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
44% no impact on mood
44% stopped periods
44% no impact
49% no impact
42% no impact on skin
50% in 1 month
29% no impact on mood
32% lighter periods
37% lost sex drive
44% no impact
41% improved skin
39% in 1 month
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
59 reviews
Used for 1 - 3 mo
15 years old
🇺🇸 US
• 1 day ago
So far I've had this for about a month and some change and I love it! Made my period significantly less painful this time around ❤️
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇺🇸 US
• 1 day ago
Honestly, the Mirena in my opinion isn’t bad at all. I have increased migraines but with OTC pain meds like Tylenol or ibuprofen, it helps a lot! I highly recommend this IUD just for the fact that it did lighten my period and lessen the cramps BUT I will add, it’s been continuous spotting since I’ve gotten it which isn’t a huge deal, just very annoying. Then I don’t know about yall, but the sweating…and over heating is crazy. This 4th of July I had to be taken by ambulance to the ER because I overheated so bad I passed out for over two hours, completely unresponsive BUT good vitals. I’m a very healthy 23 year old so that was completely unusual for me, I live in the Midwest so the heat can be a killer but it’s never EVER made me pass out or even dizzy, let alone unresponsive. So following with that, I wouldn’t say it’s a bad IUD, minus all the inconveniences. I haven’t gotten pregnant at least! Oh and to add, my sex drive is annoying my partner, he threatened to give me an ice bath last night to be exact😅
Increased sex drive
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇺🇸 US
• 2 weeks ago
I have been on the marina for almost a year and every time I get my period I am in severe pain….. when I’m driving I have to pull over on the side of the road to spit up and hold my stomach. Today it was so bad. I had to call in early. I throw up most times…… moral of the story I’m getting it taken out
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
15 years old
🇺🇸 US
• 1 day ago
So far I've had this for about a month and some change and I love it! Made my period significantly less painful this time around ❤️
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇺🇸 US
• 1 day ago
Honestly, the Mirena in my opinion isn’t bad at all. I have increased migraines but with OTC pain meds like Tylenol or ibuprofen, it helps a lot! I highly recommend this IUD just for the fact that it did lighten my period and lessen the cramps BUT I will add, it’s been continuous spotting since I’ve gotten it which isn’t a huge deal, just very annoying. Then I don’t know about yall, but the sweating…and over heating is crazy. This 4th of July I had to be taken by ambulance to the ER because I overheated so bad I passed out for over two hours, completely unresponsive BUT good vitals. I’m a very healthy 23 year old so that was completely unusual for me, I live in the Midwest so the heat can be a killer but it’s never EVER made me pass out or even dizzy, let alone unresponsive. So following with that, I wouldn’t say it’s a bad IUD, minus all the inconveniences. I haven’t gotten pregnant at least! Oh and to add, my sex drive is annoying my partner, he threatened to give me an ice bath last night to be exact😅
Increased sex drive
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇺🇸 US
• 2 weeks ago
I have been on the marina for almost a year and every time I get my period I am in severe pain….. when I’m driving I have to pull over on the side of the road to spit up and hold my stomach. Today it was so bad. I had to call in early. I throw up most times…… moral of the story I’m getting it taken out
Top side effects not reported
0 helpful
0 comments
Combination birth control pill reviews
116 reviews
Used for 1 - 3 mo
23 years old
🇺🇸 US
• today
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
Used for 5 - 8 yr
23 years old
🇺🇸 US
• today
been on sronyx for 6 years and it’s been great. only take like 3 periods a year and literally no issues ever. so sad this has been discontinued bec i am terrified to switch
Improved skin
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇺🇸 US
• 2 weeks ago
The pill was a great experience for me. I’d recommend it if you are someone capable of remembering to take it at the same time everyday. Also, I always know exactly when my period will be. Acne went away and no major side effects. The only potential negative is you have to deal with pharmacies and getting your prescription renewed regularly. I’m about to start a demanding job and am switching to an IUD for convenience.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇺🇸 US
• today
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
Used for 5 - 8 yr
23 years old
🇺🇸 US
• today
been on sronyx for 6 years and it’s been great. only take like 3 periods a year and literally no issues ever. so sad this has been discontinued bec i am terrified to switch
Improved skin
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇺🇸 US
