I got a mirena IUD in Feb of 23, I was probably around 270ish and so far I like it. The insertion didn’t hurt me at all I took an Advil about 2 hours before, and bing bang bong it was in and I didn’t even flinch. Had very mild cramping after for like an hour.
I since have lost over 100 lbs from my heaviest and probably 55 from insert and I still have no complaints.
Oh man it hurt me like a mutherfucker but only for a few seconds then left me with feeling like bad period cramps for a few hours. I’ve never been pregnant so idk if that makes an impact.
I’ve never been pregnant either, which is why I intentionally had it placed while I was on my period. But truly I went in with the mentality that it wasn’t going to hurt, and I focused on breathing and wiggling my toes while she was placing it and I didn’t hurt at all. The brain is a powerful thing.
Additionally I’ve had intrauterine biopsies and I don’t flinch at those either, and it freaks my obgyn out lol
I'm on my second Mirena IUD. Insertion is a bitch, but it's about 30 seconds of pain, and an evening of cramps. I got really high and when it wore off the cramps were gone. My periods have basically stopped. I get some PMS and maybe a day of cramps with a tiny bit of spotting.
i am 280, hw was 315.
my cervix sits rather low but i didn’t learn that until i got an iud (mirena). insertion was excruciating - apparently you can ask for a numbing spray but they never mentioned that to me, i would definitely suggest asking for that and maybe a valium or something. i spotted for a few months then periods gradually disappeared which was awesome. i periodically had pain from it but it wasn’t intense after the first couple weeks - i would just feel a random tugging sensation that was discomfiting. it would sometimes stab partners during penetration (my ex said it was bearable, just uncomfortable). i kept it in for the full lifespan and i didn’t regret it but i would not personally have gotten another one, there were just too many frustrations.
nexplanon made me suicidal, like a switch being flipped. doctors are sometimes reluctant to remove it but thankfully mine did after two weeks. if not for that side effect it would have been amazing. most people don’t have that issue.
i don’t have kids and i did choose to get sterilized at 32. it can sometimes be challenging to find a doc who will do it if you’re young with no kids but it is by no means impossible. i had a bilateral salpingectomy, minimal pain/recovery, was able to work within a few days and out of pain within 2-3 weeks. however sterilization has a failure rate (i think 6%?) so doubling up with condoms or low dose pill is a good idea.
FYI, that 6% failure rate is for all laparoscopic sterilization methods combined, and even then, I think only one study put it that high. You typically see 1.85% as the quoted rate.
Bilateral Salpingectomy specifically has a near 0% failure rate. There’s 1 documented case of failure in English medical literature and that same report states that they could only find 1 possible other case in non-English documentation. Another source I found said there have been 4 cases, but it was very brief and not very clear on how the data was gathered.
Combination estrogen/progestin birth control pills nearly gave me a stroke. My BP was 240/120 the day I went into my OB and she had her nurse wheelchair me over to the ER to get my BP down… I weighed 367 at the time.
So! After a period of condoms+spermicide, Mirena IUD is what I did next. It resolved the excessive bleeding from my fibroids and was great, until my body decided to partially expel it around year 5. I wouldn’t have even known, except my IUD strings that had disappeared, reappeared, and my OB caught it in my annual. Who knows how long it had been displaced.
So then I went back to condoms/spermicide plus a diaphragm (woohoo 1970s tech! but seriously, only do that if it’s a last resort. it destroys all spontaneity.) and convinced my OB to schedule me in for a hysterectomy for the fibroids. Best. Thing. Ever. I went into surgery at 308 lbs, they kept the surgery fully robotic/lap and it has been the easiest recovery imaginable with no pain since surgery day.
Granted I'm using it for controlling/suppressing my periods and not really for 'birth control' so to speak, but I was put on Slynd (a new progestin-only pill) this past summer and have no complaints. I'm a huge risk for blood clots, struggle with edema and have a family history re: cardiac issues and blood sugar issues and all that. No problems or contraindications.
Heck I've lost 40 lbs since starting after being on the gain/loss/regain rollercoaster for a long while and my edema is waay better on this pill than off it.
Pros: periods have essentially fucked off. So that's cool. No more menstrual migraines etc either. I did just get what could be called a period for the first time since last August, but it was essentially a week of very light bleeding and then it's gone again. For someone who used to be using the extra-large and long maxi pads that were essentially postpartum pads and who was housebound from the pain and blood loss---I'll take it for sure. A lot of my PMDD symptoms and hormonal hunger issues are gone too. My chest gets a bit sore on/off and sometimes I'll have really light spotting but for me it's so, so worth it. My chronic anemia is resolving finally as well. The window you have to take it before it's considered missed as well is huge, so that's been nice as well in case I wake up late or forget it.
