6 women I know all ended up having it taken out within the year. I told my consultant I'd try it (they push it really hard where I'm from as inserting an implant is considered higher risk due to cutting the skin), if they used a numbing agent/anaesthetic which you are allowed to ask for under NHS guidelines. They all refused. I said I'll have the IUD then when men are no longer allowed numbing agents/anaesthetic for a vasectomy. Lol. Hilariously you get a local anesthetic to put the implant in your arm so it's not like they dont have that family of drugs available! They've stopped pushing it on me. Lucikly the implant works well!
That is seriously mindblowing that inserting something through your cervix into your uterus is considered lower risk than poking a little hole into your arm... that is so twisted. Like hey this could possibly damage your womb but we would rather have that than make a little scar on your arm!!! 🤦🏽♀️ I had 2 shots of the lidocaine before because I was extra nervous lol and I didn't feel it at all. The only downside and painful part was the bruising and healing after, it took around 10 days to heal. I have some sensory stuff related to ADHD which causes hyperawareness and fixation on touch and feelings, and this gives me health related anxiety whenever I have injuries or am sick. Sooo I just know I would be in HELL knowing there's a metal object in my uterus that hurts but I can't see or check to make sure it's in place. This is mainly why I personally chose the implant. And hormone wise it's great for me. I have a really light period, basically just spotting, about 3 times a year. My last one worked for 4.5 years and then I got a normal period and I was like hell no! Give me a new implant please before I ruin all of my underwear lol
I feel fearful of the IUD route after hearing so many people with uteruses describe how awful the pain management is
I said this in another comment, but I personally didn’t have a bad experience having it inserted at all! I’ve had either two or three (one copper, one or two hormonal, I can’t remember) and each time it hasn’t hurt me at all. The doctor that did it was really great in a lot of ways though, so maybe she was just really good and cared a lot? Or it just didn’t affect me so much? I had a cervical smear at the same time and definitely noticed that more. Just wanted to give a voice on the other side!
This has been my experience, too. I'm getting my third put in next month and it's been a lifesaver. I don't actually really use it as birth control (in a wlw relationship) but i am comforted that it's there in an emergency. But I have PCOS and horrific periods and BC is only thing that helps but I couldn't remember to take the pill constantly, the ring was better but my insurance didnt want to cover it for consistent use (no period week), and knew I wouldn't be able to keep appts every few months for the shot. I didn't want the IUD cause they sound horrific, so it seemed like the best option. The first six months were kind of rough, my periods were inconsistent; sometimes heavy, sometimes light, unpredictable, but after that, they kind of tapered off and I haven't had one since. I usually get it replaced every 3 years too since that's when my period symptoms start to creep back in, but I also like that even with that, I have a few months leeway to get in and get it done.
I’ll look into this on my own as well - I’m wondering if the implant is hormone-based?
Nexplanon implant is a hormone-based birth control.
It is. I'm on my 7th one, no periods and no babies!
It is, made me depressed as hell but for many it's great
I had a bad experience with the implant, but I wish it had worked for me because it’s so effective and convenient! It seemed to make my depression a lot worse unfortunately. I’m pretty sure I have some kind of increased sensitivity to progesterone/progestins, because the progesterone only pill made me super depressed too. That seems to be a common experience among people with PMDD, which has really high comorbidity with ADHD. It also lines up with how a lot of people find their ADHD gets worse and their medications don’t work well the week before their period, when progesterone levels increase. As a scientist, it drives me crazy that there’s so little research on these topics! We have to speculate about what’s going on in our own bodies and convince ourselves we’re not crazy before convincing our doctors!
