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
43% stopped periods
43% no impact
49% no impact
43% no impact on skin
50% in 1 month
29% no impact on mood
31% lighter periods
37% no impact
45% no impact
41% improved skin
38% in 1 month
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
63 reviews
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 2 weeks ago
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 1 - 3 mo
Lowdown user
🇺🇸 US
• 13th Jul 25
So far i’m loving mine! The spotting for the first month has been very annoying but nothing horrible. Cramping went away in four days, only negative so far is i’ve had a lower heat tolerance and (i’m blonde) my leg hair has gotten DARK. I have been consistently loosing weight since starting and plus, in my opinion, my sex drive is way up. My partner is on testosterone therapy so i’m finally able to keep up with him and we love it! I highly recommend so far!
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 2 weeks ago
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 1 - 3 mo
Lowdown user
🇺🇸 US
• 13th Jul 25
So far i’m loving mine! The spotting for the first month has been very annoying but nothing horrible. Cramping went away in four days, only negative so far is i’ve had a lower heat tolerance and (i’m blonde) my leg hair has gotten DARK. I have been consistently loosing weight since starting and plus, in my opinion, my sex drive is way up. My partner is on testosterone therapy so i’m finally able to keep up with him and we love it! I highly recommend so far!
Somewhat positive mood
2 more effects
0 helpful
0 comments
Combination birth control pill reviews
123 reviews
Used for 12 - 18 mo
28 years old
🇺🇸 US
• 1 day 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 day 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
• 3 weeks ago
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 12 - 18 mo
28 years old
🇺🇸 US
• 1 day 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 day 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
• 3 weeks ago
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
• 1 month ago
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
19 years old
🇺🇸 US
• 1 month ago
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
• 1 month ago
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
Used for 5 - 8 yr
23 years old
🇺🇸 US
• 8th Jul 25
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
• 30th Jun 25
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
Popular birth control
Combination pillImplantShotThe legal stuff
Terms of usePrivacy & cookieContent policy©The Lowdown 2025