Hormonal IUD vs Natural family planning
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
Natural family planning ingredients
What Lowdown reviewers say
42% no impact on mood
51% stopped periods
42% no impact
51% no impact
40% no impact on skin
50% in 1 month
29% no impact on mood
69% stopped periods
55% lost sex drive
48% gained weight
58% no impact on skin
38% don’t know impact
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
45 reviews
Used for 5 - 8 yr
27 years old
🇺🇸 US
• 4 days ago
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
Used for 12 - 18 mo
17 years old
🇺🇸 US
• 1 month ago
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
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
• 5th Jan 25
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
Used for 5 - 8 yr
27 years old
🇺🇸 US
• 4 days ago
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
Used for 12 - 18 mo
17 years old
🇺🇸 US
• 1 month ago
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
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
• 5th Jan 25
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
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
• 1 day ago
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 28th Dec 23
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
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
• 25th Jul 23
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
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
• 1 day ago
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 28th Dec 23
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
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
• 25th Jul 23
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
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
• 21st Jul 23
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
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 19th Jul 23
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
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