• 2 weeks ago
The pill was a great experience for me. I’d recommend it if you are someone capable of remembering to take it at the same time everyday. Also, I always know exactly when my period will be. Acne went away and no major side effects. The only potential negative is you have to deal with pharmacies and getting your prescription renewed regularly. I’m about to start a demanding job and am switching to an IUD for convenience.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇺🇸 US
• 2 weeks ago
I have pmdd and the progesterone in this pill is known to not be great for that, so take this review with a grain of salt. The first day I was a little nauseous and had some headaches but nothing that major. My boobs hurt for the first month and after that the pain started to subside. What got me was the emotional side effect. When I get pms I tend to get really depressed and anxious and I get extra sensitive to how people act around me. On Audra, every day of the active pills was like that. There was a point towards the end of the first pack where I felt so depressed that I could barely get myself out of bed. Things that wouldn’t bother me usually started causing mental breakdowns. I started avoiding people because I felt like everyone hated me and that everything I said was wrong. All of the feelings were similar to what I experience with my pmdd, but it can be very debilitating experiencing that everyday rather than a few days every month. The only relief I got was when I started the placebo pills, I felt like myself for the first time since starting the pills, and my roommate even mentioned I seemed happier all of the sudden, though I do think it’s made my period cramps last longer (I’m usually fine after day one but on day three I was still feeling slight cramps). The second month wasn’t as bad but I was still crying everyday about things that did not warrant me crying lol. I ended up talking to my doc and we’ve decided to switch pills because I don’t think I can deal with this anymore. The first two days being off were rough since I stopped in the middle of the second pack. I started crying hysterically about something the first night and then spent the next day feeling numb and lying in bed. But after that I had my period and I finally feel like myself again. Hopefully the next pill will work better.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
34 years old
🇺🇸 US
• 3 weeks ago
I’ve heard this birth control is supposed to be helpful for acne, but I have been flushed since I started taking it and seen a couple breakouts, and I haven’t even finished my first pack yet. I have also been sweating profusely off and on since the second week of taking it. Those are the most significant side effects I’ve noticed. I did just have my Mirena IUD removed after my uterus tried to absorb it, so these effects could be related to that. I’ve been on many different birth control pills over the past 15 years and usually I have no side effects after the first month or two, so we’ll see.
Decreased sex drive
0 helpful
0 comments
Used for 18 mo - 3 yr
20 years old
🇺🇸 US
• 1 month ago
It is not bad. The bad thing about it is it did make me gain weight and made my boobs go from a C to a DD and it kind of hurts my back. I gained like 10-15 lbs and I am unable to lose it no matter what diets I do. My skin has cleared up and my hair isn’t as oily and my periods have stopped which is really nice though.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
22 years old
🇺🇸 US
• 31st May 25
I had severe anxiety on this pill, and also all of the sudden got motion sick all the time. I was nauseous everyday and lost weight because I couldn't eat. It did definitely help with acne and my previously irregular periods. However, I lost 20 pounds and had to eventually stop. Within a week of stopping, my mood returned to normal and I wasn't panicking all the time. Within a few months, however, my acne got way worse and I started getting cystic acne along my jawline. I also still suddenly get motion sick sometimes, and this isn't something I ever had before.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 8+ yr
41 years old
🇺🇸 US
• 20th May 25
I’ve tried the shot, the ring, different pills, this is the one. Weight gain was an important factor as was acne. I have not gained weight and have had only an occasional acne bump likely due to another cause. For birth control, just make sure you take the pill daily at the same time. I no longer experience mood swings or pms in anyway. I also do not have periods bc with my doctor’s approval, I take the pill straight through each month due to endometriosis.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 18th May 25
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
36 years old
🇺🇸 US
• 6th May 25
Not pleasant. Slynd seems to yes, decrease my flow, but the side effects are horrendous
Worse skin
1 more effect
12 helpful
1 comments
Popular birth control
Combination pillImplantShotThe legal stuff
Terms of usePrivacy & cookieContent policy©The Lowdown 2025