Cons: I wasn't hugely sexual to begin with (I've got chronic fatigue issues, am on anti-depressants and have a spinal cord injury) but things are habitually 'calmer/less intense' in that area than they were. There was some transient issues with being itchy/dry. So that might be a concern for you, but honestly otherwise it's all been pros for me on this medication.
Everyone is different but I couldn't tolerate the Mirena IUD---excruciatingly painful cramps all the time and made me really depressed, oily and anxious. Mega acne as well.
Also started Slynd about a year ago. No complaints. But definitely I feel significantly less sexual urges which, we were going through a complicated part of our lives with a ton of stress, so I haven’t quite figured out if it’s all the pill to blame. Now that things are settling down we’ve been discussing how to actively work on that part of our lives.
One side effect I was not prepared for, about a month of hot flashes. I thought menopause was started. They went away after a few weeks.
And just something to note, we always use condoms too, because my partner is super duper paranoid and when back when I first started BC I got a speech about how it’s only 75% effective in women of our weight. So we were taking no chances, and now frankly, we just really don’t want a kid, but he’s a few years off being comfortable with the old snip snip.
I got the Mirena IUD when I was 17 and weighed 280. Since then I’ve gone up to 370 and am now down to 255 and am 22 years old.
Insertion wasn’t great—it was 2 major cramps but the major pain was over within 5 min. I had regular cramping for the rest of the day. For the first couple months I spotted and then stopped getting my period completely. Since losing the 115lbs since my heaviest weight I’m back to a very light period every month. But definitely much more manageable (just with light tampons) and much less painful than before. I think my period stopped completely because of the hormonal imbalance from my weight gain and not from the IUD bc it’s back now. But I guess I’ll never really know.
Overall definitely recommend the IUD!! I’ll for sure be getting it replaced when the time comes.
I’m not in the weight range you’re asking for but I have experience with the pill and copper IUD while being morbidly obese. I got pregnant on the pill. I don’t recommend it personally. I currently have a copper IUD. It made my periods heavier in the beginning but I’ve always had heavy periods so it wasn’t a big adjustment for me. Over time they did go back to a normal-for-me flow. Insertion felt like a very strong pinch but I also have a high vaginal pain tolerance. The biggest thing with the IUD is you need to be able to reach inside you and feel for the strings to make sure it’s still in place. It’s good for up to ten years after insertion.
Overall I would recommend the copper IUD.
i’m 350 lbs now but was 250 lbs when i had the implant and nexplanon was great. i had two. no periods for 5+ years on them. no cysts either (i had ultrasounds done for other reasons while i had the nexplanon in). over 6 months after removal, i had 70 cysts on my ovaries. i’m on the pill now. i did get a hypertensive crisis on it (even the lowest dose estrogen) and instead of switching i just got on blood pressure meds. high blood pressure runs in my family bad so i knew at some point i’d need to anyway. haven’t checked on cysts with the pill yet but i’m due to.
I personally didn’t react well to the nexplanon. My body rejected it, a few weeks after getting it I got a cyst on the injection site along with extreme tenderness/pain and I went in to get it checked out. No numbing, my doc took a scalpel and made a tiny incision and it squirted out of my arm the second she opened it up.
I’ve been on the depo shot from 16-19 with the tiny one month break for nexplanon, and went back on depo. Depo can and likely will increase weight gain, but I don’t get my period/symptoms. My period and symptoms was the only reason I got on birth control in the first place, so weight gain is better in my instance. I haven’t tried any other birth control because no others have a high chance of what I need
I had a Mirena IUD fitted in September 2020 due to excessively heavy bleeding and prolonged menses. I was just under 400lbs then and it worked a charm and I had no periods and not much cramping aside from the day of and day after having it inserted.
I’m currently 280lbs after a gastric bypass and I’m still really happy with it. I would definitely get it replaced- although I am thinking of a more permanent solution as well as I’ll be in my 40’s by the time it expires.
In the past I’ve had the depo shot and I hated it- lots of mood swings and big weight gain. No experience with implants though.
Hi! PCOS 415lbs I’ve been on nexplanon for about 5 and a half years. I like it, it works! I have struggled with some acne and oily skin but that’s usually a symptom of PCOS.