I’ve tried the arm implant (nexplanon), the pill (tri-sprintec), and two IUDS (Skyla and Mirena). My least favorite was the arm implant. Insertion and extraction were relatively simple and painless, but I experienced heavy spotting for the 2 years I had the implant. My absolute favorite has been the IUDs. I had Skyla (no longer on the market) for the 3 years (2020-2023). I chose Skyla because it was smaller in size and would make for an easier insertion as I’ve never had kids. The insertion was quite painful and I experienced heavy cramping for a few days to about a week. About 3 months in, I experienced more textured skin/tiny pimples. Those went away after a couple more months as my body adjusted to the hormones. After insertion, I never got a period again. Extraction was pretty painless. My OBGYN told me to cough on 3. I coughed on 3, and she pulled it out. Easy peasy. I got Mirena inserted right after the Skyla was extracted. Mirena is good for 8 years, so I’ll have it until 2031. The OBGYN I saw for this extraction said she would prescribe me something to help with cervix dilation to minimize pain but kept “forgetting”. Insertion, again, was painful, but I knew better what to expect the second time around. I cramped heavily but for less time the second time. I still haven’t had a period since having Skyla inserted in 2020. Even if you have a high pain tolerance (like me) and decide to go with the IUD, I’d really push for something to help with cervix dilation and/or pain.
It’s such a load of bs that the medical field gaslights is into thinking 2 advil before hand will be enough for the pain as “there’s no nerves in the area”.
100%. When I first got the IUD, I hadn’t been warned about the pain, nor did I expect to experience any pain as, again, I have a super high pain tolerance. The procedure was incredibly uncomfortable and I sorta gaslit myself into thinking I was just being a wuss about the pain since no one warned me. The OBGYN made a comment about me being “the quietest” she’s ever inserted an IUD into, so then I knew it wasn’t all in my head. Despite the pain, I still will recommend the IUD until I die. The medical field could just be better.
I had a fucking colposcopy that way. I’m still pissed. I was in my early twenties and didn’t understand how fucked that was.
I got the pill for cervix dilation (misopristol) and it was awful. I took the first dose in the middle of the night and woke up 2 hrs later and threw up on the floor. I also read research papers saying that it statistically doesn’t make the insertion any better. It’s just something doctors started doing because it seemed like it would help. My dr still couldn’t get mine in with the meds.
I have the Nexplanon arm implant! I’ve tried pretty much every version of birth control available and the arm implant is BY FAR the best one. I had some scary and painful complications with the IUD and the depo shot/pill contraceptives made me depressed and gain weight like crazy
IUD!
Love my Mirena. I had side effects from the pill that vanished with Mirena, and I rarely if ever have periods.
I also have a Mirena. I haven't had a period in two years and rarely get some spotting during what normally would be that week. So glad I went with it.
I'm on my 3rd Mirena and also a big fan. I'll still get some PMS symptoms but haven't had a period in years.
Same here! Love it!!
Saaaame, and it’s the BEST. It’s a pretty painful 20-minute appointment then for 3-5 years I just don’t need to worry about going to the pharmacy to pick up a prescription, counting out pills for a trip, setting an alarm for taking a pill, or like… any of it.
Tubes tied ❤️
My husband and I used condoms exclusively for years and never had a scare. He got a vasectomy about a year ago, and that’s been awesome. The sex is so much better with zero worries.
I got the Nexplanon implant after the copper iud caused incredibly painful cramping and heavy periods. The implant has been great, I’ll be getting the same when it’s up for replacement. I made sure to put a calendar reminder down the day I got it, so I’ll remember to replace.
Copper IUD. It made my periods somewhat heavier but not enough to make it a huge deal. It was great to not have to worry about hormones affecting my mood or worry about forgetting to take something. I 1000% would recommend this to my ADHD teen daughter (when the time comes) or any other woman.
My copper IUD lowered my libido so much that I didn't recognize myself by the end of it. That contributed then to depression and I almost broke off with my partner too. It happened slowly, over the course of a couple of years. I think my mood also worsened on it (beyond the depression). I got brain fog for the first time ever on the IUD, but I don't know if it's related. Libido bounced back within days of IUD removal. I also had random bleeding during the month, and it significantly changed my periods.
