Contraception Reviews

Contraceptive gel vs Hormonal IUD

Contraceptive gel

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Hormonal IUD

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Overview

Rated 4.3

4 reviews

Before sex

Frequency

79% - 86%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.6

34 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Contraceptive gel ingredients

Birth control gels include spermicides and a new gel called Phexxi. These gels contain chemicals which prevent sperm from reaching an egg by affecting the sperm's motility and helping to block the cervix (opening into the womb).

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

What Lowdown reviewers say

Benefits: What this birth control can help with

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

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Check out our latest reviews

Real life reviews from people like you

Contraceptive gel reviews

4 reviews

Used for 8+ yr
26 years old
🇺🇸 US
  •  17th Apr 24

  •  Still using

Birth control implant I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.

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Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
42 years old
🇺🇸 US
  •  12th Jan 24

  •  Still using

I feel like I've tried every birth control out there. Pills, patches rings, IUDs - with the exception of depo, you name it, I've tried it. But Phexxi has been a game changer for me! I never felt "whole" on hormonal methods or the IUDs, but with Phexxi I don't have to deal with hormonal side effects and I only use it when I need it. Super easy to use, not messy, and I feel like myself again!


Top side effects not reported

1 helpful

0 comments

Used for 18 mo - 3 yr
56 years old
🇺🇸 US
  •  12th Jan 24

  •  Still using

Love that I can use Phexxi only when I need it. I do not like adding hormones to my body. I really love the lubricating effect, makes for even better sex!


Top side effects not reported

1 helpful

0 comments

Used for 8+ yr
26 years old
🇺🇸 US
  •  17th Apr 24

  •  Still using

Birth control implant I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
42 years old
🇺🇸 US
  •  12th Jan 24

  •  Still using

I feel like I've tried every birth control out there. Pills, patches rings, IUDs - with the exception of depo, you name it, I've tried it. But Phexxi has been a game changer for me! I never felt "whole" on hormonal methods or the IUDs, but with Phexxi I don't have to deal with hormonal side effects and I only use it when I need it. Super easy to use, not messy, and I feel like myself again!


Top side effects not reported

1 helpful

0 comments

Used for 18 mo - 3 yr
56 years old
🇺🇸 US
  •  12th Jan 24

  •  Still using

Love that I can use Phexxi only when I need it. I do not like adding hormones to my body. I really love the lubricating effect, makes for even better sex!


Top side effects not reported

1 helpful

0 comments


Hormonal IUD reviews

34 reviews

Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  2 days ago

  •  Stopped using

I could feel it when I exercised always. Starting year 5 I had terrible cystic acne and lower back pain that travelled down my left leg to my knee. It’s been 4 days since it was removed and my back is already feeling better. A heavy period starting the night I had it removed. It’s been going on 4 days and it is still heavy. I am hoping the acne goes away over time since it is out. It was nice not having heavy periods but not at the expense of my face and back. I have had to see a Dermatologist for several years now and the treatments don’t help much. I also saw a back doc and had a shot to help with the pain along with physical therapy for a few months. The shot helped for a month or two but the pain returned. I gained weight because it was uncomfortable to exercise and feel the IUD even when I walked uphill and the back and left leg pain. Insertion was traumatizing and I was conscious sedated for the removal which was a much better experience. Women should not have to go through that without conscious sedating. We should also be provided with more info on what to expect when we get it, how it might age, what to look for side effect wise, and guidance on getting it out and the aftermath. Terrible experience


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  3 weeks ago

  •  Stopped using

Overall I really disliked this IUD. The insertion was extremely painful. I experienced spotting everyday for 6 months. When I started to get monthly bleeding again I would get debilitating cramps that caused me to miss work and school.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
27 years old
🇺🇸 US
  •  17th Apr 24

  •  Stopped using

I got my first Mirena when I was 17. I would describe the insertion process as uncomfortable but not painful. I did have a vagal response (came close to passing out) right after, but it didn't last long, I just needed to sit for a minute. I experienced very light cramping for about 4-6 days afterwards. I did lose some weight that year that may have been attributed to the birth control, I went from 120lbs to 100lbs (there were no other pressing reasons for the quick change in my weight other than the BC, perhaps stress as it was my senior year of high school). At the time, the Mirena was thought to be effective for five years, so I had it removed and replaced with another Mirena when I was 22. The removal and reinsertion was more uncomfortable than the initial insertion, but totally manageable in my experience. Overall, I did not experience many hormonal side effects that I noticed. I pretty much stopped menstruating after the first few months of having it, aside from very occasional, very light spotting. I would sometimes experience symptoms of PMS without the bleeding (a little fatigue, some mood changes). I did develop some cystic acne in the first 1-3 years of being on my second IUD, but it was truly not much and never lasted long. My favorite part of this method is how effective and easy to use it is. I was truly never concerned about pregnancy from 17-27 which allowed for a lot of freedom in terms of my sex life. In my long term relationship, we do not use condoms (both have been screened for STIs) and I feel completely safe and comfortable with my partner not pulling out (I know that's a personal detail but I what to emphasize that that's how effective it truly is in my experience). I did recently decide to remove my hormonal IUD and replace it with the non-hormonal IUD. My Mirena still had at least 2 years left in it, but since I had not had a period or had gone through that natural, hormonal process in 10 years, I wanted to give my body a break from hormonal birth control to develop that relationship with my body. If I did not have the option/privilege to change methods, I would have 100% kept my Mirena until it expired, and probably got a third one.