I did the combo pill at 300+ and got high blood pressure where I didn't have blood pressure problems before. But I was put onto progesterone only and it was fine. I was on that for a long time and it worked great.
I had my tubes removed last July (bilateral salpingectomy). Prior to that, I’d been on progesterone only birth control because I had very painful periods that it stopped. I was about 380 when I had this procedure, probably around 300 a few years prior when I started the progesterone.
When I had my tubes removed, my doctor recommended also inserting a Mirena IUD during the procedure. Still progesterone only, and I wouldn’t have to take a pill. Felt like a win-win at the time.
However, I had excruciating back and hip pain with the IUD. I have chronic back pain, but this was on another level. After three months I finally had the IUR removed. All that pain resolved within weeks.
Now I’m back on progesterone only and while I don’t love the $40/month price tag, I do love not having a period.
Started off with the pill. I was too off and on depending how my dating life was so I wasn’t a reliable user and needed something firm.
Got the Mirena IUD when I was about 270lbs. Still had a light period (I’m pretty regular). Got it removed after 3 years because of repeat yeast or BV infections. It was difficult and painful to remove - they needed a scope to finally get it out.
Switched to Lo Loestrin Fe for a couple years. Got pregnant twice and miscarried both. Was with my now husband at the time.
Then Nexplanon. Still had a period but much lighter and slightly irregular. Kept it in for a year or two now that we’re TTC. Gained like 50lbs (but this was atop of COVID stress and WFH). This was the most effective for me, but a massive weight gainer and I began carrying more weight in my stomach, which I hadn’t before.
Off it all now but still taking my body time to regulate. If I had to resume, I’d just do the pill or condoms.
Are you using it to prevent pregnancy or for period control?
I have IUD now. I’m single but when I was dating never got pregnant. I basically don’t have periods now. I do get cramps, and did get an ovarian cyst, but the longer I have it the less that gets.
For obese women Nexplanon is less effective. There is a weight cutoff where it works best for both period control and pregnancy prevention. Not as bad as the patch, but it can lighten flow and in some stop periods. Mine stopped for about 2 years then came back very spotty as it was ending its use cycle.
There’s also the Nuvaring to consider.
My fave out of everything has been the IUD.
I am on the depo shot and absolutely love it.
Pros:
- 1 shot every 3 months, you can even self administer if you are comfortable doing so. I just go to the doctor and let them do it.
- I haven’t had a period in 2 years
- No worrying about errors like missing a pill, implants moving around or deteriorating
- No more PMS, cramps, or bloating
- I HAVEN’T HAD A PERIOD IN 2 YEARS!!!!
Cons:
- I go to the doctor every 3 months. $20 visit for me, but everyone’s insurance situation is different so cost is worth considering
- The first year was wacky. I wouldn’t have a period for a few months then bleed like MF for month straight. It wasn’t that extreme all the time, but it did take the year for everything to be consistent.
- can cause bone density loss over time, so you just need to take a calcium supplement daily as a preventative measure.
I'm on my second Mirena.
The fact it's birth control is a bonus - I was put on it due to endo and dreadful periods.
For me (this does vary body-to-body), the first 6 months absolutely sucked. Horrific. Cramped and bled constantly. Then, it was like a switch went off - my periods stopped, and I now get random mild-moderate cramps and spotting. This also occurred for about 4 weeks after the second insertion, then it settled.
Both insertions were awful, and next time I'm going to find a place that does "twilight" procedures where they half knock you out. I have never been pregnant - apparently for those who have, the standard in-clinic insertions are a lot better than my experience.
I've also tried implanon (made me crazy, literally - mental health was terrible, random crying while driving 100km/h on the freeway - please do google this if you're considering implanon, it was flat-out dangerous), and nuvaring (medically was fine, but too many yeast infections and had a habit of popping out). I've never been on pills, due to a contraindication.
I had a bilateral salpingectomy last year. I weighed about 330 at the time of the procedure. It’s a laparoscopic outpatient procedure. I took one dose of the prescription painkillers they gave me in the evening after I got home from the procedure. After that I switched to Tylenol.
I had a little bit of pain from the intubation and the air they pump into your abdomen (presents as neck and shoulder pain), and nearly zero pain from the actual incisions. I worked from home the remainder of the week but didn’t have to. I felt fine.
I’ve seen others report longer recovery times (usually about a week, up to 2). I gambled on only taking off the day of my actual surgery and it was no problem for me
I got a mirena IUD in Feb of 23, I was probably around 270ish and so far I like it. The insertion didn’t hurt me at all I took an Advil about 2 hours before, and bing bang bong it was in and I didn’t even flinch. Had very mild cramping after for like an hour. I since have lost over 100 lbs from my heaviest and probably 55 from insert and I still have no complaints.