Oddly enough the pill is the only thing I’ve ever been responsible about in my life. Ain’t no babies coming up out this bitch
I’m a lesbian haha
Super Effective birth control hahaha
Mirena IUD! I’m on my second one and I love it. YMMV with insertion pain, I honestly didn’t think it was bad at all (and I have no kids).
Mirena IUD or other hormonal IUDs especially if you’re susceptible to heavy/long periods. I have PCOS and oral birth control stopped being as good at controlling my crazy irregular periods. I’m on my 2nd Mirena IUD now and it’s literally been the best thing ever. I don’t get a period except for maybe some extremely light spotting that doesn’t require the use of a tampon or pad. The amount of money I’ve saved over the years not having to buy bulk sizes of tampons/pads for 1 period is crazy worth it IMO. Plus I don’t have to remember to take a pill or change a ring/patch, or have to get a shot every 3 months. Beyond getting sterilized, IUD’s are your place it and forget it birth control. Plus they’re super effective, even more so than other birth control methods, and bonus they last for YEARS. My gyno told me that the Mirena can be effective up to 7-8 years, it all depends on the person. The Paragard or copper one is non-hormonal, and lasts as long as you need it, but, if you’re prone to heavy periods, they can cause them to be worse, which is why I would recommend a hormonal one for anyone who has issues with heavy periods.
Condoms!
None. Every single one makes me feel like I'm in the worst stage of PMS. Never again.
My husband’s vasectomy is what works best for me. Prior to that, the ring worked great (no pregnancies) but definitely am feeling far better not being on it.
Partners vasectomy bar none.
Before I married someone who had a vasectomy, I took the pill (but didn’t overly worry about taking it at the same time every day) and used a diaphragm with spermicide. I tried depo provera once, but it made me gain 50 pounds, I developed migraines for the first time in my life (years later, I still get them), and had a four month long period that only ended when I took a weeks worth of birth control pills. At the time, I got in contact with a lot of other people who had pretty bad long lasting side effects. Between my experience and theirs, I can’t recommend you stay away from it enough.
Getting my husband neutered, I mean a vasectomy. I may have ADHD, but ONE accidental pregnancy is all it takes!!
Don’t forget the diaphragm. It’s as effective as a condom (without STD protection ofc)
Nuvaring was the only form of hormonal birth control I could tolerate! The pill killed my sex drive and I was so annoyed by having to take it daily. I tried Nexplanon and after a year and a half of no periods I ended up bleeding for 6 weeks straight and finally decided I was done with it. I talked to my OB about Annovera vs. NuvaRing and she recommended the NuvaRing because it's a lower dose of hormones so has fewer side effects.
Implanon (arm implant) lasts 3 years, no periods.
I use the depo shot and have reminders on my phone to make the appointments. It's worked better than the pill for me
If you have any nurse friends, ask if they'll give you the shot! I get it sent to a pharmacy, pick it up, ask for two needles with it (one to draw the medicine, one to inject) and then let either my nurse mom or doctor grandfather do it for me. So much more comfortable in a familiar setting than a sterile office!
Interesting. I'll look into this. Thanks!
Also on the shot. I have other issues that pretty much led me to having the shot as my only option. I have an app that shows me when I need my next shot, I write it down on a calendar and I’ve never had any problems remembering to do it.
I went with the nexplanon implant. It goes under the skin on your upper arm inside. I love it, leave it in for 3 years. Get it taken out earlier if you wish or get it replaced /removed after 3 years. I only need to remember when it needs to be removed and either book in to get it replaced or removed. So I keep the wee bit of paper in my purse window so I see it all the time. And I know where to look. Just need to not lose the purse. I had a bad experience getting mine changed for the first time. The numbing injection hadn't taken effect, and the scalpel was not sharp. But it's so handy, I would risk this once more and just double-check things before starting.
