Depo has mad intercourse very painful for me, I never had this issue with mirena. But mirena was bad because he could actually feel it if he hit a certain spot. My sex drive has dropped tremendously because sex has become so painful on depo provera and it's taking a toll on my relationship. The one thing I wanted depo to do was increase my appetite. I'm still a stick 😔 I don't want an iud again because the point of getting depo was so that it couldn't jab him during intercourse anymore, and for some reason on mirena I kept getting infections it was like a cycle of bv and yeast infections, and once I took it out, they stopped.. I suck at pills. It's just stressful because now my fiance thinks I don't find him attractive anymore all because my sex drive is soooo low. Any of you ladies use nuva ring or the patch? Or something else? Opinions appreciated. Help meeeee. My doctor is truly no help.