Combination birth control pill vs Hormonal IUD
Combination pill ingredients
Main hormones in Combination pill
estrogen
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
What Lowdown reviewers say
27% no impact on mood
33% lighter periods
37% no impact
43% no impact
40% improved skin
35% in 1 month
39% no impact on mood
44% stopped periods
41% no impact
49% no impact
42% no impact on skin
50% in 1 month
Check out our latest reviews
Real life reviews from people like you
Combination birth control pill reviews
144 reviews
Used for 1 - 3 mo
40 years old
🇺🇸 US
• 3 weeks ago
I'm on this pill post-hysterectomy to manage cysts/tumors recurring on my remaining ovary as an alternative to additional surgeries. The nausea has been brutal and I've recently started having major tooth sensitivity. My doctor, whom I trust, told me to give it 3 months for my body to adjust to Nikki. I would have stopped taking it already due to the nausea and dizziness but I'm really trying to avoid another surgery, so I'm sticking with it for now. Maybe I can update after the 3 month mark.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
14 years old
🇺🇸 US
• 30th Apr 26
I started taking this pill for painful period cramps and it has worked wonders! My period is more regular as well and shorter and less painful. My skin cleared up really well the only problem i have is the migraines and my blood sugar. The migraines are very painful but only last a few minutes luckily and since started taking the pill my blood sugar sky rockets or falls rather quickly.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
• 14th Apr 26
I really enjoy taking this brand. It still feels like I am me at the end of the day and I’m in control of my emotions and not hindered by excessive hormones.
Very positive mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
40 years old
🇺🇸 US
• 3 weeks ago
I'm on this pill post-hysterectomy to manage cysts/tumors recurring on my remaining ovary as an alternative to additional surgeries. The nausea has been brutal and I've recently started having major tooth sensitivity. My doctor, whom I trust, told me to give it 3 months for my body to adjust to Nikki. I would have stopped taking it already due to the nausea and dizziness but I'm really trying to avoid another surgery, so I'm sticking with it for now. Maybe I can update after the 3 month mark.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
14 years old
🇺🇸 US
• 30th Apr 26
I started taking this pill for painful period cramps and it has worked wonders! My period is more regular as well and shorter and less painful. My skin cleared up really well the only problem i have is the migraines and my blood sugar. The migraines are very painful but only last a few minutes luckily and since started taking the pill my blood sugar sky rockets or falls rather quickly.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
• 14th Apr 26
I really enjoy taking this brand. It still feels like I am me at the end of the day and I’m in control of my emotions and not hindered by excessive hormones.
Very positive mood
3 more effects
0 helpful
0 comments
Hormonal IUD reviews
79 reviews
Used for 8+ yr
25 years old
🇺🇸 US
• 3 days ago
’m young (under 30) and yet desire is not there like it used to. I walk around with constant painful acne on my face no matter how many times I wash my face. I had it removed years ago and everything went back to normal. Then I got it again 3 years ago (still have it) and instantly remembered exactly why I got it removed in the first place.
Worse skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇺🇸 US
• 15th Apr 26
I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇺🇸 US
• 2nd Apr 26
The insertion did cause me a great deal of pain, and the following days after I was cramping constantly. I am on my 2nd month of Kyleena and I do still experience some cramping in my day to day. It has made my period lighter but I have been bleeding for 22days.
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
25 years old
🇺🇸 US
• 3 days ago
’m young (under 30) and yet desire is not there like it used to. I walk around with constant painful acne on my face no matter how many times I wash my face. I had it removed years ago and everything went back to normal. Then I got it again 3 years ago (still have it) and instantly remembered exactly why I got it removed in the first place.
Worse skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇺🇸 US
• 15th Apr 26
I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇺🇸 US
• 2nd Apr 26
The insertion did cause me a great deal of pain, and the following days after I was cramping constantly. I am on my 2nd month of Kyleena and I do still experience some cramping in my day to day. It has made my period lighter but I have been bleeding for 22days.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇺🇸 US
• 27th Mar 26
No major changes but i started to have ovarian hemorrhagic cyst 3 times in the last 3 years. Got scared and now i am focusing on family planning technique, specifically measuring Basal Body Temperature (BBT). So super excited with this. Also using this amazing app called Cosia where I am not only tracking but also getting practical lifestyle tips to make my hormonal balance settle.
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
41 years old
🇺🇸 US
• 24th Mar 26
Absolutely loved my Mirena IUDs (I've had 3) compared to the other forms of birth control I've used. I did develop irritable bowel and didn't realize it was because of the IUD until I removed it and it went away (my doctor's also never suspected the IUD so I spent a lot of money and time with specialists only to find out it's a listed side effect in the insert). I've also had a steep decrease in migraines since removing my IUD, but besides the migraines and IBS, it was great!
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 3rd Mar 26
Side affects can change as time passes. I noticed more side effects the longer I was on it.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
27 years old
🇺🇸 US
• 22nd Feb 26
Better than copper IUD. Similar in side effects to birth control ring except less effect on sex drive.
Increased sex drive
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 6th Feb 26
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
34 years old
🇺🇸 US
• 23rd Jan 26
I initially thought I was having a positve experience, but after 3 months was diagnosed with Sebohrreic Dermatitis with an extremely itchy scalp and bumps on jawline. Within 5 months I started having noticeable hair loss. I have lost at least 50% density. It is now 11 months from insertion and still shedding drastically. 8 months after insertion, I started having cystic acne which Ive never experienced before. I use to have the Paraguard IUD and didnt have these symptoms
Somewhat positive mood
1 more effect
0 helpful
0 comments
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