Contraception Reviews

Hormonal IUD vs Contraceptive gel

Hormonal IUD

Want to switch birth control?

Contraceptive gel

Want to switch birth control?

Overview

Rated 3.6

78 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.8

5 reviews

Before sex

Frequency

79% - 86%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

Contraceptive gel ingredients

Birth control gels include spermicides and a new gel called Phexxi. These gels contain chemicals which prevent sperm from reaching an egg by affecting the sperm's motility and helping to block the cervix (opening into the womb).

What Lowdown reviewers say

Mood

40% no impact on mood

Bleeds

44% stopped periods

Sex drive

41% no impact

Weight

49% no impact

Skin

42% no impact on skin

Cycle return

50% in 1 month

Mood

40% very positive

Bleeds

60% no change

Sex drive

60% increased sex drive

Weight

60% no impact

Skin

100% no impact on skin

Cycle return

100% don’t know impact

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

There are no benefits that are recognised in scientific research or guidelines for this birth control

Try it now

Want to switch birth control?

Try it now

Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

78 reviews

Hormonal IUD  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  2 days ago

Kyleena IUD  

I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.

Read more

Very negative mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  3 weeks ago

Hormonal IUD  

The insertion did cause me a great deal of pain, and the following days after I was cramping constantly. I am on my 2nd month of Kyleena and I do still experience some cramping in my day to day. It has made my period lighter but I have been bleeding for 22days.


Top side effects not reported

0 helpful

0 comments

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

Kyleena IUD  

No major changes but i started to have ovarian hemorrhagic cyst 3 times in the last 3 years. Got scared and now i am focusing on family planning technique, specifically measuring Basal Body Temperature (BBT). So super excited with this. Also using this amazing app called Cosia where I am not only tracking but also getting practical lifestyle tips to make my hormonal balance settle.


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  2 days ago

Kyleena IUD  

I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.


Very negative mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  3 weeks ago

Hormonal IUD  

The insertion did cause me a great deal of pain, and the following days after I was cramping constantly. I am on my 2nd month of Kyleena and I do still experience some cramping in my day to day. It has made my period lighter but I have been bleeding for 22days.


Top side effects not reported

0 helpful

0 comments

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

Kyleena IUD  

No major changes but i started to have ovarian hemorrhagic cyst 3 times in the last 3 years. Got scared and now i am focusing on family planning technique, specifically measuring Basal Body Temperature (BBT). So super excited with this. Also using this amazing app called Cosia where I am not only tracking but also getting practical lifestyle tips to make my hormonal balance settle.


Decreased sex drive

0 helpful

0 comments


Contraceptive gel reviews

5 reviews

Contraceptive gel  
Used for 3 - 6 mo
29 years old
🇺🇸 US
  •  24th Jun 25

Phexxi gel  

It’s okay still having pain with the Slynd which is awful


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  17th Apr 24

Contraceptive gel  

Birth control implant I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  12th Jan 24

Phexxi gel  

I feel like I've tried every birth control out there. Pills, patches rings, IUDs - with the exception of depo, you name it, I've tried it. But Phexxi has been a game changer for me! I never felt "whole" on hormonal methods or the IUDs, but with Phexxi I don't have to deal with hormonal side effects and I only use it when I need it. Super easy to use, not messy, and I feel like myself again!


Very positive mood

1 more effect

1 helpful

0 comments

Contraceptive gel  
Used for 3 - 6 mo
29 years old
🇺🇸 US
  •  24th Jun 25

Phexxi gel  

It’s okay still having pain with the Slynd which is awful


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  17th Apr 24

Contraceptive gel  

Birth control implant I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  12th Jan 24

Phexxi gel  

I feel like I've tried every birth control out there. Pills, patches rings, IUDs - with the exception of depo, you name it, I've tried it. But Phexxi has been a game changer for me! I never felt "whole" on hormonal methods or the IUDs, but with Phexxi I don't have to deal with hormonal side effects and I only use it when I need it. Super easy to use, not messy, and I feel like myself again!


Very positive mood

1 more effect

1 helpful

0 comments

Contraceptive gel  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  12th Jan 24

Phexxi gel  

Love that I can use Phexxi only when I need it. I do not like adding hormones to my body. I really love the lubricating effect, makes for even better sex!


Very positive mood

1 more effect

2 helpful

0 comments

Contraceptive gel  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  11th Dec 23

Phexxi gel  

Phexxi works great — if you actually use it. Oops! My kid sister used Phexxi for about a year either by itself or along with condoms when she was ovulating. Then one time when she and her boyfriend were staying in my apartment for a family wedding, they picked me as the designated driver and the two of them had way too much to drink. They were all over each other in the car on the way home. Which was kind of cute but then when we got back to my place she wanted me to help her insert her birth control. I took her back to their bedroom and started getting her out of her clothes and I was like why don’t you just skip using it if you’re not in the middle of your cycle, and then she showed me her period tracker on her phone. Yep, not a good time to skip using protection, but still … She passed out while I was reading the instructions on the applicator, so I just was like whatever, I’m not doing this. I got off the rest of her clothes and woke her up and said I would tell her boyfriend she was ready. She didn’t even ask if I had inserted her Phexxi. The walls in my apartment are thin, so I heard the entire “discussion” when he couldn’t find their box of condoms. She was too drunk and horny to say no. She had no idea she was about to try to conceive. And yes, she became a mommy that night.


Increased sex drive

2 helpful

0 comments

Birth control alternatives and comparisons

Compare the Hormonal IUD with other birth control

Don’t keep it on the DL.Put it on the LD.

Slide into our DMs

hello@thelowdown.com

Sitemap

©The Lowdown 2026