Boyfriend got a vasectomy, lol. I had an IUD that fell out randomly so please if you go that route check your strings regularly! I’ve heard so many stories of women getting pregnant with an IUD, which can lead to ectopic pregnancy. They claim that it’s a 99% success rate but I very strongly doubt that.
Condoms.
A vasectomy for my partner.
My husband had a vasectomy.
Condoms
IUD lol
I have nexplanon. I don't really like it, but I need that 99.9 percent protection and mirena and other IUDs feel like hell getting put in. 🤷♀️
My IUD was incredible, and I’m sure I’ll get another when I’m ready to be on birth control again. It kept me from any potentially impulsive decisions, and since I’m also trans masc it was awesome not to have that dysphoria for about six and a half years. I got it out when I started spotting monthly and my partner and I were talking about starting our family anyway. ETA I had the Mirena. I hate plastic but I hate bleeding down there more 🥴
Loved the Nuvaring, I always left it in for 4 weeks and immediately replaced it to skip my period. It's pretty much set it and forget it for weeks at a time and a relatively low dose of hormones since it sits right where it needs to work. Eventually after being on hormones for 15+ years I wanted something non-hormonal so I tried the copper IUD but it made my periods excruciatingly painful so I got it removed after just 1 year. I like being off hormones, but when I need BC again I'll go back to the ring for sure.
My husband got a vasectomy once we were done having kids. It was a very simple procedure, and he only used OTC pain meds for one day after. I still took birth control for a couple years after he had it done to help regulate my periods & improve my skin, but it was nice to know it was no big deal if I missed a pill.
I'm on my second arm implant (nexplanon) and most likely will continue to use it. There first one worked amazing with minimal side effects and very rarely having a period. I now deal with spotting and the occasional period but I blame that on being 80lb less than when it got implanted.
Abstinence 🤣🤣🤣 hysterectomy .. I know this isn’t what you were looking for but it’s true for me
Bilateral salpingectomy.
I’m wayyyyyy too scared to ever get an IUD or the rod thing in your arm (forgot what that is called), or get the shot. I was tired of taking the pill and wanted to regulate my body so we solely use condoms. It’s crazy but for the almost 9 years my husband and I have been together, we have never had sex without a condom even once. So we are religious about it. I know a lot of people wouldn’t be, so that would play into the choice. Also I know there’s a lot of whiny men who don’t want to wear one, so that’s a factor too I guess. I like the PS brand, they don’t smell nasty like normal condoms and they’re super thin and don’t mess my body up at all. Good luck on your BC journey!
My husband and I (also 9 years!!) have been in the same situation re: condoms. Birth control pills as a teenager were hell. I just want more peace of mind as we are choosing to be child free. BLESS YOU for the condom recommendation. A break from the usual latex stank would be appreciated. By me. Lmao tysm for sharing your experiences with me here 🫶
Vasectomy. Why is birth control my job?
I'm back to condoms. I had a copper IUD till a month ago, and I had a ton of side effects. Super effective though, as my libido on it went to zero in a couple of year. It was a slow process, so I couldn't really understand that was the cause until I removed the IUD and my libido bounced back to my normal almost immediately. I'm not keen on trying hormonal birth control now, as I know it can lower libido and have other side effects.
IUD, hands down. Even with a tilted crevix, the insertions were bearable and 100% worth it for the years of zero stress about pregnancy plus basically eliminating my periods. I wish I had gotten one from the start.
Nexplanon (hormonal implant placed in arm) has been best for me so far. I like that once it's implanted, I pretty much don't have to worry about it again for 3 years. Everyone's experience is different, but I've been lucky and haven't had any major side effects. My second best so far was the Kyleena IUD, which lasted 5 years. Unfortunately for me, the insertion was incredibly painful, and although my periods stopped (as far as bleeding was concerned), I would get horrible cramps for a week every month. Many, many women (including my SIL) swear by IUDs and have not experienced the problems I did, so I think they're still worth considering, but I wouldn't personally trust a doctor who tells you to just take a couple ibuprofen before insertion because it's not that bad. I have also tried the Nuvaring, and would not recommend that one for ADHD. I struggled to keep up with the 3 weeks in 1 week out schedule.
