Hormonal IUD vs Mini pill
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
Mini pill ingredients
Main hormones in Mini pill
progestin
What Lowdown reviewers say
43% no impact on mood
43% stopped periods
43% no impact
50% no impact
42% no impact on skin
50% in 1 month
32% no impact on mood
36% stopped periods
43% no impact
50% no impact
39% no impact on skin
60% don’t know impact
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
60 reviews
Used for 18 mo - 3 yr
26 years old
🇺🇸 US
• 2 days ago
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
Used for 1 - 3 mo
15 years old
🇺🇸 US
• 4 days ago
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
Used for 1 - 3 mo
23 years old
🇺🇸 US
• 4 days ago
Honestly, the Mirena in my opinion isn’t bad at all. I have increased migraines but with OTC pain meds like Tylenol or ibuprofen, it helps a lot! I highly recommend this IUD just for the fact that it did lighten my period and lessen the cramps BUT I will add, it’s been continuous spotting since I’ve gotten it which isn’t a huge deal, just very annoying. Then I don’t know about yall, but the sweating…and over heating is crazy. This 4th of July I had to be taken by ambulance to the ER because I overheated so bad I passed out for over two hours, completely unresponsive BUT good vitals. I’m a very healthy 23 year old so that was completely unusual for me, I live in the Midwest so the heat can be a killer but it’s never EVER made me pass out or even dizzy, let alone unresponsive. So following with that, I wouldn’t say it’s a bad IUD, minus all the inconveniences. I haven’t gotten pregnant at least! Oh and to add, my sex drive is annoying my partner, he threatened to give me an ice bath last night to be exact😅
Increased sex drive
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇺🇸 US
• 2 days ago
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
Used for 1 - 3 mo
15 years old
🇺🇸 US
• 4 days ago
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
Used for 1 - 3 mo
23 years old
🇺🇸 US
• 4 days ago
Honestly, the Mirena in my opinion isn’t bad at all. I have increased migraines but with OTC pain meds like Tylenol or ibuprofen, it helps a lot! I highly recommend this IUD just for the fact that it did lighten my period and lessen the cramps BUT I will add, it’s been continuous spotting since I’ve gotten it which isn’t a huge deal, just very annoying. Then I don’t know about yall, but the sweating…and over heating is crazy. This 4th of July I had to be taken by ambulance to the ER because I overheated so bad I passed out for over two hours, completely unresponsive BUT good vitals. I’m a very healthy 23 year old so that was completely unusual for me, I live in the Midwest so the heat can be a killer but it’s never EVER made me pass out or even dizzy, let alone unresponsive. So following with that, I wouldn’t say it’s a bad IUD, minus all the inconveniences. I haven’t gotten pregnant at least! Oh and to add, my sex drive is annoying my partner, he threatened to give me an ice bath last night to be exact😅
Increased sex drive
1 more effect
0 helpful
0 comments
Mini pill reviews
28 reviews
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 26th May 25
I lost so much hair. I’m done using this. My periods are more painful, I’m so tired now
Improved skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 16th Apr 25
Really love it! I can skip my periods, don't experience migraines and my acne cleared up!
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 26th May 25
I lost so much hair. I’m done using this. My periods are more painful, I’m so tired now
Improved skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 16th Apr 25
Really love it! I can skip my periods, don't experience migraines and my acne cleared up!
Improved skin
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
22 years old
🇺🇸 US
• 31st Mar 25
I gained 30 pounds after starting this birth control. Could not figure out what was going on with my body until I found a reddit thread where other people were experiencing the same.
Worse skin
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
27 years old
🇺🇸 US
• 21st Feb 25
I’m hoping it gets better. Switched from Errin to Slynd 6 months ago. Hair loss stopped. Acne got better. Those were an immediate win. Month 1 - bled for 1 week. Month 2 - bled for 3 weeks. Month 3 - bled for 2.5 weeks. Month 4 - bled for 2 weeks. Month 5 - bled for 1.5 weeks. Month 6 - bled for 1 week. I naturally have a short cycle, and in the process of trying to force my cycle into a 30 day cadence, I’ve gotten 1-2 days per month of severe headaches before my period (thought my head would blow off without Tylenol) and minor dull headaches for ~1 week before each period. The headaches didn’t happen with Errin - but they are happening with Slynd (and also happened a few year back when I took the combo pill).
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇺🇸 US
• 15th Feb 25
It does what it needs to do, pregnancy prevention. Intense emotional fluctuations following the “usual” postpartum journey is definitely a downside
Very negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 31st Dec 24
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
33 years old
🇺🇸 US
• 29th Dec 24
My experience thus far has been great with minor concerns for acne.
Worse skin
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 19th Nov 24
started taking it about a week and a half ago. i missed a day on sunday, so i took two on monday. today is tuesday and im having terrible cramps. other than that, emotionally its better than the combination pill.
Worse skin
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
• 2nd Nov 24
This pill improved my sex drive which had been very reduced by the combination pill. It allowed me to put on more muscle too! The weight gain was mostly muscle, which I was so happy about. It was just hard to take the same exact time everyday.
Somewhat positive mood
3 more effects
0 helpful
0 comments
Popular birth control
Combination pillImplantShotThe legal stuff
Terms of usePrivacy & cookieContent policy©The Lowdown 2025