Contraception Reviews

Hormonal IUD vs Copper IUD

Hormonal IUD

Want to switch birth control?

Copper IUD

Want to switch birth control?

Overview

Rated 3.6

44 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.6

17 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

50% stopped periods

Sex drive

43% no impact

Weight

50% no impact

Skin

41% no impact on skin

Cycle return

50% in 1 month

Mood

41% no impact on mood

Bleeds

71% heavier periods

Sex drive

59% no impact

Weight

77% no impact

Skin

77% 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

44 reviews

Hormonal IUD  
Used for 12 - 18 mo
17 years old
🇺🇸 US
  •  2 weeks ago

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.

Read more

Somewhat positive mood

0 helpful

0 comments

Hormonal IUD  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  5th Jan 25

Mirena IUD  

I took this for endometriosis and it dialed my pain and symptoms down from a 9 to a 2-3, for a whole year. Unfortunately after a year I felt the pain begin to creep back in, a little more intense every month after that year mark, so I decided to pursue excision surgery as a more permanent solution. If you’re not ready for surgery but want endo relief, definitely encourage you to give Mirena a try!


Improved skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
46 years old
🇺🇸 US
  •  4th Jan 25

Kyleena IUD  

I just had it inserted yesterday.


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 12 - 18 mo
17 years old
🇺🇸 US
  •  2 weeks ago

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 12 - 18 mo
Lowdown user
🇺🇸 US
  •  5th Jan 25

Mirena IUD  

I took this for endometriosis and it dialed my pain and symptoms down from a 9 to a 2-3, for a whole year. Unfortunately after a year I felt the pain begin to creep back in, a little more intense every month after that year mark, so I decided to pursue excision surgery as a more permanent solution. If you’re not ready for surgery but want endo relief, definitely encourage you to give Mirena a try!


Improved skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
46 years old
🇺🇸 US
  •  4th Jan 25

Kyleena IUD  

I just had it inserted yesterday.


Top side effects not reported

0 helpful

0 comments


Copper IUD reviews

17 reviews

Copper IUD  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  3 weeks ago

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 3 - 5 yr
Lowdown user
🇺🇸 US
  •  3 weeks ago

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

Copper IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  30th Jul 24

Paragard IUD  

This was super painful to implant and more pain each month I used it during my period-longer and heavier as well as cramping and spotting each month at ovulation. Eventually I had the device removed and I started taking a birth control pill to regulate my hormones in hopes of lowering instance of migraines due to hormonal fluctuations. Now on a pill designed to prevent hormonal migraines, I realize that during my IUD years I had much less frequent migraines so perhaps there is no correlation between my migraines and birth control.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  30th May 24

Paragard IUD  

I had Paraguard for almost 7 years. When it was first inserted (insanely painful) I was told it would last for 12 years, however it fell out recently. Only half fell out, as one arm broke off and I was recommended to have a hysteroscopy under full anesthesia to remove the missing part. Luckily it came out on its own and I didn’t require the operation but it was a terrifying experience. Throughout the past 7 years the only issues I had was very heavy periods and severe cramps (including sharp pain when going to the bathroom). Other than that, it was great for me and nice to have regular periods.


Top side effects not reported

0 helpful

1 comments

Copper IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  19th Mar 24

Paragard IUD  

I've never used any forms of birth control before, so I don't know what to compare it to other than being normal and not on birth control. Insertion was uncomfortable but not very painful, and I had pain in my cervix and spotting for about a week afterward. My body adjusted very quickly and I had normally spaced periods right after. The most noticeable difference is that my period is lighter and longer. My sex drive noticeably decreased, and my emotions are dampened/numbed. I forget that I even have it 99% of the time, as I don't notice it in my daily life. If all you're looking for is plain and simple low-maintenance birth control, this is it.


Worse skin

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  17th Dec 23

Paragard IUD  

Cramping is significantly worse than before I had the IUD. Periods have lasted about 3 weeks when they used to only last 5-7 days. After the IUD was inserted, I ended up having 3 UTIs and cervicitis.


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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