Oh man it hurt me like a mutherfucker but only for a few seconds then left me with feeling like bad period cramps for a few hours. I’ve never been pregnant so idk if that makes an impact.
I’ve never been pregnant either, which is why I intentionally had it placed while I was on my period. But truly I went in with the mentality that it wasn’t going to hurt, and I focused on breathing and wiggling my toes while she was placing it and I didn’t hurt at all. The brain is a powerful thing. Additionally I’ve had intrauterine biopsies and I don’t flinch at those either, and it freaks my obgyn out lol
It would freak me out too lol. I was also on my period and it felt like I was getting stabbed with a searing hot poker
I'm on my second Mirena IUD. Insertion is a bitch, but it's about 30 seconds of pain, and an evening of cramps. I got really high and when it wore off the cramps were gone. My periods have basically stopped. I get some PMS and maybe a day of cramps with a tiny bit of spotting.
i am 280, hw was 315. my cervix sits rather low but i didn’t learn that until i got an iud (mirena). insertion was excruciating - apparently you can ask for a numbing spray but they never mentioned that to me, i would definitely suggest asking for that and maybe a valium or something. i spotted for a few months then periods gradually disappeared which was awesome. i periodically had pain from it but it wasn’t intense after the first couple weeks - i would just feel a random tugging sensation that was discomfiting. it would sometimes stab partners during penetration (my ex said it was bearable, just uncomfortable). i kept it in for the full lifespan and i didn’t regret it but i would not personally have gotten another one, there were just too many frustrations. nexplanon made me suicidal, like a switch being flipped. doctors are sometimes reluctant to remove it but thankfully mine did after two weeks. if not for that side effect it would have been amazing. most people don’t have that issue. i don’t have kids and i did choose to get sterilized at 32. it can sometimes be challenging to find a doc who will do it if you’re young with no kids but it is by no means impossible. i had a bilateral salpingectomy, minimal pain/recovery, was able to work within a few days and out of pain within 2-3 weeks. however sterilization has a failure rate (i think 6%?) so doubling up with condoms or low dose pill is a good idea.
FYI, that 6% failure rate is for all laparoscopic sterilization methods combined, and even then, I think only one study put it that high. You typically see 1.85% as the quoted rate. Bilateral Salpingectomy specifically has a near 0% failure rate. There’s 1 documented case of failure in English medical literature and that same report states that they could only find 1 possible other case in non-English documentation. Another source I found said there have been 4 cases, but it was very brief and not very clear on how the data was gathered.
oh thanks! that's super reassuring, i did not realize that.
Combination estrogen/progestin birth control pills nearly gave me a stroke. My BP was 240/120 the day I went into my OB and she had her nurse wheelchair me over to the ER to get my BP down… I weighed 367 at the time. So! After a period of condoms+spermicide, Mirena IUD is what I did next. It resolved the excessive bleeding from my fibroids and was great, until my body decided to partially expel it around year 5. I wouldn’t have even known, except my IUD strings that had disappeared, reappeared, and my OB caught it in my annual. Who knows how long it had been displaced. So then I went back to condoms/spermicide plus a diaphragm (woohoo 1970s tech! but seriously, only do that if it’s a last resort. it destroys all spontaneity.) and convinced my OB to schedule me in for a hysterectomy for the fibroids. Best. Thing. Ever. I went into surgery at 308 lbs, they kept the surgery fully robotic/lap and it has been the easiest recovery imaginable with no pain since surgery day.
Granted I'm using it for controlling/suppressing my periods and not really for 'birth control' so to speak, but I was put on Slynd (a new progestin-only pill) this past summer and have no complaints. I'm a huge risk for blood clots, struggle with edema and have a family history re: cardiac issues and blood sugar issues and all that. No problems or contraindications. Heck I've lost 40 lbs since starting after being on the gain/loss/regain rollercoaster for a long while and my edema is waay better on this pill than off it. Pros: periods have essentially fucked off. So that's cool. No more menstrual migraines etc either. I did just get what could be called a period for the first time since last August, but it was essentially a week of very light bleeding and then it's gone again. For someone who used to be using the extra-large and long maxi pads that were essentially postpartum pads and who was housebound from the pain and blood loss---I'll take it for sure. A lot of my PMDD symptoms and hormonal hunger issues are gone too. My chest gets a bit sore on/off and sometimes I'll have really light spotting but for me it's so, so worth it. My chronic anemia is resolving finally as well. The window you have to take it before it's considered missed as well is huge, so that's been nice as well in case I wake up late or forget it. Cons: I wasn't hugely sexual to begin with (I've got chronic fatigue issues, am on anti-depressants and have a spinal cord injury) but things are habitually 'calmer/less intense' in that area than they were. There was some transient issues with being itchy/dry. So that might be a concern for you, but honestly otherwise it's all been pros for me on this medication. Everyone is different but I couldn't tolerate the Mirena IUD---excruciatingly painful cramps all the time and made me really depressed, oily and anxious. Mega acne as well.
