Contraception Reviews

Hormonal IUD vs Mini pill

Hormonal IUD

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Mini pill

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Overview

Rated 3.7

32 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

9 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin


Mini pill ingredients

Main hormones in Mini pill

progestin

What Lowdown reviewers say

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Period pain

Heavy menstrual bleeding

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Real life reviews from people like you

Hormonal IUD reviews

32 reviews

Used for 8+ yr
27 years old
🇺🇸 US
  •  1 week ago

  •  Stopped using

I got my first Mirena when I was 17. I would describe the insertion process as uncomfortable but not painful. I did have a vagal response (came close to passing out) right after, but it didn't last long, I just needed to sit for a minute. I experienced very light cramping for about 4-6 days afterwards. I did lose some weight that year that may have been attributed to the birth control, I went from 120lbs to 100lbs (there were no other pressing reasons for the quick change in my weight other than the BC, perhaps stress as it was my senior year of high school). At the time, the Mirena was thought to be effective for five years, so I had it removed and replaced with another Mirena when I was 22. The removal and reinsertion was more uncomfortable than the initial insertion, but totally manageable in my experience. Overall, I did not experience many hormonal side effects that I noticed. I pretty much stopped menstruating after the first few months of having it, aside from very occasional, very light spotting. I would sometimes experience symptoms of PMS without the bleeding (a little fatigue, some mood changes). I did develop some cystic acne in the first 1-3 years of being on my second IUD, but it was truly not much and never lasted long. My favorite part of this method is how effective and easy to use it is. I was truly never concerned about pregnancy from 17-27 which allowed for a lot of freedom in terms of my sex life. In my long term relationship, we do not use condoms (both have been screened for STIs) and I feel completely safe and comfortable with my partner not pulling out (I know that's a personal detail but I what to emphasize that that's how effective it truly is in my experience). I did recently decide to remove my hormonal IUD and replace it with the non-hormonal IUD. My Mirena still had at least 2 years left in it, but since I had not had a period or had gone through that natural, hormonal process in 10 years, I wanted to give my body a break from hormonal birth control to develop that relationship with my body. If I did not have the option/privilege to change methods, I would have 100% kept my Mirena until it expired, and probably got a third one.

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Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
46 years old
🇺🇸 US
  •  2 weeks ago

  •  Still using

Love the Mirena!


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  1 month ago

  •  Stopped using

This caused pain/vomiting/inability to sleep for 3 months after insertion. I was promised it would improve, and told to just keep giving it time. Severe menstrual cramps continued the whole 2 years that I had this. Doctors promised many times over the 2 years that my symptoms were normal and/or not due to the IUD(both incorrect). Around the 9 month mark I began to develop progesterone hypersensitivity autoimmune disease. This continued to progress until I removed it. This new condition landed me in the ER multiple times due to anaphylaxis: asthma, heart palpitations, high BP, frequent fainting, extreme rashes etc. I had to quit my job because I was not functional on any level. Luckily I eventually figured it out.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
27 years old
🇺🇸 US
  •  1 week ago

  •  Stopped using

I got my first Mirena when I was 17. I would describe the insertion process as uncomfortable but not painful. I did have a vagal response (came close to passing out) right after, but it didn't last long, I just needed to sit for a minute. I experienced very light cramping for about 4-6 days afterwards. I did lose some weight that year that may have been attributed to the birth control, I went from 120lbs to 100lbs (there were no other pressing reasons for the quick change in my weight other than the BC, perhaps stress as it was my senior year of high school). At the time, the Mirena was thought to be effective for five years, so I had it removed and replaced with another Mirena when I was 22. The removal and reinsertion was more uncomfortable than the initial insertion, but totally manageable in my experience. Overall, I did not experience many hormonal side effects that I noticed. I pretty much stopped menstruating after the first few months of having it, aside from very occasional, very light spotting. I would sometimes experience symptoms of PMS without the bleeding (a little fatigue, some mood changes). I did develop some cystic acne in the first 1-3 years of being on my second IUD, but it was truly not much and never lasted long. My favorite part of this method is how effective and easy to use it is. I was truly never concerned about pregnancy from 17-27 which allowed for a lot of freedom in terms of my sex life. In my long term relationship, we do not use condoms (both have been screened for STIs) and I feel completely safe and comfortable with my partner not pulling out (I know that's a personal detail but I what to emphasize that that's how effective it truly is in my experience). I did recently decide to remove my hormonal IUD and replace it with the non-hormonal IUD. My Mirena still had at least 2 years left in it, but since I had not had a period or had gone through that natural, hormonal process in 10 years, I wanted to give my body a break from hormonal birth control to develop that relationship with my body. If I did not have the option/privilege to change methods, I would have 100% kept my Mirena until it expired, and probably got a third one.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
46 years old
🇺🇸 US
  •  2 weeks ago

  •  Still using

Love the Mirena!


