Contraception Reviews

Hormonal IUD vs Copper IUD

Hormonal IUD

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Copper IUD

Want to switch birth control?

Overview

Rated 3.7

61 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.3

21 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

Copper IUD ingredients

Copper coils are made of a T-shaped frame of polyethylene (plastic) and barium sulphate. Copper wire is wound around the vertical arm.

What Lowdown reviewers say

Mood

43% no impact on mood

Bleeds

43% stopped periods

Sex drive

43% no impact

Weight

49% no impact

Skin

43% no impact on skin

Cycle return

50% in 1 month

Mood

38% no impact on mood

Bleeds

71% heavier periods

Sex drive

62% no impact

Weight

67% no impact

Skin

71% no impact on skin

Cycle return

33% in 1 month

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

61 reviews

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

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!

Read more

Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Kyleena IUD  

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain


Very negative mood

0 helpful

0 comments

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

Mirena IUD  

So far I've had this for about a month and some change and I love it! Made my period significantly less painful this time around ❤️


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

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

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

Kyleena IUD  

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain


Very negative mood

0 helpful

0 comments

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

Mirena IUD  

So far I've had this for about a month and some change and I love it! Made my period significantly less painful this time around ❤️


Decreased sex drive

0 helpful

0 comments


Copper IUD reviews

21 reviews

Copper IUD  
Used for 6 - 12 mo
29 years old
🇺🇸 US
  •  5 days ago

Paragard IUD  

I have had the Paraguard IUD for 7 months, it is effective but there are still many side effects that I feel may not be explained upfront. I experience cramps so much worse, a few days of the month the pain magnitude is so bad it affects my normal functioning and focus. I have experienced late appendicitis pain and these cramps are consistently quite a bit worse. I also developed pre-menstrual cramps a week before menstruation, which are also quite bad. Aside from this, I developed some acne around my chin and jaw that I did not have issues with before. The cramps have not gotten any better in the 7 months I have had it since insertion.


Worse skin

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
28 years old
🇺🇸 US
  •  2 weeks ago

Paragard IUD  

Painful insertion. Worst period of my life the month after insertion. Puked 3 times and lightheaded due to how much i was bleeding. Overly emotional, cramping, exhausted, and nauseous but hey my acne is better after switching from nexplanon to copper iud.


Very negative mood

2 more effects

0 helpful

0 comments

Copper IUD  
Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  30th Apr 25

Copper IUD  

My Periods are very strong and I sometimes have to change my pad every 30minutes


Very negative mood

11 helpful

0 comments

Copper IUD  
Used for 6 - 12 mo
29 years old
🇺🇸 US
  •  5 days ago

Paragard IUD  

I have had the Paraguard IUD for 7 months, it is effective but there are still many side effects that I feel may not be explained upfront. I experience cramps so much worse, a few days of the month the pain magnitude is so bad it affects my normal functioning and focus. I have experienced late appendicitis pain and these cramps are consistently quite a bit worse. I also developed pre-menstrual cramps a week before menstruation, which are also quite bad. Aside from this, I developed some acne around my chin and jaw that I did not have issues with before. The cramps have not gotten any better in the 7 months I have had it since insertion.


Worse skin

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
28 years old
🇺🇸 US
  •  2 weeks ago

Paragard IUD  

Painful insertion. Worst period of my life the month after insertion. Puked 3 times and lightheaded due to how much i was bleeding. Overly emotional, cramping, exhausted, and nauseous but hey my acne is better after switching from nexplanon to copper iud.


Very negative mood

2 more effects

0 helpful

0 comments

Copper IUD  
Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  30th Apr 25

Copper IUD  

My Periods are very strong and I sometimes have to change my pad every 30minutes


Very negative mood

11 helpful

0 comments

Copper IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  23rd Mar 25

Copper IUD  

Weight gain


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  20th Feb 25

Copper IUD  

This birth control contributed to me getting BV and frequent yeast infections AND it was placed way too low and cause sex to be painful and my IUD was oxidizing inside of me and when I got it out, the IUD was literally falling apart I would not recommend this birth control


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
18 years old
🇺🇸 US
  •  22nd Dec 24

Paragard IUD  

Good


Worse skin

3 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  26th Nov 24

Copper IUD  

The insertion was unbelievably painful and I will not be getting it put back in after three months. 2 days in I nearly went back to get it taken out but decided to push through. The pain subsided however I occasionally get the most awful pains randomly which will last 3+ days sporadically with no period to go with it.


Top side effects not reported

2 helpful

0 comments

Copper IUD  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  3rd Oct 24

Paragard IUD  

I’ve had it for over a year, I’m happy with it since it’s been effective in preventing pregnancy but I’ve all the sudden been getting weird side effects and hormone imbalances and bloating.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  2nd Aug 24

Paragard IUD  

I love the copper IUD as I was looking for a non hormonal way of birth control. Besides the heavy bleeding and intense cramps during my period, it’s great!


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
  •  31st Jul 24

Paragard IUD  

I wanted the copper IUD because it was non-hormonal and my DR said the only real side effect was worse periods (which she said would be fine for me because my periods are were not too bad in the first place. Insertion was not as painful as I thought it would be. Periods have become extremely painful and mood has definitely suffered


Somewhat negative mood

1 more effect

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Hormonal IUD with other birth control

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