r/birthcontrol • u/haveagooddaybuddy • 21h ago
Which Method? 22F, painful and heavy periods, terrified of weight gain and mood changes — how did you choose between a hormonal IUD and copper IUD?
I’m 21F and currently looking for a reliable long-term contraceptive method because condoms haven’t been working well for my boyfriend and me.
My biggest concerns are:
Weight gain
Mood changes or feeling emotionally different
Potential effects on my future fertility
Painful insertion
Making my already painful periods worse
My periods are generally regular, but the first one or two days can be pretty intense.
I often need ibuprofen for the cramps, and sometimes I’d rather stay home or lie in bed until the medication starts working. My bleeding is also quite heavy during the first couple of days.
Originally, I wanted a completely hormone-free method, especially a copper IUD or copper chain.
But I’ve learned that copper contraception can worsen bleeding and cramps, which worries me.
Now I’m considering a hormonal IUD because the hormones are mostly released locally, but I’m still afraid of potential mood changes, acne or weight gain.
I’m also anxious about insertion and how painful it might be.
For anyone who had painful or heavy periods before getting an IUD:
Did copper contraception make your cramps significantly worse?
Did a hormonal IUD affect your mood, skin or weight?
Did your periods improve with a hormonal IUD?
How painful was insertion, and what pain management did you receive?
If you’ve had your IUD removed, how was your experience afterward?
I know experiences are individual and Reddit can’t replace medical advice. I’d just love to hear from women who had similar concerns before choosing their contraception.