Contraception Reviews

Hormonal IUD vs Combination birth control pill

Hormonal IUD

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Combination birth control pill

Want to switch birth control?

Overview

Rated 3.6

64 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.3

125 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

41% no impact on mood

Bleeds

44% stopped periods

Sex drive

42% no impact

Weight

48% no impact

Skin

44% no impact on skin

Cycle return

50% in 1 month

Mood

29% no impact on mood

Bleeds

30% lighter periods

Sex drive

38% lost sex drive

Weight

44% 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

64 reviews

Hormonal IUD  
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
  •  3 weeks ago

Hormonal IUD  

I've had horrible bloating. From when I wake up till I go to bed my clothing size changes up to two pant sizes because of the bloating depending on what I eat. As in it's so much worse with things like potatoes. I've had to switch to basically only wearing stretchy clothes because it gets so bad.

Read more

Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  11th Aug 25

Kyleena IUD  

Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  22nd Jul 25

Mirena IUD  

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.


Somewhat positive mood

2 more effects

0 helpful

1 comments

Hormonal IUD  
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
  •  3 weeks ago

Hormonal IUD  

I've had horrible bloating. From when I wake up till I go to bed my clothing size changes up to two pant sizes because of the bloating depending on what I eat. As in it's so much worse with things like potatoes. I've had to switch to basically only wearing stretchy clothes because it gets so bad.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  11th Aug 25

Kyleena IUD  

Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  22nd Jul 25

Mirena IUD  

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.


Somewhat positive mood

2 more effects

0 helpful

1 comments


Combination birth control pill reviews

125 reviews

Combination birth control pill  
Used for 18 mo - 3 yr
44 years old
🇺🇸 US
  •  1 day ago

Vienva birth control pill  

Irregular periods and it's got worse.


Decreased sex drive

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
50 years old
🇺🇸 US
  •  2 weeks ago

Junel 21 1.5/30 birth control pill  

weight gain. nausea. migraine


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
28 years old
🇺🇸 US
  •  1 month ago

Junel Fe 1.5/30 birth control pill  

Made my chin area have uncontrollable hormonal acne. Breakthrough bleeding from intimacy and pretty bad PMS symptoms for days before.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
44 years old
🇺🇸 US
  •  1 day ago

Vienva birth control pill  

Irregular periods and it's got worse.


Decreased sex drive

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
50 years old
🇺🇸 US
  •  2 weeks ago

Junel 21 1.5/30 birth control pill  

weight gain. nausea. migraine


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
28 years old
🇺🇸 US
  •  1 month ago

Junel Fe 1.5/30 birth control pill  

Made my chin area have uncontrollable hormonal acne. Breakthrough bleeding from intimacy and pretty bad PMS symptoms for days before.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 6 mo
28 years old
🇺🇸 US
  •  1 month ago

Yasmin birth control pill  

Went on Yasmin for helping acne and breakthrough bleeding. Completely cleared my skin. I did have a full heavy period for 3 weeks out of 4. Waited out incase it would go away. It did not


Improved skin

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
48 years old
🇺🇸 US
  •  3rd Aug 25

Altavera birth control pill  

I loved this for helping prevent migraines (taking continuously) and helping even out my moods. But I just realized it is probably what is causing my hair loss. Looking to change to a lower androgen pill like Yasmin


Very positive mood

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
23 years old
🇺🇸 US
  •  2nd Aug 25

Combination birth control pill  

Stopped eating for 2 days


Top side effects not reported

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 6 mo
19 years old
🇺🇸 US
  •  1st Aug 25

Tri Estarylla birth control pill  

The only side effects for me personally, is when every time I am starting the first hormonal pill again after the placebo week, I wake up very nauseous. But on the second day your body should adjust to it again and it will go away. Other ones is decreased sex drive, slight vagina, dryness, and I also cry more often. Other than that, the advantages outweigh the disadvantages. So I like this one.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 6 mo
46 years old
🇺🇸 US
  •  26th Jul 25

Tri Lo Mili birth control pill  

Works to regulate period but did a number on me mentally.


Very negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
24 years old
🇺🇸 US
  •  21st Jul 25

Isibloom birth control pill  

I've been continuously cycling with these pills (skipping periods) and I've found a lot of my period and pre-period symptoms have improved! My doctor recommended this because of my PMDD and hormonal acne and I've found that both are easier to manage on this pill.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
23 years old
🇺🇸 US
  •  8th Jul 25

Aviane birth control pill  

i’ve been on sronyx for 6+ years and since its been discontinued my pharmacy gave me aviane. i took one pack for the month and experienced the worst anxiety, nausea, mood swings, irritability, and general pain. it also caused heavy period like breakthrough bleeding and i do NOT ever want to take this afain


Very negative mood

0 helpful

0 comments

Birth control alternatives and comparisons

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