Contraception Reviews

Hormonal IUD vs Contraceptive gel

Hormonal IUD

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Contraceptive gel

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Overview

Rated 3.7

53 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

42% no impact on mood

Bleeds

47% stopped periods

Sex drive

45% no impact

Weight

49% no impact

Skin

40% 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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Try it now

Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

53 reviews

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

Mirena IUD  

Best decision ever made!

Read more

Top side effects not reported

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label to me after suffering from ridiculously heavy periods in my teens. I used to bleed 200mls+ on some periods and even Tranexamic acid didn’t help. This IUD has been an absolute life-saver and my periods are so much lighter. I will admit I have experienced some side effects - I used to have clear skin 95% of the time, however since the IUD I permanently have 1 or 2 pimples around my jawline which can be quite annoying. My periods are often very long now (7-11 days) despite being light which also gets frustrating. Those are the two main side effects I’ve experienced, but overall it’s been a positive experience.


Worse skin

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label for my heavy menstrual bleeding. I used to bleed sometimes over 200ml per period, even Tranexamic acid didn’t help. This IUD has been a life saver - my periods are so much lighter. Overall it’s been a positive experience. I won’t pretend it doesn’t have other side effects though. My periods are now way longer than they used to be (7-11 days) although not heavy at all. I also had clear skin 95% of the time prior to the IUD but now I permanently have one or two pimples around my jawline which can be pretty annoying.


Worse skin

11 helpful

0 comments

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

Mirena IUD  

Best decision ever made!


Top side effects not reported

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label to me after suffering from ridiculously heavy periods in my teens. I used to bleed 200mls+ on some periods and even Tranexamic acid didn’t help. This IUD has been an absolute life-saver and my periods are so much lighter. I will admit I have experienced some side effects - I used to have clear skin 95% of the time, however since the IUD I permanently have 1 or 2 pimples around my jawline which can be quite annoying. My periods are often very long now (7-11 days) despite being light which also gets frustrating. Those are the two main side effects I’ve experienced, but overall it’s been a positive experience.


Worse skin

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label for my heavy menstrual bleeding. I used to bleed sometimes over 200ml per period, even Tranexamic acid didn’t help. This IUD has been a life saver - my periods are so much lighter. Overall it’s been a positive experience. I won’t pretend it doesn’t have other side effects though. My periods are now way longer than they used to be (7-11 days) although not heavy at all. I also had clear skin 95% of the time prior to the IUD but now I permanently have one or two pimples around my jawline which can be pretty annoying.


Worse skin

11 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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