Contraception Reviews

Combination birth control pill vs Copper IUD

Combination birth control pill

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Copper IUD

Want to switch birth control?

Overview

Rated 3.4

103 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.6

18 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Combination pill ingredients

Main hormones in Combination pill

estrogen

Copper IUD ingredients

Copper coils are made of a T-shaped frame of polyethylene (plastic) and barium sulphate. Copper wire is wound around the vertical arm.

What Lowdown reviewers say

Mood

27% no impact on mood

Bleeds

32% lighter periods

Sex drive

40% lost sex drive

Weight

42% no impact

Skin

41% improved skin

Cycle return

41% in 1 month

Mood

39% no impact on mood

Bleeds

67% heavier periods

Sex drive

61% no impact

Weight

72% no impact

Skin

78% no impact on skin

Cycle return

33% in 1 month

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

There are no benefits that are recognised in scientific research or guidelines for this birth control

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Check out our latest reviews

Real life reviews from people like you

Combination birth control pill reviews

103 reviews

Combination birth control pill  
Used for 1 - 3 mo
44 years old
🇺🇸 US
  •  3 days ago

Nikki birth control pill  

Headaches when using placebo pills. Improved when taken continuously but then had weeks of spotting. Thighs noticeably bigger. Weight increase 2-3 pounds over 3 months. Previously on Yaz in my late 20s and early 30s - loved it. This one did not work for me in my mid 40s

Read more

Somewhat positive mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  3 weeks ago

Mili birth control pill  

No see drive. Gained 15 pounds over 6 years, mostly at the start. Can't seem to lose weight. It's the only bc pill that doesn't seem to affect my heart arrhythmia. Got pregnant twice on this stuff though!


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
24 years old
🇺🇸 US
  •  3 weeks ago

Estarylla birth control pill  

I actually really enjoyed the effect Estarylla had on my mood. It helped me through PPD (in combination with prenatals and exercise). However, it gave me nasty cystic acne, so I had to switch. Other birth controls have messed with my mood negatively, so I was really bummed to give this one up after the positive effect it had. The sex was good, too.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
44 years old
🇺🇸 US
  •  3 days ago

Nikki birth control pill  

Headaches when using placebo pills. Improved when taken continuously but then had weeks of spotting. Thighs noticeably bigger. Weight increase 2-3 pounds over 3 months. Previously on Yaz in my late 20s and early 30s - loved it. This one did not work for me in my mid 40s


Somewhat positive mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  3 weeks ago

Mili birth control pill  

No see drive. Gained 15 pounds over 6 years, mostly at the start. Can't seem to lose weight. It's the only bc pill that doesn't seem to affect my heart arrhythmia. Got pregnant twice on this stuff though!


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
24 years old
🇺🇸 US
  •  3 weeks ago

Estarylla birth control pill  

I actually really enjoyed the effect Estarylla had on my mood. It helped me through PPD (in combination with prenatals and exercise). However, it gave me nasty cystic acne, so I had to switch. Other birth controls have messed with my mood negatively, so I was really bummed to give this one up after the positive effect it had. The sex was good, too.


Somewhat positive mood

1 more effect

0 helpful

0 comments


Copper IUD reviews

18 reviews

Copper IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  23rd Mar 25

Copper IUD  

Weight gain


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  20th Feb 25

Copper IUD  

This birth control contributed to me getting BV and frequent yeast infections AND it was placed way too low and cause sex to be painful and my IUD was oxidizing inside of me and when I got it out, the IUD was literally falling apart I would not recommend this birth control


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
18 years old
🇺🇸 US
  •  22nd Dec 24

Paragard IUD  

Good


Worse skin

3 helpful

0 comments

Copper IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  23rd Mar 25

Copper IUD  

Weight gain


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  20th Feb 25

Copper IUD  

This birth control contributed to me getting BV and frequent yeast infections AND it was placed way too low and cause sex to be painful and my IUD was oxidizing inside of me and when I got it out, the IUD was literally falling apart I would not recommend this birth control


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
18 years old
🇺🇸 US
  •  22nd Dec 24

Paragard IUD  

Good


Worse skin

3 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  26th Nov 24

Copper IUD  

The insertion was unbelievably painful and I will not be getting it put back in after three months. 2 days in I nearly went back to get it taken out but decided to push through. The pain subsided however I occasionally get the most awful pains randomly which will last 3+ days sporadically with no period to go with it.


Top side effects not reported

2 helpful

0 comments

Copper IUD  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  3rd Oct 24

Paragard IUD  

I’ve had it for over a year, I’m happy with it since it’s been effective in preventing pregnancy but I’ve all the sudden been getting weird side effects and hormone imbalances and bloating.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  2nd Aug 24

Paragard IUD  

I love the copper IUD as I was looking for a non hormonal way of birth control. Besides the heavy bleeding and intense cramps during my period, it’s great!


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
  •  31st Jul 24

Paragard IUD  

I wanted the copper IUD because it was non-hormonal and my DR said the only real side effect was worse periods (which she said would be fine for me because my periods are were not too bad in the first place. Insertion was not as painful as I thought it would be. Periods have become extremely painful and mood has definitely suffered


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  30th Jul 24

Paragard IUD  

This was super painful to implant and more pain each month I used it during my period-longer and heavier as well as cramping and spotting each month at ovulation. Eventually I had the device removed and I started taking a birth control pill to regulate my hormones in hopes of lowering instance of migraines due to hormonal fluctuations. Now on a pill designed to prevent hormonal migraines, I realize that during my IUD years I had much less frequent migraines so perhaps there is no correlation between my migraines and birth control.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  30th May 24

Paragard IUD  

I had Paraguard for almost 7 years. When it was first inserted (insanely painful) I was told it would last for 12 years, however it fell out recently. Only half fell out, as one arm broke off and I was recommended to have a hysteroscopy under full anesthesia to remove the missing part. Luckily it came out on its own and I didn’t require the operation but it was a terrifying experience. Throughout the past 7 years the only issues I had was very heavy periods and severe cramps (including sharp pain when going to the bathroom). Other than that, it was great for me and nice to have regular periods.


Top side effects not reported

0 helpful

1 comments

Copper IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  19th Mar 24

Paragard IUD  

I've never used any forms of birth control before, so I don't know what to compare it to other than being normal and not on birth control. Insertion was uncomfortable but not very painful, and I had pain in my cervix and spotting for about a week afterward. My body adjusted very quickly and I had normally spaced periods right after. The most noticeable difference is that my period is lighter and longer. My sex drive noticeably decreased, and my emotions are dampened/numbed. I forget that I even have it 99% of the time, as I don't notice it in my daily life. If all you're looking for is plain and simple low-maintenance birth control, this is it.


Worse skin

1 more effect

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Combination birth control pill with other birth control

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