To ask if your GP tries to ‘persuade’ you to have the coil

topseyt the reason for not giving oral combined contraceptives to older women (in certain circumstances) is because of the oestrogen. A mirena coil doesn't have any oestrogen in it, only progesteron.

Obviously forcing someone to have a coil is not good. But a mirena coil (or an implant or a copper coil) really is a better contraceptive than sterilisation. It works better, it has a lower failure rate (by a long way) and it is much less invasive. A vasectomy is also better contraception than sterilisation. It has a lower failure rate and is less invasive.
Obviously this is not true in some cases. For some it really is the best option, but this is not true for most. I found it hard to get my head around at first that something permanent could be less effective than something reversible, but it is. There is a 1 in 200 chance of getting pregnant post sterilisation. Plus it is major surgery which needs recovering from.
So I don't find it surprising at all that sterilisation is discouraged and LARC encouraged. It makes medical sense

My GP favours the implant over the coil, presumably as the latter isn’t done at the surgery here. I have a mirena and get on reasonably well with it, but I’m beginning to think that the whole coil thing is some surreptitious forced/reversible sterilisation programme. It was so so easy to get it put in, but seems near impossible to get it checked or removed

If you don't want it because you've had a bad experience with it in the past then just say no

So why does one need to keep saying so?

Fgs, not everything is a conspiracy against women

The NHS is systematically failing women with regards reproductive health.

The coil is a more effective contraceptive and it has less health risks attached to it, so of course they would rather you had it. If you don't want it because you've had a bad experience with it in the past then just say no.

Fgs, not everything is a conspiracy against women.

Thing is, as a group we are a bit crap at taking pills and using condoms and a huge percentage of babies (50% in US studies) are unplanned - not to say all are unwelcome / unwanted, but there is a decent argument away from pills and condoms for people who do not want more babies.

Personally the coil is wrong for me as I have very heavy periods and haven't had good experiences with hormonal contraception, and it would be totally wrong for a doctor to push it for me or anyone else who doesn't want one. However that it doesn't make it unreasonable in and of itself.

I've had a copper coil for (a bit over) 10 yrs and so it's time to have it removed. (It lasts 10 yrs). Been very happy on it, but don't want it replaced. The hard, persistent persuasion from the practice nurse that I should get another, despite me clearly saying no, was unbelievable. Especially as I was seeing that nurse for a completely different reason, utterly unrelated to contraception.

Mine did push the mirena coil briefly for me.

I am 53, perimenopausal and have a large fibroid which causes flooding with every period I have.

Due to my age, weight and other issues I came off hormonal contraception when DD3 was born nearly 17 years ago now. DH had the snip so that I would not need to take the pill again and other contraception would not be necessary.

I made it clear that I did not want a coil. Why is it that at my age they will (correctly IMHO) no longer prescribe the contraceptive pill but will still recommend putting artificial hormones into me via a mirena coil? I just don't understand that at all. I have no need or wish to go back to that at my age.

To be fair, when the GP later got my ultrasound scan results back they did step back a bit from pushing the mirena and admitted that a hysterectomy or maybe ablation could also be valid options.

At 53 it is a dilemma. Do I opt for the major surgery with all attendant risks when I know that each period could be my last ever? Do I continue for now to have floods every month hoping that each is the last? Which way do I jump?

I will not be going for the mirena coil.

No, never.

I have one. It is out of date and I’m 45. I haven’t had a period on it for over six years.

I’m so angry about how the medical profession treats women, and it’s been so long since I had babies and was innured to being messed about with gynaecologically - that I absolutely do not want it replaced. I just know having another will be a nightmare I bet my periods would come back. I actually don’t want someone pissing about with my reproductive system, it’s mine.

Before I had kids I had the most horrific period pain. Nobody could do anything. I thought you had to just grin and bear it.

Tried to persuade me once. I said that if you think I am letting a medical professional from this region near my uterus, vagina and vulva after the mess you made of them and failed to fix following my daughter's birth, you can think again.
Has never asked me since.

Would need to remind myself but vaguely recall progesterone acts to suppress gonadotrophin (LH and FSH) production from the pituitary which then acts to suppress ovulation so brain/endocrine gland at the base of the brain definitely involved.

Would need to look if effective Mirena dosage lower than oral contraceptive and this gives the reduced disbenefits (cardio event, change in risk profiles of cancer and so on) compared with oral contraceptives hence why Mirena compared with copper coil or oral contraceptive better for some patients.

Apparently all the hormones stay in your uterus

I've had that said to me as well - when I expressed some doubt it was because the levels were so low in coil that they’d have no effect - and the subject was changed to how I'd have no more periods though upon questiong that was told it didn't happen for everyone.

The hormones go to your brain...otherwise there is no way to supress ovulation...

That is the user-PI and includes women who, for example, frequently forget to take the pill or intentionally not take it.

Same with condoms. The reason they are considered unreliable according to the PI is because they count "forgot to use one", "couldn't be arsed", or "didn't have one and chanced it" as a method error.

Thisis a pretty good comparison: qph.fs.quoracdn.net/main-qimg-1933c5491cda94f9f995a2d7726ab447.webp

BeautyGoesToBenidorm

Thank you! Much appreciated

I've never been pushed to go on the coil. It was suggested to me that I come off the pill cos of my age and the fact that I smoke. The implant was actually suggested to me but it wasn't pushed.

Apparently all the hormones stay in your uterus. really? Really?! Is that not connected to the rest of my body then?

Yep i ended up giving in and having it fitted and i went a bit nuts.
Might work for others but deffo not me x

Yes on and on and fucking on. My gp writes articles about patient autonomy etc but will drop in the coil at any chance they get. NOT INTERESTED.

I refuse to use hormonal contraceptives (too many side effects) and had the copper coil. I loved it but after 5 years my period started to last for a full two weeks with it, for no apparent reason.

So I went back to sensiplan. Did that for a while in my early 20s and it worked, so I didn't mind too much. The science behind it is pretty solid, the pearl-index is identical to that of the pill, and it performs a million times better than other NFP methods (and not to mention all those apps with ridiculously dangerous algorithms). Also tried diaphragms but I think we use that once in a blue moon. I can recommend MySize condoms, they made a huge difference for literally any guy I have ever told about them.

Anyway, cue hysterics because a financially secure, married woman going onto 30 isn't on long-term contraception. At other times I get a lecture on "not waiting too long", depends on which GP I get.

I was bullied into mirena to try and treat migraine.
I was refused a referral to nueurolagy because we hadn't tried everything (just the coil left to try) so it felt like I had no choice.
It made migraine slightly worse so I have depo as well.
Now the coil is hanging out like some old telly Ariel.
Oh and to get it taken out I will have to ask gyne because my GP doesn't offer removal
I'm celebate so don't need contraception

I don't get my contraceptive consultations in the UK - but elsewhere in Europe.

My midwife told me that the most effective contraceptive is the coil or the implant, as you've got a 0.8% chance of pregnancy on it. You have an 8% chance of pregnancy on the pill, even if you take it properly.

I got my contraceptive implant out yesterday and have a prescription for NuvaRing... I'm still a bit "meh" about it because hormones don't agree with me (hence why I took the implant out). She literally wouldn't let me leave the office without some form of contraception!

Yes. I was told it could be a game changer for me... ( anemic with heavy periods). I react badly to hormones though so have held off. My doc is very convincing but I don't want it.

Yes- i'm often asked about having one and feel that i have to justify not wanting one and wanting to remain on the mini pill.

About 20 years ago I asked my female GP if I could have the injection...it was pretty new.

She said "No! I give that to prostitutes in Bradford who are too messed up to remember the pill!"