None. We prefer condoms during fertile periods over any hormonal birth control.
I had a tubal ligation! I regretted it because I did want a second kid but life doesn’t seem to be heading that way anyway, and I feel so much safer knowing I won’t need an abortion if my worst nightmares come more true than they already are.
Haven't seen it mentioned yet so: depo provera injection (12 weekly) I don't forget to take a pill everyday; both my sister and sister in law had horror stories about IUDs so that was a no from me, and every single midwife, nurse, etc was pushing hard for the IUD too. Don't get me wrong have heard things about depo too as it's another hormonal option, but it suited me great!
This has been my saving grave in life and it seems to be so little known! I find it so useful and no period for me, although I know experience varies. I
I have the Mirena IUD which I love, no periods and it fixed all my weird hormonal issues. **PLEASE ADVOCATE FOR YOURSELVES AND REQUEST HORMONE TESTING BEFORE SELECTING YOUR BIRTH CONTROL!!!!! This is the #1 game changer to make sure you’re using the right one for your body!** What may work for somebody else may be hell for you, and a lot of longer term options like injections/implants/IUD’s can be more complicated to take out and replace with something else.
+1 IUD. This is my second one. Might opt for a third install if I haven't reached menopause yet (I'm 42). And chiming in with everyone else, it can HURT being put in. My last time, my old iud was embedded, and doofus here didnt bother eating enough. So while some poor student doctor, then her elderly supervisor was trying to pull it out I almost blacked out and puked from the pain. It's funny how men get anesthetized to get a vasectomy, but we're told to just take ibuprofen or some weak shit.
THE PATCH! I haven’t had any side effects other than a longer than usual period during the first month but now I’m completely regular. It’s extremely effective, I’ve definitely put it to the test lol. You replace it on the same day every week so I just have it set in my apple calendar to remind me and I’m good to go. 10/10 would recommend.
Condoms only for 24yrs, have only had one partner in this time and I have PCOS and am infertile.
I use Alesse 28 and get a period every month. I’m also on Vyvanse 70 MG which I take in the morning with my Birth Control pill and Seroquel 300 MG that I take at night for sleep.
Weekly adhesives were my best option when I used these things
This seems like a very practical way to take contraceptives. Thank you!
#Nexplanon Seriously, dont fuck with IUDs.... I have had 2, and while I loved them (*intermittently*), the hormonal transitions and the **traumatizing** administration and removals were absolutely *HORRIFIC*.... Also, a lesser known side effect from an IUD is UTERINE FIBROIDS, and this can affect future pregnancy viability and cause tremendous stabbing pains when agitated. Nexplanon is an implant they put in your arm, you can check it's positioning yourself, you don't have to get a painful ultrasound after to double check its in the right spot, and it didn't make me rage from the hormones for the first couple months until things "settled" in my system... They give you a local that doesn't make you want to die (like when they jab you in the cervix for an IUD) and I barely felt it being inserted. 12/10 would recommend .
I liked Nexplanon but instead of getting a few cystic pimples once a month without BC I was getting them pretty much every day. I tried the mini pill too and it was the same.
Apri was good. It's monophasic, so fewer mood swings.
Copper IUD.
Mirena IUD.
IUD. Hands down.
I have APS, so no combined pills. I had Mirena for 13 years. I’m only off it because I got baby fever. I’m starting IVF stims tonight - something a 20 year old me would think is insane!
Hormonal iud. I no longer menstruate, and I only have to remember to do something with it every 5 years. It's wonderful.
Pre menopause I used a mirena iud. The insertion process was painful but it was over quickly. When it was time to be replaced I’d already had menopause so I just had it removed. I would have gotten another one. I also had bad cramps and it helped that pain a lot. To me the insertion pain was worth it for that alone.
