Hi, I have had a copper IUD. It obviously did zero for PCOS symptoms, and although for contraception was perfect, with me not having given birth before, the insertion was agonising and I was continuously bleeding during the 7 months I had it in as it was irritating my womb too much. My mum on the other hand used the IUD for 30 years and was absolutely fine. It DOES make periods far heavier though, so if that is already a problem for you, then be careful. I became a bit anaemic.
On the other hand, if I were choosing the IUD again, I think I'd go for the Mirena. Although Levenorgestrel (which IS a progestogen so would be safe for you) is androgenic so not much good for PCOS, there are less side effects as it goes directly into the womb. It can cause irregular bleeding for a bit, but then your periods may cease altogether, which can be a relief for PCOS and Endometriosis sufferers, whom are now being prescribed the Mirena more if they have trouble with the combined pill.
Advantage of both types are that they can be used for a long time after insertion. Mirena= 5 years, normal IUD up to 8 or 10 for some.
For me, I'd rather try taking a progestogen only-pill first to see if I can handle the side effects etc and then look at the Mirena.
Hope this helps xx |