Top side effects not reported

1 helpful

0 comments

Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  2 days ago

  •  Stopped using

I could feel it when I exercised always. Starting year 5 I had terrible cystic acne and lower back pain that travelled down my left leg to my knee. It’s been 4 days since it was removed and my back is already feeling better. A heavy period starting the night I had it removed. It’s been going on 4 days and it is still heavy. I am hoping the acne goes away over time since it is out. It was nice not having heavy periods but not at the expense of my face and back. I have had to see a Dermatologist for several years now and the treatments don’t help much. I also saw a back doc and had a shot to help with the pain along with physical therapy for a few months. The shot helped for a month or two but the pain returned. I gained weight because it was uncomfortable to exercise and feel the IUD even when I walked uphill and the back and left leg pain. Insertion was traumatizing and I was conscious sedated for the removal which was a much better experience. Women should not have to go through that without conscious sedating. We should also be provided with more info on what to expect when we get it, how it might age, what to look for side effect wise, and guidance on getting it out and the aftermath. Terrible experience


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  3 weeks ago

  •  Stopped using

Overall I really disliked this IUD. The insertion was extremely painful. I experienced spotting everyday for 6 months. When I started to get monthly bleeding again I would get debilitating cramps that caused me to miss work and school.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
27 years old
🇺🇸 US
  •  17th Apr 24

  •  Stopped using

I got my first Mirena when I was 17. I would describe the insertion process as uncomfortable but not painful. I did have a vagal response (came close to passing out) right after, but it didn't last long, I just needed to sit for a minute. I experienced very light cramping for about 4-6 days afterwards. I did lose some weight that year that may have been attributed to the birth control, I went from 120lbs to 100lbs (there were no other pressing reasons for the quick change in my weight other than the BC, perhaps stress as it was my senior year of high school). At the time, the Mirena was thought to be effective for five years, so I had it removed and replaced with another Mirena when I was 22. The removal and reinsertion was more uncomfortable than the initial insertion, but totally manageable in my experience. Overall, I did not experience many hormonal side effects that I noticed. I pretty much stopped menstruating after the first few months of having it, aside from very occasional, very light spotting. I would sometimes experience symptoms of PMS without the bleeding (a little fatigue, some mood changes). I did develop some cystic acne in the first 1-3 years of being on my second IUD, but it was truly not much and never lasted long. My favorite part of this method is how effective and easy to use it is. I was truly never concerned about pregnancy from 17-27 which allowed for a lot of freedom in terms of my sex life. In my long term relationship, we do not use condoms (both have been screened for STIs) and I feel completely safe and comfortable with my partner not pulling out (I know that's a personal detail but I what to emphasize that that's how effective it truly is in my experience). I did recently decide to remove my hormonal IUD and replace it with the non-hormonal IUD. My Mirena still had at least 2 years left in it, but since I had not had a period or had gone through that natural, hormonal process in 10 years, I wanted to give my body a break from hormonal birth control to develop that relationship with my body. If I did not have the option/privilege to change methods, I would have 100% kept my Mirena until it expired, and probably got a third one.


Top side effects not reported

1 helpful

0 comments

Used for 8+ yr
46 years old
🇺🇸 US
  •  11th Apr 24

  •  Still using

Love the Mirena!


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  25th Mar 24

  •  Stopped using

This caused pain/vomiting/inability to sleep for 3 months after insertion. I was promised it would improve, and told to just keep giving it time. Severe menstrual cramps continued the whole 2 years that I had this. Doctors promised many times over the 2 years that my symptoms were normal and/or not due to the IUD(both incorrect). Around the 9 month mark I began to develop progesterone hypersensitivity autoimmune disease. This continued to progress until I removed it. This new condition landed me in the ER multiple times due to anaphylaxis: asthma, heart palpitations, high BP, frequent fainting, extreme rashes etc. I had to quit my job because I was not functional on any level. Luckily I eventually figured it out.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
24 years old
🇺🇸 US
  •  12th Mar 24

  •  Still using

It is nice to never be worried about pregnancy. The random bleeding, frequent cramping unrelated to bleeding, and breast shrinkage has not been great.. but all better than pregnancy i guess. I am definitely more emotional. I used to cry 1 day/month typically day before starting my period. I now cry ~70% of the month.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
32 years old
🇺🇸 US
  •  12th Mar 24

  •  Stopped using

While this birth control didn't cause me to bleed like several others had, I became depressed and had painful cystic acne all over my face and began to get some on my back as well. This was completely irregular for me.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
15 years old
🇺🇸 US
  •  4th Mar 24

  •  Still using

8===D


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
29 years old
🇺🇸 US
  •  21st Feb 24

  •  Stopped using

Side effects: cystic acne & overall acne, metallic vaginal discharge, low libido & irritability. It was difficult to tell if IUD was in place since the doctor cut the strings too short. Went into OB & Planned Parenthood, they couldn't find it and were unsure if it fell out. This didn't give me a great deal of security as a BC since I couldn't tell if it was there or not...


Top side effects not reported

1 helpful

0 comments

Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  20th Feb 24

  •  Still using

when i got the iud put in the pain wasn’t too bad but after a short time the pain got worse and worse and i literally cried myself into exhausted sleep. my periods are just as long, heavier, and more irregular. my cramps hurt worse and they last longer, my breasts are always tender, i can’t lose weight i just keep gaining, my acne is either barely noticeable or flaring up very badly at random, and i almost always have a headache or migraine


Top side effects not reported

1 helpful

0 comments

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