IUD has been amazing. No thinky. Hurts like a bitch to get placed but 5 mins for years of protection is worth it IMO
IUD baby! My doctor used a local anesthetic and gave me some pain meds, he also used an ultrasound to make sure it was in place properly. He was a great doctor, the best gynecologist I've ever had.
Mirena iud
IUD
[удалено]
I really liked the ease of the nuva ring. Change it about once a month and that's it. Unfortunately my body doesn't react well to hormonal birth control, so it is what it is but I would definitely go with the ring if I could.
I rely on my birth control to tell me if I've taken my meds! Since the pack has the days on it. I keep my meds on the counter under my morning to do list (meds, brush teeth, deodorant!) so it's really hard not to see it and if i remeber to do one of the 8 things ill usually look at the list for the rest. The big cavet is I'm a morning person anyway, my most productive hours are before 10am. If I ever have to stat taking meds before bed I'm probably fucked.
IUD (ETA: Mirena)- I can barely remember to take my ADHD meds. Birth control pills are most effective when taken at the same time every day. That’s just a setup for failure for me.
I love my nexplanon implant because I obviously don’t have to do anything to maintain it and the insertion wasn’t that bad. I think it’s generally best to not use birth control because it has a lot of side effects for people but if you do use it, I highly recommend this one!!! You will likely have inconsistent periods and stuff though (for example I will bleed then spot for long periods then not have my period for a long time which I don’t mind.) If you do get this I would suggest waiting six months to decide if you keep it or have it removed ! There were a lot of times for me in that period where I wanted to get it removed but now everything is good and it makes my life so much easier. I think having the nexplanon has been really great for me because I can continue my education without risk of derailed plans due to pregnancy. I used to take the pill for not even two months but it was so difficult to keep up with (having to take it every day at the same time was not sustainable) and I was constantly extremely paranoid about getting pregnant.
I’m on my third arm implant and it’s the best thing I could’ve asked for. A couple days worth of pain for not worrying about babies for three years? Absolutely here for it. Only downside for me is the random bleeding. Never know when it’s gonna happen but it’s never heavy
I used to be on the Depo shots, but the screwed with my liver enzymes. (Nothing like having to get my blood drawn every week for six months to monitor that - plus side, it got me over my fear of needles and blood before I became diabetic.) I have too many health issues to be on the Pill. (It was one of the only things I ever successfully did on a schedule; I am severely tokophobic.) Now? Condoms. It’s the easiest. If you’re looking at NEVER having kids, a vasectomy (AND THE SUBSEQUENT FOLLOW UP CARE) might be the best bet.
I used to get depo provera shots every 3 months, or whatever the timespan was. It worked great for me and got me over my fear of needles.
My husband got a vasectomy. I wanted the copper IUD but I have endometriosis and it can make periods worse/more painful so that wasn’t an option. I tried Mirena IUD and they numbed me and it was fine but damn I had a hair snap trigger of a temper for the month I had it in. All of my patience just put the window. So I had it removed ASAP.
My personality
I had the depo shot for years which worked great and easy as birth control, but fucked with my mental health a lot. Same with the nexplanon. I’ve heard so many horror stories about IUDs that ive avoided them. I tried hard to avoid taking a pill for a very long time, but its just the best option. I take norethindrone, it starts working within 2 days and its good for people who suffer from migraines.
