Contraception Reviews

Hormonal IUD vs Birth control shot

Hormonal IUD

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Birth control shot

Want to switch birth control?

Overview

Rated 3.6

46 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

23 reviews

Every 2-3 months

Frequency

94% - 99+%

Effectiveness

None

Blood clot risk

Short term

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin


Birth control shot ingredients

Main hormones in Birth control shot

What Lowdown reviewers say

Mood

41% no impact on mood

Bleeds

50% stopped periods

Sex drive

41% no impact

Weight

50% no impact

Skin

39% no impact on skin

Cycle return

50% in 1 month

Mood

39% somewhat negative

Bleeds

39% stopped periods

Sex drive

39% lost sex drive

Weight

52% gained weight

Skin

35% no impact on skin

Cycle return

50% in 3-6 months

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Endometriosis

Heavy periods

Period pain

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Real life reviews from people like you

Hormonal IUD reviews

46 reviews

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

Mirena IUD  

I’ve had it for 6 months and I have my period twice a month and the pain is pretty consistent day to day.

Read more

Worse skin

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
27 years old
🇺🇸 US
  •  6 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 3 - 6 mo
20 years old
🇺🇸 US
  •  1 day ago

Mirena IUD  

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

Hormonal IUD  
Used for 5 - 8 yr
27 years old
🇺🇸 US
  •  6 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


Birth control shot reviews

23 reviews

Birth control shot  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  3 days ago

Depo-Provera shot  

The beginning i bled a lot, 40 plus day periods with few breaks in between. After about a year my periods went away and I only have spotting now. I recently found out I should only be using this form for no more than 2 years but this is my best option. It has been affecting my bones because I experience pain in my knees and hips that I haven't before this birth control. It does control my acne and is reliable which is a plus for me, i haven't experienced weight gain which is a common side effect. I have migraines more often after my shot and leading up to it as well. Overall I don't care for birth control in general and will be looking for other options.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control shot  
Used for 1 - 3 mo
27 years old
🇺🇸 US
  •  24th Feb 25

Depo-Provera shot  

i get non-stop acne


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control shot  
Used for 18 mo - 3 yr
27 years old
🇺🇸 US
  •  21st Feb 25

Depo-Provera shot  

I became depressed and experienced pregnancy symptoms. I had it for a year. Half way through that year is when I realized it was the birth control that was making me feel out of wack. I had a horrible reaction receiving last shot and that was it. I continued using it because I thought my body was suppose to get use to it. I’ve changed a lot since then and not in a positive way.


Very negative mood

1 more effect

1 helpful

0 comments

Birth control shot  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  3 days ago

Depo-Provera shot  

The beginning i bled a lot, 40 plus day periods with few breaks in between. After about a year my periods went away and I only have spotting now. I recently found out I should only be using this form for no more than 2 years but this is my best option. It has been affecting my bones because I experience pain in my knees and hips that I haven't before this birth control. It does control my acne and is reliable which is a plus for me, i haven't experienced weight gain which is a common side effect. I have migraines more often after my shot and leading up to it as well. Overall I don't care for birth control in general and will be looking for other options.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control shot  
Used for 1 - 3 mo
27 years old
🇺🇸 US
  •  24th Feb 25

Depo-Provera shot  

i get non-stop acne


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control shot  
Used for 18 mo - 3 yr
27 years old
🇺🇸 US
  •  21st Feb 25

Depo-Provera shot  

I became depressed and experienced pregnancy symptoms. I had it for a year. Half way through that year is when I realized it was the birth control that was making me feel out of wack. I had a horrible reaction receiving last shot and that was it. I continued using it because I thought my body was suppose to get use to it. I’ve changed a lot since then and not in a positive way.


Very negative mood

1 more effect

1 helpful

0 comments

Birth control shot  
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
  •  2nd Nov 24

Depo-Provera shot  

It's very good but I feel the vagina dryness is a lot


Very positive mood

3 more effects

0 helpful

0 comments

Birth control shot  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  21st Jul 24

Depo-Provera shot  

Have been nonstop throwing up and being nauseous and dizzy, lost a lot of weight from that alone. Have a bad fever and a lot of hot flashes, very uncomfortable and won’t ever do this again. Ever. Ever. Ever again.


Very negative mood

2 more effects

2 helpful

1 comments

Birth control shot  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  19th Jul 24

Depo-Provera shot  

I first started receiving the shot as a teenager (for 2 years) and the only side effect I experienced was no periods, which is what I wanted. I started back on it 5 years ago after trying 2 other types of BC that I did not like. Once again, my periods stopped, but this time I also gained about 30 lbs, my breasts grew, and I suffered from excessive sweating/ hot flashes. The weight gain was no issue to me since I have always been very tall and skinny. Putting on some extra weight was a plus. It was the constant sweating and hot flashes that made me stop taking the shot. I would even sweat from my head and *down there*, which I never used to before. It was very embarrassing and difficult for me to control. I was showering 3-4 times a day in between trying to work and go to school. Not to mention all of the different types of deodorant I had to try to remedy this issue. If I can find a viable solution, I would most definitely restart this BC.


Gained weight

0 helpful

0 comments

Birth control shot  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  3rd Jul 24

Depo-Provera shot  

Depo Provera stopped my periods completely. After being on it for more than a year, I can’t fit into my favorite belt that I easily could a year ago. Mind you, last year I was more sedentary — this year I’ve been training for 5Ks. That’s how much weight I’ve gained on Depo.


Very negative mood

2 more effects

0 helpful

0 comments

Birth control shot  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  21st Jun 24

Birth control shot  

Moody


Top side effects not reported

0 helpful

0 comments

Birth control shot  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  20th Jun 24

Depo-Provera shot  

I never had any real big side affects when I was on depo over a decade ago but now that I'm older and went back on it, the breast tenderness (only 1) and slight discharge is becoming nearly unbearable. It happens about 3-5days after getting the shot and lasts 4-7days. I gotta decide if this is worth it.


Somewhat negative mood

1 helpful

0 comments

Birth control shot  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  17th Jun 24

Depo-Provera shot  

I am having pigmentation down there and its always a thrush always itching causing discomfort .


Very positive mood

1 more effect

1 helpful

0 comments

Birth control alternatives and comparisons

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