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  1 month ago

  •  Stopped using

This caused pain/vomiting/inability to sleep for 3 months after insertion. I was promised it would improve, and told to just keep giving it time. Severe menstrual cramps continued the whole 2 years that I had this. Doctors promised many times over the 2 years that my symptoms were normal and/or not due to the IUD(both incorrect). Around the 9 month mark I began to develop progesterone hypersensitivity autoimmune disease. This continued to progress until I removed it. This new condition landed me in the ER multiple times due to anaphylaxis: asthma, heart palpitations, high BP, frequent fainting, extreme rashes etc. I had to quit my job because I was not functional on any level. Luckily I eventually figured it out.


Top side effects not reported

0 helpful

0 comments


Mini pill reviews

9 reviews

Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  4 days ago

  •  Stopped using

When I started take this pill 3 weeks in I noticed my hair falling out I took it almost 2 months iv been off of it 3 weeks and my hair is still falling out when will it stop


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
29 years old
🇺🇸 US
  •  2nd Feb 24

  •  Stopped using

Worked out great until I started losing my hair. Had more ovary pain too.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
29 years old
🇺🇸 US
  •  16th Jan 24

  •  Still using

Some irregular bleeding and headaches in the first few weeks but overall a good experience. This is the first birthcontrol pill that did not give me mood swings and depressive feelings.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  4 days ago

  •  Stopped using

When I started take this pill 3 weeks in I noticed my hair falling out I took it almost 2 months iv been off of it 3 weeks and my hair is still falling out when will it stop


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
29 years old
🇺🇸 US
  •  2nd Feb 24

  •  Stopped using

Worked out great until I started losing my hair. Had more ovary pain too.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
29 years old
🇺🇸 US
  •  16th Jan 24

  •  Still using

Some irregular bleeding and headaches in the first few weeks but overall a good experience. This is the first birthcontrol pill that did not give me mood swings and depressive feelings.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
25 years old
🇺🇸 US
  •  2nd Nov 23

  •  Still using

Chosen due to migraine with aura risk, had hair loss but could be unrelated. I did not bleed for first 3 months, now I do not bleed on the placebo week, but in the third week of a new pack


Top side effects not reported

1 helpful

0 comments

Used for 5 - 8 yr
57 years old
🇺🇸 US
  •  10th Oct 23

  •  Stopped using

I didn't experience any side effects or issues while taking the pill. The hardest thing was remembering to take the pill at the same time every day. And, while I was traveling, I always brought the pill in my purse so I had it if my baggage got lost. My experience with the pill was great- effective and easy.


Top side effects not reported

0 helpful

1 comments

Used for 1 - 3 mo
18 years old
🇺🇸 US
  •  7th Oct 23

  •  Still using

It has improved my period pain a lot but it’s made me extremely irritable and moody and depressed and I’ve been experiencing frequent headaches for 2 months. I am planning to switch off of it for the sake of my mental health.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
42 years old
🇺🇸 US
  •  3rd Oct 23

  •  Still using

This pill has helped me so much with heavy periods. The first month I spotted, then had a quick, light period. The second month was the lightest period I've had in years. The issue I'm having is I have more cramps on it than off, and the biggest issue is that it's making me moody and tense. I love what it's done for my period physically, but I'm snapping at my family much more than I used to. I see the doctor next week. I'm not sure what I'll do yet.


Top side effects not reported

0 helpful

1 comments

Used for 1 - 3 mo
22 years old
🇺🇸 US
  •  4th Sep 23

  •  Still using

I've experienced less pain around my uterus and ovaries, cysts are reduced, my breast are slightly enlarged and tender, my bones (especially hip, knee, and ankle joints) ache and hurt occasionally, mysex drive seems to have increased (I still find my partner very attractive just as before, which based on experiences I've seen others go through was a potential risk).


Top side effects not reported

0 helpful

1 comments

Used for 1 - 3 mo
32 years old
🇺🇸 US
  •  27th Aug 23

  •  Still using

Severe menstrual period and severe cramping I have never felt pain like this in my life and I'm 32 years old.


Top side effects not reported

0 helpful

0 comments

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