Contraception Reviews

Hormonal IUD vs Mini pill

Hormonal IUD

Want to switch birth control?

Mini pill

Want to switch birth control?

Overview

Rated 3.6

63 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.4

30 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

Mood

41% 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

33% no impact on mood

Bleeds

37% stopped periods

Sex drive

40% no impact

Weight

47% no impact

Skin

37% no impact on skin

Cycle return

67% don’t know impact

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Period pain

Heavy menstrual bleeding

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Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

63 reviews

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  3 weeks ago

Kyleena IUD  

Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous

Read more

Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  22nd Jul 25

Mirena IUD  

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.


Somewhat positive mood

2 more effects

0 helpful

1 comments

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  13th Jul 25

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 3 - 6 mo
20 years old
🇺🇸 US
  •  3 weeks ago

Kyleena IUD  

Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  22nd Jul 25

Mirena IUD  

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.


Somewhat positive mood

2 more effects

0 helpful

1 comments

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  13th Jul 25

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


Mini pill reviews

30 reviews

Mini pill  
Used for 3 - 6 mo
28 years old
🇺🇸 US
  •  2 weeks ago

Slynd birth control pill  

i was on the traditional mini pill for almost a year before switching to slynd. slynd fixed all of the issues I had on the other POP. I did not have breakthrough bleeding, irregular periods or a depressed mood with Slynd. it was a major win-at first. I suddenly noticed I was gaining weight, by month two on slynd I had gained 3-4 pounds, and by the time I quit in month 5 I had gained 11 pounds. 11 pounds in 5 months is insane! I did not change my eating or workouts, so I believe it really was this pill.


Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
37 years old
🇺🇸 US
  •  2 weeks ago

Slynd birth control pill  

I am on Slynd for heavy period and clotting. It stopped the heaviness and clotting. I do have some dryness in my mouth and apparently my vagina. It may have contributed to acne but not sure.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  26th May 25

Mini pill  

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

Mini pill  
Used for 3 - 6 mo
28 years old
🇺🇸 US
  •  2 weeks ago

Slynd birth control pill  

i was on the traditional mini pill for almost a year before switching to slynd. slynd fixed all of the issues I had on the other POP. I did not have breakthrough bleeding, irregular periods or a depressed mood with Slynd. it was a major win-at first. I suddenly noticed I was gaining weight, by month two on slynd I had gained 3-4 pounds, and by the time I quit in month 5 I had gained 11 pounds. 11 pounds in 5 months is insane! I did not change my eating or workouts, so I believe it really was this pill.


Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
37 years old
🇺🇸 US
  •  2 weeks ago

Slynd birth control pill  

I am on Slynd for heavy period and clotting. It stopped the heaviness and clotting. I do have some dryness in my mouth and apparently my vagina. It may have contributed to acne but not sure.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  26th May 25

Mini pill  

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

Mini pill  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  21st Apr 25

Mini pill  

Best bc pill experience I've had


Worse skin

1 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  16th Apr 25

Slynd birth control pill  

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

Mini pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  31st Mar 25

Slynd birth control pill  

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

Mini pill  
Used for 6 - 12 mo
27 years old
🇺🇸 US
  •  21st Feb 25

Slynd birth control pill  

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

Mini pill  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  15th Feb 25

Slynd birth control pill  

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

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  31st Dec 24

Slynd birth control pill  

N/A


Top side effects not reported

0 helpful

0 comments

Mini pill  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  29th Dec 24

Slynd birth control pill  

My experience thus far has been great with minor concerns for acne.


Worse skin

0 helpful

0 comments

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