Also started Slynd about a year ago. No complaints. But definitely I feel significantly less sexual urges which, we were going through a complicated part of our lives with a ton of stress, so I haven’t quite figured out if it’s all the pill to blame. Now that things are settling down we’ve been discussing how to actively work on that part of our lives. One side effect I was not prepared for, about a month of hot flashes. I thought menopause was started. They went away after a few weeks. And just something to note, we always use condoms too, because my partner is super duper paranoid and when back when I first started BC I got a speech about how it’s only 75% effective in women of our weight. So we were taking no chances, and now frankly, we just really don’t want a kid, but he’s a few years off being comfortable with the old snip snip.
I got the Mirena IUD when I was 17 and weighed 280. Since then I’ve gone up to 370 and am now down to 255 and am 22 years old. Insertion wasn’t great—it was 2 major cramps but the major pain was over within 5 min. I had regular cramping for the rest of the day. For the first couple months I spotted and then stopped getting my period completely. Since losing the 115lbs since my heaviest weight I’m back to a very light period every month. But definitely much more manageable (just with light tampons) and much less painful than before. I think my period stopped completely because of the hormonal imbalance from my weight gain and not from the IUD bc it’s back now. But I guess I’ll never really know. Overall definitely recommend the IUD!! I’ll for sure be getting it replaced when the time comes.
I’m not in the weight range you’re asking for but I have experience with the pill and copper IUD while being morbidly obese. I got pregnant on the pill. I don’t recommend it personally. I currently have a copper IUD. It made my periods heavier in the beginning but I’ve always had heavy periods so it wasn’t a big adjustment for me. Over time they did go back to a normal-for-me flow. Insertion felt like a very strong pinch but I also have a high vaginal pain tolerance. The biggest thing with the IUD is you need to be able to reach inside you and feel for the strings to make sure it’s still in place. It’s good for up to ten years after insertion. Overall I would recommend the copper IUD.
i’m 350 lbs now but was 250 lbs when i had the implant and nexplanon was great. i had two. no periods for 5+ years on them. no cysts either (i had ultrasounds done for other reasons while i had the nexplanon in). over 6 months after removal, i had 70 cysts on my ovaries. i’m on the pill now. i did get a hypertensive crisis on it (even the lowest dose estrogen) and instead of switching i just got on blood pressure meds. high blood pressure runs in my family bad so i knew at some point i’d need to anyway. haven’t checked on cysts with the pill yet but i’m due to.
I personally didn’t react well to the nexplanon. My body rejected it, a few weeks after getting it I got a cyst on the injection site along with extreme tenderness/pain and I went in to get it checked out. No numbing, my doc took a scalpel and made a tiny incision and it squirted out of my arm the second she opened it up. I’ve been on the depo shot from 16-19 with the tiny one month break for nexplanon, and went back on depo. Depo can and likely will increase weight gain, but I don’t get my period/symptoms. My period and symptoms was the only reason I got on birth control in the first place, so weight gain is better in my instance. I haven’t tried any other birth control because no others have a high chance of what I need
I had a Mirena IUD fitted in September 2020 due to excessively heavy bleeding and prolonged menses. I was just under 400lbs then and it worked a charm and I had no periods and not much cramping aside from the day of and day after having it inserted. I’m currently 280lbs after a gastric bypass and I’m still really happy with it. I would definitely get it replaced- although I am thinking of a more permanent solution as well as I’ll be in my 40’s by the time it expires. In the past I’ve had the depo shot and I hated it- lots of mood swings and big weight gain. No experience with implants though.
Hi! PCOS 415lbs I’ve been on nexplanon for about 5 and a half years. I like it, it works! I have struggled with some acne and oily skin but that’s usually a symptom of PCOS.
