Hormonal IUD vs Combination birth control pill
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
Combination pill ingredients
Main hormones in Combination pill
estrogen
What Lowdown reviewers say
39% no impact on mood
44% stopped periods
42% no impact
49% no impact
46% no impact on skin
50% in 1 month
29% no impact on mood
31% lighter periods
37% lost sex drive
44% no impact
41% improved skin
38% in 1 month
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
66 reviews
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
• 3 days ago
Went on the IUD bc I had super painful periods. Modena stopped my period and once a month now I’ll have just a little bit of phantom cramps—but none that ever pose an issue. The first month was quite painful adjusting to the IUD, but COMPLETELY worth it in the end. Only negative side effect I’m experiencing is vaginal dryness. Vaginal discharge has decreased and when I’m with my partner, no matter how aroused I am, I’m still pretty dry.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
27 years old
🇺🇸 US
• 3 weeks ago
I'm almost 28 years old, have had periods for the last decade and a half. They have always been regular and heavy to the point that if I didn't take iron supplements 5x a week and tranexamic acid during my periods, I'd have anemia. So I got Kyleena in December 2024. Insertion was fine, some cramping but nothing too serious. I had cramping on and off during the times my periods were supposed to come and some spotting/bleeding, but it was usually what I saw towards the beginning of my cycle. I had one reduced-level period in mid-August. I have had to go from 36D to 36DD to 36DDD/38DD bras over the span of a few months. At first I thought it was just weight gain (went from 170 to 195lb), but I have been almost 200lb before and my breast size increased this much this quickly. Even after losing 10 pounds my breast size has shown little to no decrease. I hate it. I also suspect that the IUD influenced my sciatica in my lumbar spine, which began in February 2025 and has taken several weeks of PT and a round of oral steroids to resolve. I am still not up to 100% all these months later. Overall a 2/5. The decreased period length, flow, and frequency is almost not enough to justify having this torture device in. If I get pregnant w/this in, I'll be so angry.
Somewhat negative mood
1 more effect
1 helpful
0 comments
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 1st Sep 25
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
1 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
• 3 days ago
Went on the IUD bc I had super painful periods. Modena stopped my period and once a month now I’ll have just a little bit of phantom cramps—but none that ever pose an issue. The first month was quite painful adjusting to the IUD, but COMPLETELY worth it in the end. Only negative side effect I’m experiencing is vaginal dryness. Vaginal discharge has decreased and when I’m with my partner, no matter how aroused I am, I’m still pretty dry.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
27 years old
🇺🇸 US
• 3 weeks ago
I'm almost 28 years old, have had periods for the last decade and a half. They have always been regular and heavy to the point that if I didn't take iron supplements 5x a week and tranexamic acid during my periods, I'd have anemia. So I got Kyleena in December 2024. Insertion was fine, some cramping but nothing too serious. I had cramping on and off during the times my periods were supposed to come and some spotting/bleeding, but it was usually what I saw towards the beginning of my cycle. I had one reduced-level period in mid-August. I have had to go from 36D to 36DD to 36DDD/38DD bras over the span of a few months. At first I thought it was just weight gain (went from 170 to 195lb), but I have been almost 200lb before and my breast size increased this much this quickly. Even after losing 10 pounds my breast size has shown little to no decrease. I hate it. I also suspect that the IUD influenced my sciatica in my lumbar spine, which began in February 2025 and has taken several weeks of PT and a round of oral steroids to resolve. I am still not up to 100% all these months later. Overall a 2/5. The decreased period length, flow, and frequency is almost not enough to justify having this torture device in. If I get pregnant w/this in, I'll be so angry.
Somewhat negative mood
1 more effect
1 helpful
0 comments
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 1st Sep 25
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
1 helpful
0 comments
Combination birth control pill reviews
126 reviews
Used for 18 mo - 3 yr
18 years old
🇺🇸 US
• 2 weeks ago
hey readers! i’m 18 and have been on it since 15. my periods were 50-70 days late and now i can pin it down on a calander! i’ve always been slimmer due to my sickness (cvs) and this has helped it tremendously too, i haven’t noticed much weight gain. (shoutout to my gyno) that being said my friends have had some other feedback so it is very personal to your body. but for me it has been life changing! i am considering maybe a shorter period length now that mine are 4 days and not 7.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 18 mo - 3 yr
44 years old
🇺🇸 US
• 3 weeks ago
Decreased sex drive
1 more effect
1 helpful
0 comments
Used for 18 mo - 3 yr
50 years old
🇺🇸 US
• 1 month ago
Very negative mood
2 more effects
1 helpful
0 comments
Used for 18 mo - 3 yr
18 years old
🇺🇸 US
• 2 weeks ago
hey readers! i’m 18 and have been on it since 15. my periods were 50-70 days late and now i can pin it down on a calander! i’ve always been slimmer due to my sickness (cvs) and this has helped it tremendously too, i haven’t noticed much weight gain. (shoutout to my gyno) that being said my friends have had some other feedback so it is very personal to your body. but for me it has been life changing! i am considering maybe a shorter period length now that mine are 4 days and not 7.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 18 mo - 3 yr
44 years old
🇺🇸 US
• 3 weeks ago
Decreased sex drive
1 more effect
1 helpful
0 comments
Used for 18 mo - 3 yr
50 years old
🇺🇸 US
• 1 month ago
Very negative mood
2 more effects
1 helpful
0 comments
Used for 12 - 18 mo
28 years old
🇺🇸 US
• 24th Aug 25
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
Used for 3 - 6 mo
28 years old
🇺🇸 US
• 24th Aug 25
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
Used for 3 - 5 yr
48 years old
🇺🇸 US
• 3rd Aug 25
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
Used for 1 - 3 mo
23 years old
🇺🇸 US
• 2nd Aug 25
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
19 years old
🇺🇸 US
• 1st Aug 25
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
Used for 3 - 6 mo
46 years old
🇺🇸 US
• 26th Jul 25
Works to regulate period but did a number on me mentally.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇺🇸 US
• 21st Jul 25
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
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