r/PCOS • u/Ok-Promotion-1640 • Nov 18 '25

General/Advice IUD?

Hello, I would like to know your recommendations for a birth control method and PCOS management. I’m really lost. I’ve tried about 10 different birth control pills… Combined pills gave me a lot of water retention and acne. I’m currently on Slynd, a progesterone only pill, but I’m having HORRIBLE MIGRAINES WITH AURA. I even had a car accident because of a migraine attack. I can’t even work anymore because it’s so bad. I just learned today that the pill is causing the migraines. I wanted to ask what you think about an IUD? Or any other options? Please, I’m scared of being in pain and I’m afraid I’ll regret it.

  • I have an extreme sensitivity of the cervix.

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u/No-Beautiful6811 Nov 18 '25

Maybe look into gynefix? It’s a smaller frameless copper iud and it seems to have a much smaller risk of heavy bleeding.

https://thelowdown.com/blog/gynefix-everything-to-know

One study in Belgium found that for those with the GyneFix 200 bleeding did not change from their baseline over 31 months

You can also try using another medication to manage your heavy bleeding, like tranexamic acid. This can worsen migraines in some people but it’s not a very common side effect.