Contraception Reviews

Hormonal IUD vs Copper IUD

Hormonal IUD

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Copper IUD

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Overview

Rated 3.6

77 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.4

24 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

40% no impact on mood

Bleeds

44% stopped periods

Sex drive

42% no impact

Weight

48% 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

58% no impact

Weight

71% no impact

Skin

71% no impact on skin

Cycle return

43% 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

77 reviews

Hormonal IUD  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  2 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.

Read more

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 5 - 8 yr
41 years old
🇺🇸 US
  •  3 weeks ago

Mirena IUD  

Absolutely loved my Mirena IUDs (I've had 3) compared to the other forms of birth control I've used. I did develop irritable bowel and didn't realize it was because of the IUD until I removed it and it went away (my doctor's also never suspected the IUD so I spent a lot of money and time with specialists only to find out it's a listed side effect in the insert). I've also had a steep decrease in migraines since removing my IUD, but besides the migraines and IBS, it was great!


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  2 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 5 - 8 yr
41 years old
🇺🇸 US
  •  3 weeks ago

Mirena IUD  

Absolutely loved my Mirena IUDs (I've had 3) compared to the other forms of birth control I've used. I did develop irritable bowel and didn't realize it was because of the IUD until I removed it and it went away (my doctor's also never suspected the IUD so I spent a lot of money and time with specialists only to find out it's a listed side effect in the insert). I've also had a steep decrease in migraines since removing my IUD, but besides the migraines and IBS, it was great!


Worse skin

0 helpful

0 comments


Copper IUD reviews

24 reviews

Copper IUD  
Used for 1 - 3 mo
24 years old
🇺🇸 US
  •  29th Jan 26

Paragard IUD  

So, I’ve had this IUD placed twice. The first time, I had an expulsion and had no clue. Didn’t feel anything. Went for a follow up and she said it was hanging out, to my surprise. I have had it placed again and so far so good. No pain on insertion either time since my provider used Lidocaine. The only issue I find is that my sex drive basically disappears for some reason. Other than that, no complaints.


Decreased sex drive

0 helpful

0 comments

Copper IUD  
Used for 3 - 5 yr
46 years old
🇺🇸 US
  •  6th Jan 26

Paragard IUD  

It worked and I didn’t have to worry. Only issue was my periods were soooooo heavy it made me severely anemic. After about 3-4 years I had to take it out and my periods were lighter and my anemia got better


Somewhat negative mood

0 helpful

0 comments

Copper IUD  
Used for 5 - 8 yr
47 years old
🇺🇸 US
  •  6th Aug 25

Paragard IUD  

Cooper IUD is very effective for me, i experienced a lot of virginal discharge at first, then reduced after some years and then it increased again sometimes thick and yellow though at checking, I don't have any infection. I have also stopped periods in the last few months, may be it is menopause since I am 48.


Very positive mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
24 years old
🇺🇸 US
  •  29th Jan 26

Paragard IUD  

So, I’ve had this IUD placed twice. The first time, I had an expulsion and had no clue. Didn’t feel anything. Went for a follow up and she said it was hanging out, to my surprise. I have had it placed again and so far so good. No pain on insertion either time since my provider used Lidocaine. The only issue I find is that my sex drive basically disappears for some reason. Other than that, no complaints.


Decreased sex drive

0 helpful

0 comments

Copper IUD  
Used for 3 - 5 yr
46 years old
🇺🇸 US
  •  6th Jan 26

Paragard IUD  

It worked and I didn’t have to worry. Only issue was my periods were soooooo heavy it made me severely anemic. After about 3-4 years I had to take it out and my periods were lighter and my anemia got better


Somewhat negative mood

0 helpful

0 comments

Copper IUD  
Used for 5 - 8 yr
47 years old
🇺🇸 US
  •  6th Aug 25

Paragard IUD  

Cooper IUD is very effective for me, i experienced a lot of virginal discharge at first, then reduced after some years and then it increased again sometimes thick and yellow though at checking, I don't have any infection. I have also stopped periods in the last few months, may be it is menopause since I am 48.


Very positive mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 6 - 12 mo
29 years old
🇺🇸 US
  •  17th Jul 25

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
  •  14th Jul 25

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

Birth control alternatives and comparisons

Compare the Hormonal IUD with other birth control

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