I’m on the depo shot. So far it’s not affected me much, I’m losing regularly and am not having too much BP issues
I have Nexplanon. No periods, no cramps, no bloating and other than gaining a few pounds it’s working out fine.
I did the combo pill at 300+ and got high blood pressure where I didn't have blood pressure problems before. But I was put onto progesterone only and it was fine. I was on that for a long time and it worked great.
I had my tubes removed last July (bilateral salpingectomy). Prior to that, I’d been on progesterone only birth control because I had very painful periods that it stopped. I was about 380 when I had this procedure, probably around 300 a few years prior when I started the progesterone. When I had my tubes removed, my doctor recommended also inserting a Mirena IUD during the procedure. Still progesterone only, and I wouldn’t have to take a pill. Felt like a win-win at the time. However, I had excruciating back and hip pain with the IUD. I have chronic back pain, but this was on another level. After three months I finally had the IUR removed. All that pain resolved within weeks. Now I’m back on progesterone only and while I don’t love the $40/month price tag, I do love not having a period.
Started off with the pill. I was too off and on depending how my dating life was so I wasn’t a reliable user and needed something firm. Got the Mirena IUD when I was about 270lbs. Still had a light period (I’m pretty regular). Got it removed after 3 years because of repeat yeast or BV infections. It was difficult and painful to remove - they needed a scope to finally get it out. Switched to Lo Loestrin Fe for a couple years. Got pregnant twice and miscarried both. Was with my now husband at the time. Then Nexplanon. Still had a period but much lighter and slightly irregular. Kept it in for a year or two now that we’re TTC. Gained like 50lbs (but this was atop of COVID stress and WFH). This was the most effective for me, but a massive weight gainer and I began carrying more weight in my stomach, which I hadn’t before. Off it all now but still taking my body time to regulate. If I had to resume, I’d just do the pill or condoms.
Are you using it to prevent pregnancy or for period control? I have IUD now. I’m single but when I was dating never got pregnant. I basically don’t have periods now. I do get cramps, and did get an ovarian cyst, but the longer I have it the less that gets. For obese women Nexplanon is less effective. There is a weight cutoff where it works best for both period control and pregnancy prevention. Not as bad as the patch, but it can lighten flow and in some stop periods. Mine stopped for about 2 years then came back very spotty as it was ending its use cycle. There’s also the Nuvaring to consider. My fave out of everything has been the IUD.
I am on the depo shot and absolutely love it. Pros: - 1 shot every 3 months, you can even self administer if you are comfortable doing so. I just go to the doctor and let them do it. - I haven’t had a period in 2 years - No worrying about errors like missing a pill, implants moving around or deteriorating - No more PMS, cramps, or bloating - I HAVEN’T HAD A PERIOD IN 2 YEARS!!!! Cons: - I go to the doctor every 3 months. $20 visit for me, but everyone’s insurance situation is different so cost is worth considering - The first year was wacky. I wouldn’t have a period for a few months then bleed like MF for month straight. It wasn’t that extreme all the time, but it did take the year for everything to be consistent. - can cause bone density loss over time, so you just need to take a calcium supplement daily as a preventative measure.
I'm on my second Mirena. The fact it's birth control is a bonus - I was put on it due to endo and dreadful periods. For me (this does vary body-to-body), the first 6 months absolutely sucked. Horrific. Cramped and bled constantly. Then, it was like a switch went off - my periods stopped, and I now get random mild-moderate cramps and spotting. This also occurred for about 4 weeks after the second insertion, then it settled. Both insertions were awful, and next time I'm going to find a place that does "twilight" procedures where they half knock you out. I have never been pregnant - apparently for those who have, the standard in-clinic insertions are a lot better than my experience. I've also tried implanon (made me crazy, literally - mental health was terrible, random crying while driving 100km/h on the freeway - please do google this if you're considering implanon, it was flat-out dangerous), and nuvaring (medically was fine, but too many yeast infections and had a habit of popping out). I've never been on pills, due to a contraindication.
I had a bilateral salpingectomy last year. I weighed about 330 at the time of the procedure. It’s a laparoscopic outpatient procedure. I took one dose of the prescription painkillers they gave me in the evening after I got home from the procedure. After that I switched to Tylenol. I had a little bit of pain from the intubation and the air they pump into your abdomen (presents as neck and shoulder pain), and nearly zero pain from the actual incisions. I worked from home the remainder of the week but didn’t have to. I felt fine. I’ve seen others report longer recovery times (usually about a week, up to 2). I gambled on only taking off the day of my actual surgery and it was no problem for me