Contraception Reviews

Combination birth control pill vs Copper IUD

Combination birth control pill

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Copper IUD

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Overview

Rated 3.3

112 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.4

19 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

29% no impact on mood

Bleeds

32% lighter periods

Sex drive

38% lost sex drive

Weight

43% no impact

Skin

41% improved skin

Cycle return

39% in 1 month

Mood

37% no impact on mood

Bleeds

68% heavier periods

Sex drive

58% no impact

Weight

68% no impact

Skin

79% 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

112 reviews

Combination birth control pill  
Used for 1 - 3 mo
34 years old
🇺🇸 US
  •  today

Loryna birth control pill  

I’ve heard this birth control is supposed to be helpful for acne, but I have been flushed since I started taking it and seen a couple breakouts, and I haven’t even finished my first pack yet. I have also been sweating profusely off and on since the second week of taking it. Those are the most significant side effects I’ve noticed. I did just have my Mirena IUD removed after my uterus tried to absorb it, so these effects could be related to that. I’ve been on many different birth control pills over the past 15 years and usually I have no side effects after the first month or two, so we’ll see.

Read more

Decreased sex drive

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
20 years old
🇺🇸 US
  •  6 days ago

Loestrin 21 1/20 birth control pill  

It is not bad. The bad thing about it is it did make me gain weight and made my boobs go from a C to a DD and it kind of hurts my back. I gained like 10-15 lbs and I am unable to lose it no matter what diets I do. My skin has cleared up and my hair isn’t as oily and my periods have stopped which is really nice though.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

I had severe anxiety on this pill, and also all of the sudden got motion sick all the time. I was nauseous everyday and lost weight because I couldn't eat. It did definitely help with acne and my previously irregular periods. However, I lost 20 pounds and had to eventually stop. Within a week of stopping, my mood returned to normal and I wasn't panicking all the time. Within a few months, however, my acne got way worse and I started getting cystic acne along my jawline. I also still suddenly get motion sick sometimes, and this isn't something I ever had before.


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
34 years old
🇺🇸 US
  •  today

Loryna birth control pill  

I’ve heard this birth control is supposed to be helpful for acne, but I have been flushed since I started taking it and seen a couple breakouts, and I haven’t even finished my first pack yet. I have also been sweating profusely off and on since the second week of taking it. Those are the most significant side effects I’ve noticed. I did just have my Mirena IUD removed after my uterus tried to absorb it, so these effects could be related to that. I’ve been on many different birth control pills over the past 15 years and usually I have no side effects after the first month or two, so we’ll see.


Decreased sex drive

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
20 years old
🇺🇸 US
  •  6 days ago

Loestrin 21 1/20 birth control pill  

It is not bad. The bad thing about it is it did make me gain weight and made my boobs go from a C to a DD and it kind of hurts my back. I gained like 10-15 lbs and I am unable to lose it no matter what diets I do. My skin has cleared up and my hair isn’t as oily and my periods have stopped which is really nice though.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

I had severe anxiety on this pill, and also all of the sudden got motion sick all the time. I was nauseous everyday and lost weight because I couldn't eat. It did definitely help with acne and my previously irregular periods. However, I lost 20 pounds and had to eventually stop. Within a week of stopping, my mood returned to normal and I wasn't panicking all the time. Within a few months, however, my acne got way worse and I started getting cystic acne along my jawline. I also still suddenly get motion sick sometimes, and this isn't something I ever had before.


Very negative mood

2 more effects

0 helpful

0 comments


Copper IUD reviews

19 reviews

Copper IUD  
Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  30th Apr 25

Copper IUD  

My Periods are very strong and I sometimes have to change my pad every 30minutes


Very negative mood

11 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 5 - 8 yr
44 years old
🇺🇸 US
  •  30th Apr 25

Copper IUD  

My Periods are very strong and I sometimes have to change my pad every 30minutes


Very negative mood

11 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

Birth control alternatives and comparisons

Compare the Combination birth control pill with other birth control

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