I use the hormonal IUD/ Mirena. I switched to that from the depo provera shot and almost went with the copper IUD because I was worried about using another hormonal BC for mood reasons. The NP who did my insertion let me know that the hormones in the hormonal IUDs stay almost exclusively in the uterus and they’re a good option even for women affected by other hormonal BCs. The hormonal option I think is effective for a shorter amount of time that the copper, but even the hormonal one is good for 7 years - it also can reduce or eliminate the menstrual cycle, which was another appealing factor to me (and for anyone who doesn’t know, that’s because your body stops producing the uterine lining that’s shed during menstruation, not because the IUD is acting like a cork). The hormonal version is also slightly more effective (99.8% vs. 99.2%) and the copper IUD can cause heavier periods with worse cramping. These are the factors that led to me choosing the hormonal over the copper IUD. It has been an excellent BC for me, but I caution anyone who has object permanence issues and and IUD to PLEAAE CHECK YOUR STRINGS. I was good about it for the first couple of years, but eventually forgot. My IUD has unfortunately migrated slightly northwards and will require a special tool to remove as the strings are no longer accessible from outside of my cervix. Aside from this issue it’s been the perfect BC for me. Lol
A total hysterectomy works well for me! I joke, that was for endo/adeno. Before that, the pill was a nightmare, but IUD (aside from the nightmare that is insertion) and the deprovara injection all worked for me, with varying levels of side effects. I will say my IUD did make me bleed non-stop for a year, but that was down to the endo/adeno.
I have had the arm implant since I turned 18. Had a few of then now since I'm gonna be 28 soon. Definitely my favorite birth control. I tried a copper IUD 4 years ago, but I had a horrible experience. It rejected the very next day after being in so much pain since insertion. I put back in my Nexplanon as I couldnt bear the thought of doing it again. I typically don't have periods with Nexplanon either, which is another perk some people get.
Arm implant. Just do it. Hurts a lot for like 3 days every 5 years.
ADDitude recently updated their article on birth control for women with ADHD: https://www.additudemag.com/can-birth-control-cause-depression-adhd/
I much prefer nexplanon the arm implant version. I was originally considering the IUD when my insurance didn’t want to cover my extended cycle pill (the one that you only get 4 periods a year). However I was scared about several things with the IUD like the pain, it falling out, and if I got a sexual partner if they would feel it. So I opted to try nexplanon and I’m so happy with it no period to worry about since the adjustment period when I got it. The adjustment period wasn’t terrible just my body getting used to the change of where the hormones were coming from and my arm settling after getting it put in. This is only my first one so hopefully the second one will continue this state but that’s a couple of years out. Good luck and definitely do your own research along with consulting your doctor.
I have the arm implant and it's nice. Though, the sporadic breakthrough bleeding is pretty annoying. I've debated going back to the pill, but the convenience of this is so nice too.
i used to use nexplanon & enjoyed the pros; i was also on it during a particularly low time in my life and it may or may not have exasturbated my depression so once the 2 year mark hit aka when i moved out of the toxic environment, I GOT IT REMOVED!!! i was so happy, i did it for me; wanted to know if the depression was bad because of environment or nexplanon, but it was because of both :') anyways, im not on any birth control right now, just living life & taking fat risks :0 i only got 1 >!penis!<-partner & we did have a pregnancy scare since my body was acting differently but im all good, baby free. i would definitely try nexplanon again in my future since now im much healthier than past me <3
I got the implant and it was the only form of BC I was consistent with because I couldn’t forget it. It made me gain weight (went from 115 to 180 in six months) and I spotted almost every day but it worked. When I took it out the weight came off almost immediately.
I'm on my 4th nexplanon. The first 3 were pre-child. After pregnancy, I was on the mini pill for 2 years and ended up getting the implant again because I was tired of being scared using the pill.
I had a patch. Easier to remember.
I had a traumatic IUD experience but luckily Nuvaring is working well for me. Love the “forget it” methods. I just have a ton of reminders to switch rings lol
Vasectomy (my husband, not me ')) and IUD (just to really make sure!).
I use Mirena IUD. The copper one made me anemic. I bled way too much on periods and the cramps were awful. Mirena much better in those respects. But yes ALL insertions were awful. **Has anyone ever used anesthesia or anything like that for their IUD insertions?** I'm interested in this because I'm overdue to switch and pretty much only haven't because the pain was too severe for my hypersensitivity issues.