As of right now in my life, I am in the one-and-done mama group. Well one pregnancy, which of course resulted in two kids, but I have no plans to be pregnant ever again. If we add to our family it will hopefully be through fostering.
As such, I wanted to find out about birth control options. My after-birth plan was to breastfeed and use the mini-pill for a year, which I did, and then I tried the Nuva Ring for three months but was in search of something that I didn’t have to think about as much. It made sense to me that I would want something semi-permanent even thought I’ve never done anything similar to an IUD before. In my prior life the birth control pill made sense because I was young and healthy and childless. I guess my uterus is now a useless organ, although it is still trying to figure out it’s new retirement, as I’ll explain how it is reacting to this IUD.
I made the choice to go hormone free with the copper IUD. I’ve had a rough history with hormones from the birth control pill and infertility treatments, so I’m good with being all natural from here on out. I was warned at the doctor’s office that it’s not the same as an IUD that uses progesterone, such as Mirena, which over time helps women stop having periods. Read: My periods would be longer and stronger. I thought to myself, “Self, this is not physically possible. There’s no hormones! It’s just a piece of metal, so how could it possibly make my period worse? Also, in the absence of any form of birth control, my body does not produce a period, so surely it will just stay the path and be loyal to the rest of me.”
The implant was placed July 29th, 2016, which is burned in my memory. Doctors want to insert the IUD when you are on your period because A) It means you’re not already pregnant, and B) Your cervix is a little more open. So I sat around in a hospital gown worried about leaking all over the table. That did not happen because I was still unfamiliar with a very heavy flow, as I am now.
Ladies, it was painful. It was like an extra-long cervical exam, complete with cramping. I asked for regular old Tylenol afterwards hoping I could get it in my system before I left the office, which they were happy to oblige. But the cramping of course continued for the rest of the day. It felt like I had been punched, plus a more painful version of having swollen ovaries from fertility drugs. My uterus was trying to GET THAT THING OUT.
As far as I remember, no extra bleeding though. My period continued as usual and the next day I was almost back to normal with the help of ibuprofen (you really have no choice when you have 15 month old twins climbing on you).
Then I had a pretty uneventful 3 weeks before the next period began. At times I felt that I could “feel” the IUD down there, and of course I always worried about it falling out or penetrating the uterus wall. But then I got my period and suddenly I was more worried about bleeding to death.
I did not know that a human being could lose that much blood. I had essentially zero cramping and yet I would use the word “gushing” to describe my flow. The heaviest part lasted for the first 6-7 days, and I am talking changing a Super Heavy tampon every 4 hours, plus wearing TWO overnight maxi pads for the overflow. FOR SEVEN DAYS.
During that time I had my one-month follow up with the PA who placed the IUD. This time I did legitimately leak all over their table. And I legitimately asked the PA if I was dying. She said, “I warned you.”
And then when it lightened up, there was still light bleeding and brown discharge for the rest of the month. That’s right, this period lasted all month. Again, with little to no cramping or pain. So for several weeks I was wearing a panty liner for the lightest of bleeding, and then it was time for period #2.
Slightly better because it actually ended this time. But it still managed to surprise me with the amount of bleeding. Very heavy flow for probably 6 days. Now I’m starting to get the hint about a non-hormonal IUD causing longer and stronger periods. It’s like turning on the tap water on high: it comes on very suddenly at full force, and then it gets turned off at the end of 6 days and mercifully stops.
The 4 periods since then have been the same, although period #6 was a few days later than expected. Other than that, they are the most regular cycles I’ve ever had in my life. No concerns or symptoms in between periods, thankfully no breakthrough bleeding like the first time. Six months later and I think my uterus has accepted its fate. I assume the periods will remain the same, although if they want to get a little lighter with time I would be okay with that. I still feel overall that I made the best decision out of my options for remaining baby-free, and it’s something that will work for me but obviously not everyone.
Some things to consider: With my insurance, the IUD was free, and there are two separate charges: The cost of the IUD itself and the fee for the doctor to insert it. Also it eliminated the monthly cost of a birth control pill. HOWEVER it did exponentially increase the amount of money I spend on tampons and pads every month.
And as far as monthly inconveniences, you’re supposed to reach up there and feel it every month to make sure it hasn’t migrated. The doctor or PA usually asks you if you want to cut the string that comes down into the vaginal canal, and I asked her not to shorten mine so that I’d be able to feel it better. I know it’s important, but I haven’t been able to bring myself to do that yet. My husband has not been able to *ahem* feel it either, if you know what I mean.
Also, do your research, but I believe the copper IUD is the one that can be left in the longest. I’ve been told 12 years, and I know Mirena is 5, while some of the newer ones with less testing are only approved for 3.
So that’s everything I know with my 6 months of experience. Like I said, I feel that I made the best decision out of what was available to me and what my future plans are. But every BODY is different and that’s why there’s lots of options! And let’s pray it stays that way, reproductive rights for everyone!! The reason behind wanting to document this experience is partly out of fear that these options will be taken away. I also plan on interviewing my grandmothers (as everyone should!) to learn about the way our reproductive rights have changed over the years.
Love and baby dust to all.

