Contraception Reviews

Hormonal IUD vs Combination birth control pill

Hormonal IUD

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Combination birth control pill

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Overview

Rated 3.6

47 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.4

102 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin


Combination pill ingredients

Main hormones in Combination pill

estrogen

What Lowdown reviewers say

Mood

43% no impact on mood

Bleeds

51% stopped periods

Sex drive

40% no impact

Weight

49% no impact

Skin

40% no impact on skin

Cycle return

50% in 1 month

Mood

28% no impact on mood

Bleeds

31% lighter periods

Sex drive

39% lost sex drive

Weight

42% no impact

Skin

40% improved skin

Cycle return

38% in 1 month

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

47 reviews

Hormonal IUD  
Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  4 days ago

Mirena IUD  

Read more

Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  3 weeks ago

Mirena IUD  

I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.


Worse skin

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
27 years old
🇺🇸 US
  •  1 month ago

Mirena IUD  

My first IUD placement (Mirena) was without numbing shots, and it really was quite painful. The immediate pain lasted only a few seconds, but I had hot flashes for a few minutes afterwards. The next week, I got the heaviest period of my life, followed by about 4 months of light bleeding. After that, I lost my period completely for about 3 years, and then very light and irregular periods until I had it replaced. My period used to cause painful acne and very frustrating mood swings, which I was quite happy to go without. I did have some discomfort during sex, but only with larger partners and only in certain positions. My second IUD was the Kyleena. I did have numbing shots for the placement, and it was much more comfortable - similar to getting a pap smear. My period has gone away again, and I haven't noticed any pain during sex (Kyleena is a little smaller). My only real concern about the IUD is that if I were to become pregnant while the IUD is in place, it is very likely to be ectopic. I do take a pregnancy test every couple of months, so if it does happen I can get the care I need. I live in a state with very good and safe abortion care, so I would be able to get help right away, but it's still something to keep in mind. All that being said, I would 100% recommend an IUD. I have been nearly period-free since 2018, which is well worth the pain of insertion. I really appreciate being able to avoid the acne, pain, and mood swings I used to get with my period, and I really really appreciate that I have an incredibly effective form of birth control that I only have to think about once every 8 years. I love my IUD so much, and I am probably going to use IUDs as my primary form of birth control for the rest of my life.


Very positive mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  4 days ago

Mirena IUD  


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  3 weeks ago

Mirena IUD  

I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.


Worse skin

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
27 years old
🇺🇸 US
  •  1 month ago

Mirena IUD  

My first IUD placement (Mirena) was without numbing shots, and it really was quite painful. The immediate pain lasted only a few seconds, but I had hot flashes for a few minutes afterwards. The next week, I got the heaviest period of my life, followed by about 4 months of light bleeding. After that, I lost my period completely for about 3 years, and then very light and irregular periods until I had it replaced. My period used to cause painful acne and very frustrating mood swings, which I was quite happy to go without. I did have some discomfort during sex, but only with larger partners and only in certain positions. My second IUD was the Kyleena. I did have numbing shots for the placement, and it was much more comfortable - similar to getting a pap smear. My period has gone away again, and I haven't noticed any pain during sex (Kyleena is a little smaller). My only real concern about the IUD is that if I were to become pregnant while the IUD is in place, it is very likely to be ectopic. I do take a pregnancy test every couple of months, so if it does happen I can get the care I need. I live in a state with very good and safe abortion care, so I would be able to get help right away, but it's still something to keep in mind. All that being said, I would 100% recommend an IUD. I have been nearly period-free since 2018, which is well worth the pain of insertion. I really appreciate being able to avoid the acne, pain, and mood swings I used to get with my period, and I really really appreciate that I have an incredibly effective form of birth control that I only have to think about once every 8 years. I love my IUD so much, and I am probably going to use IUDs as my primary form of birth control for the rest of my life.


Very positive mood

1 more effect

0 helpful

0 comments


Combination birth control pill reviews

102 reviews

Combination birth control pill  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  2 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
  •  2 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
43 years old
🇺🇸 US
  •  2 weeks ago

Combination birth control pill  

Not at all


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  2 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
  •  2 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
43 years old
🇺🇸 US
  •  2 weeks ago

Combination birth control pill  

Not at all


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Vienva birth control pill  

I don’t know so I can’t tell you


Top side effects not reported

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
43 years old
🇺🇸 US
  •  1 month ago

Loryna birth control pill  

The only negative is loss of sex drive, other than that it has helped my mood


Very positive mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
24 years old
🇺🇸 US
  •  9th Mar 25

Vienva birth control pill  

My moods increased, I lost 50 lbs, and my acne got better. I was using Aviane before this and I was ovulating on it. Since switching to Vienva I have not had any issues.


Very positive mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 5 - 8 yr
26 years old
🇺🇸 US
  •  12th Feb 25

Kurvelo birth control pill  

I’ve experienced these issues around or during my period


Improved skin

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  11th Feb 25

Junel Fe 1/20 birth control pill  

Had nausea the first week of both months 1 and 2. Only side effect was significant breast and butt enlargement, which led me to stop taking it.


Top side effects not reported

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
52 years old
🇺🇸 US
  •  5th Feb 25

Nortrel 7/7/7 birth control pill  

no noted side effects very happy with this medication was switched to sprintec and not happy at all with sprintec


Very positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
23 years old
🇺🇸 US
  •  4th Feb 25

Lutera birth control pill  

I actually didn't really have any "normal" side effects with this pill, I felt like I was mostly normal. But I did notice that my hair was gradually thinning, and it felt like it triggered some form of chronic hair loss for me. Interestingly enough, while it wasn't a huge issue, I noticed that I had "stinky" periods? I stopped having them after I stopped the pill.


Worse skin

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Hormonal IUD with other birth control

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