Contraception Reviews

Hormonal IUD vs Natural family planning

Hormonal IUD

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Natural family planning

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Overview

Rated 3.6

45 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.0

5 reviews

Daily

Frequency

77% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

Natural family planning ingredients

Fertility awareness methods is an umbrella term for a method of birth control that works by being able to identify when in the menstrual cycle you are fertile through a range of factors.

What Lowdown reviewers say

Mood

42% no impact on mood

Bleeds

51% stopped periods

Sex drive

42% no impact

Weight

51% no impact

Skin

40% no impact on skin

Cycle return

50% in 1 month

Mood

29% no impact on mood

Bleeds

69% stopped periods

Sex drive

55% lost sex drive

Weight

48% gained weight

Skin

58% no impact on skin

Cycle return

38% don’t know impact

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

45 reviews

Hormonal IUD  
Used for 5 - 8 yr
27 years old
🇺🇸 US
  •  4 days ago

Mirena IUD  

My first IUD placement (Mirena) was without numbing shots, and it really was quite painful. The immediate pain lasted only a few seconds, but I had hot flashes for a few minutes afterwards. The next week, I got the heaviest period of my life, followed by about 4 months of light bleeding. After that, I lost my period completely for about 3 years, and then very light and irregular periods until I had it replaced. My period used to cause painful acne and very frustrating mood swings, which I was quite happy to go without. I did have some discomfort during sex, but only with larger partners and only in certain positions. My second IUD was the Kyleena. I did have numbing shots for the placement, and it was much more comfortable - similar to getting a pap smear. My period has gone away again, and I haven't noticed any pain during sex (Kyleena is a little smaller). My only real concern about the IUD is that if I were to become pregnant while the IUD is in place, it is very likely to be ectopic. I do take a pregnancy test every couple of months, so if it does happen I can get the care I need. I live in a state with very good and safe abortion care, so I would be able to get help right away, but it's still something to keep in mind. All that being said, I would 100% recommend an IUD. I have been nearly period-free since 2018, which is well worth the pain of insertion. I really appreciate being able to avoid the acne, pain, and mood swings I used to get with my period, and I really really appreciate that I have an incredibly effective form of birth control that I only have to think about once every 8 years. I love my IUD so much, and I am probably going to use IUDs as my primary form of birth control for the rest of my life.

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 12 - 18 mo
17 years old
🇺🇸 US
  •  1 month 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 5 - 8 yr
27 years old
🇺🇸 US
  •  4 days ago

Mirena IUD  

My first IUD placement (Mirena) was without numbing shots, and it really was quite painful. The immediate pain lasted only a few seconds, but I had hot flashes for a few minutes afterwards. The next week, I got the heaviest period of my life, followed by about 4 months of light bleeding. After that, I lost my period completely for about 3 years, and then very light and irregular periods until I had it replaced. My period used to cause painful acne and very frustrating mood swings, which I was quite happy to go without. I did have some discomfort during sex, but only with larger partners and only in certain positions. My second IUD was the Kyleena. I did have numbing shots for the placement, and it was much more comfortable - similar to getting a pap smear. My period has gone away again, and I haven't noticed any pain during sex (Kyleena is a little smaller). My only real concern about the IUD is that if I were to become pregnant while the IUD is in place, it is very likely to be ectopic. I do take a pregnancy test every couple of months, so if it does happen I can get the care I need. I live in a state with very good and safe abortion care, so I would be able to get help right away, but it's still something to keep in mind. All that being said, I would 100% recommend an IUD. I have been nearly period-free since 2018, which is well worth the pain of insertion. I really appreciate being able to avoid the acne, pain, and mood swings I used to get with my period, and I really really appreciate that I have an incredibly effective form of birth control that I only have to think about once every 8 years. I love my IUD so much, and I am probably going to use IUDs as my primary form of birth control for the rest of my life.


Very positive mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 12 - 18 mo
17 years old
🇺🇸 US
  •  1 month 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


Natural family planning reviews

5 reviews

Natural family planning  
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
  •  1 day ago

Breastfeeding (Lactational Amenorrhoea Method or LAM)  

So Great


Very positive mood

1 more effect

0 helpful

0 comments

Natural family planning  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  28th Dec 23

Natural Cycles App  

Overall, I felt that this was a safer option. I only switched to the mini pill in an effort to get a handle on my PCOS pelvic pain.


Top side effects not reported

1 helpful

0 comments

Natural family planning  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  25th Jul 23

Natural Cycles App  

I was previously on the contraceptive pill, and as soon as i came off it i was immediately more in tune with my body, could feel the sex drive boost around ovulation etc and lost the weight the pill had put on me.


Very positive mood

2 more effects

0 helpful

0 comments

Natural family planning  
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
  •  1 day ago

Breastfeeding (Lactational Amenorrhoea Method or LAM)  

So Great


Very positive mood

1 more effect

0 helpful

0 comments

Natural family planning  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  28th Dec 23

Natural Cycles App  

Overall, I felt that this was a safer option. I only switched to the mini pill in an effort to get a handle on my PCOS pelvic pain.


Top side effects not reported

1 helpful

0 comments

Natural family planning  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  25th Jul 23

Natural Cycles App  

I was previously on the contraceptive pill, and as soon as i came off it i was immediately more in tune with my body, could feel the sex drive boost around ovulation etc and lost the weight the pill had put on me.


Very positive mood

2 more effects

0 helpful

0 comments

Natural family planning  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  21st Jul 23

Natural Cycles App  

I feel like I've gotten to know my body! I really like the partner view so my husband knows when I'm fertile and won't try to initiate sex. After a terrible experience with hormonal birth control, this makes me feel in control and it has taught me so much!


Top side effects not reported

0 helpful

0 comments

Natural family planning  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  19th Jul 23

Symptothermal method  

Never been this in tune with my body before! It is wonderful to see how my hormonal cycle affects different areas in my life and be able to live in alignment with this! It's great to know I'm not having to put up with any side effects on birth control and that my partner and I can share the responsibility. I also love knowing when to expect my period. Highly recommend!


Top side effects not reported

0 helpful

0 comments

Birth control alternatives and comparisons

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