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
41% no impact on mood
44% stopped periods
42% no impact
48% no impact
44% no impact on skin
50% in 1 month
29% no impact on mood
30% lighter periods
38% lost sex drive
44% no impact
40% improved skin
38% in 1 month
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
64 reviews
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 3 weeks ago
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
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 11th Aug 25
Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
• 22nd Jul 25
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
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 3 weeks ago
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
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 11th Aug 25
Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
• 22nd Jul 25
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
Used for 18 mo - 3 yr
44 years old
🇺🇸 US
• 1 day ago
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
50 years old
🇺🇸 US
• 2 weeks ago
Very negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
28 years old
🇺🇸 US
• 1 month ago
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 18 mo - 3 yr
44 years old
🇺🇸 US
• 1 day ago
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
50 years old
🇺🇸 US
• 2 weeks ago
Very negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
28 years old
🇺🇸 US
• 1 month ago
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
• 1 month ago
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
Used for 1 - 3 mo
23 years old
🇺🇸 US
• 8th Jul 25
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
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