Hormonal IUD vs Birth control patch
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
Birth control patch ingredients
Main hormones in Birth control patch
progestin
What Lowdown reviewers say
41% no impact on mood
50% stopped periods
41% no impact
50% no impact
39% no impact on skin
50% in 1 month
67% somewhat negative
50% regular periods
50% no impact
67% don’t know impact
33% improved skin
100% don’t know impact
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
46 reviews
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 2 days ago
I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.
Worse skin
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
27 years old
🇺🇸 US
• 2 weeks 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
• 28th Feb 25
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 3 - 6 mo
20 years old
🇺🇸 US
• 2 days ago
I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.
Worse skin
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
27 years old
🇺🇸 US
• 2 weeks 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
• 28th Feb 25
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
Birth control patch reviews
6 reviews
Used for 1 - 3 mo
19 years old
🇺🇸 US
• 1 day ago
Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 8+ yr
Lowdown user
🇺🇸 US
• 17th Apr 24
I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 7th Apr 24
It’s fine.. maybe. if you’re susceptible to anxiety at all then i don’t recommend. Random crying fits. Had to admit myself to the ER because of my second sudden panic attack since starting. I’ve never dealt with that before. I have only been on the patch for 3 weeks, perhaps the side effects would have subsided if i waited it out but im not willing to risk it.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇺🇸 US
• 1 day ago
Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 8+ yr
Lowdown user
🇺🇸 US
• 17th Apr 24
I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 7th Apr 24
It’s fine.. maybe. if you’re susceptible to anxiety at all then i don’t recommend. Random crying fits. Had to admit myself to the ER because of my second sudden panic attack since starting. I’ve never dealt with that before. I have only been on the patch for 3 weeks, perhaps the side effects would have subsided if i waited it out but im not willing to risk it.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
• 5th Apr 24
The only problem I had using the birth parches was that it gave me an allergy and would turn my skin red and dry. I had to stop using it and switched to the birth control implant which is a way better method.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
• 2nd Jan 24
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
• 24th Oct 23
Patch would not stay on. Caused rashes and skin scarred for weeks.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Popular birth control
Combination pillImplantShotThe legal stuff
Terms of usePrivacy & cookieContent policy©The Lowdown 2025