Contraception Reviews

Hormonal IUD vs Contraceptive gel

Hormonal IUD

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Contraceptive gel

Want to switch birth control?

Overview

Rated 3.6

46 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 4.3

4 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

41% no impact on mood

Bleeds

50% stopped periods

Sex drive

41% no impact

Weight

50% no impact

Skin

39% no impact on skin

Cycle return

50% in 1 month

Mood

50% very positive

Bleeds

75% no change

Sex drive

75% increased sex drive

Weight

50% 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

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Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

46 reviews

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  2 days ago

Mirena IUD  

I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.

Read more

Worse skin

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
27 years old
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

My first IUD placement (Mirena) was without numbing shots, and it really was quite painful. The immediate pain lasted only a few seconds, but I had hot flashes for a few minutes afterwards. The next week, I got the heaviest period of my life, followed by about 4 months of light bleeding. After that, I lost my period completely for about 3 years, and then very light and irregular periods until I had it replaced. My period used to cause painful acne and very frustrating mood swings, which I was quite happy to go without. I did have some discomfort during sex, but only with larger partners and only in certain positions. My second IUD was the Kyleena. I did have numbing shots for the placement, and it was much more comfortable - similar to getting a pap smear. My period has gone away again, and I haven't noticed any pain during sex (Kyleena is a little smaller). My only real concern about the IUD is that if I were to become pregnant while the IUD is in place, it is very likely to be ectopic. I do take a pregnancy test every couple of months, so if it does happen I can get the care I need. I live in a state with very good and safe abortion care, so I would be able to get help right away, but it's still something to keep in mind. All that being said, I would 100% recommend an IUD. I have been nearly period-free since 2018, which is well worth the pain of insertion. I really appreciate being able to avoid the acne, pain, and mood swings I used to get with my period, and I really really appreciate that I have an incredibly effective form of birth control that I only have to think about once every 8 years. I love my IUD so much, and I am probably going to use IUDs as my primary form of birth control for the rest of my life.


Very positive mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 12 - 18 mo
17 years old
🇺🇸 US
  •  28th Feb 25

Mirena IUD  

If you are considering the hormonal IUD route, I highly encourage you to read this! I primarily chose to switch over to the Mirena due to the weight gain I experienced while on the pill. To preface, I never had any issues with vaginal dryness prior to the switch. Following the insertion, I have been almost completely unable to get wet. As I stated before, this was never a problem for me regardless of arousal. It has been over a year, and without using an external lubricant, I physically cannot have sex due to the severity of this issue. It can be humiliating if the person i’m getting with isn’t aware of the causation. Just wanted to make it known, because it’s impacted my life pretty significantly.


Somewhat positive mood

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  2 days ago

Mirena IUD  

I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.


Worse skin

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
27 years old
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

My first IUD placement (Mirena) was without numbing shots, and it really was quite painful. The immediate pain lasted only a few seconds, but I had hot flashes for a few minutes afterwards. The next week, I got the heaviest period of my life, followed by about 4 months of light bleeding. After that, I lost my period completely for about 3 years, and then very light and irregular periods until I had it replaced. My period used to cause painful acne and very frustrating mood swings, which I was quite happy to go without. I did have some discomfort during sex, but only with larger partners and only in certain positions. My second IUD was the Kyleena. I did have numbing shots for the placement, and it was much more comfortable - similar to getting a pap smear. My period has gone away again, and I haven't noticed any pain during sex (Kyleena is a little smaller). My only real concern about the IUD is that if I were to become pregnant while the IUD is in place, it is very likely to be ectopic. I do take a pregnancy test every couple of months, so if it does happen I can get the care I need. I live in a state with very good and safe abortion care, so I would be able to get help right away, but it's still something to keep in mind. All that being said, I would 100% recommend an IUD. I have been nearly period-free since 2018, which is well worth the pain of insertion. I really appreciate being able to avoid the acne, pain, and mood swings I used to get with my period, and I really really appreciate that I have an incredibly effective form of birth control that I only have to think about once every 8 years. I love my IUD so much, and I am probably going to use IUDs as my primary form of birth control for the rest of my life.


Very positive mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 12 - 18 mo
17 years old
🇺🇸 US
  •  28th Feb 25

Mirena IUD  

If you are considering the hormonal IUD route, I highly encourage you to read this! I primarily chose to switch over to the Mirena due to the weight gain I experienced while on the pill. To preface, I never had any issues with vaginal dryness prior to the switch. Following the insertion, I have been almost completely unable to get wet. As I stated before, this was never a problem for me regardless of arousal. It has been over a year, and without using an external lubricant, I physically cannot have sex due to the severity of this issue. It can be humiliating if the person i’m getting with isn’t aware of the causation. Just wanted to make it known, because it’s impacted my life pretty significantly.


Somewhat positive mood

0 helpful

0 comments


Contraceptive gel reviews

4 reviews

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 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

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