Hormonal IUD vs Vaginal ring
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
Vaginal ring ingredients
Main hormones in Vaginal ring
progestin
What Lowdown reviewers say
38% no impact on mood
44% stopped periods
39% no impact
47% no impact
42% no impact on skin
50% in 1 month
41% no impact on mood
41% lighter periods
59% lost sex drive
47% no impact
41% no impact on skin
40% in 1 month
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
71 reviews
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 2 weeks ago
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
34 years old
🇺🇸 US
• 1 month ago
I initially thought I was having a positve experience, but after 3 months was diagnosed with Sebohrreic Dermatitis with an extremely itchy scalp and bumps on jawline. Within 5 months I started having noticeable hair loss. I have lost at least 50% density. It is now 11 months from insertion and still shedding drastically. 8 months after insertion, I started having cystic acne which Ive never experienced before. I use to have the Paraguard IUD and didnt have these symptoms
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
• 9th Jan 26
I’ve had the Mirena since 2022 and just got it taken out today. I will preface this with I do not do well with birth control in general and it’s a struggle. I did not realize the correlation between my Mirena and my side affects. I feel like my side affects got gradually worse. I already suffer from anxiety and depression but since the Mirena was put in I have had to add on another anxiety and depression medication. I’ve also had to get on an acne medication from the dermatologist because I was getting deep acne and my face chemistry had changed including a little more facial hair growth. Once on the medication I no longer had an issue the the hair growth or acne. Let me also point out that I’ve never had acne my entire life so this was new. Everyone’s body reacts differently to birth control. I just want to make sure that I said these things in case there is another person who thought they were going crazy. I had extreme exhaustion and this increased my depression and made things much worse. I am not the only one who has had these symptoms either so take comfort in knowing you are not alone.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 2 weeks ago
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
34 years old
🇺🇸 US
• 1 month ago
I initially thought I was having a positve experience, but after 3 months was diagnosed with Sebohrreic Dermatitis with an extremely itchy scalp and bumps on jawline. Within 5 months I started having noticeable hair loss. I have lost at least 50% density. It is now 11 months from insertion and still shedding drastically. 8 months after insertion, I started having cystic acne which Ive never experienced before. I use to have the Paraguard IUD and didnt have these symptoms
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
• 9th Jan 26
I’ve had the Mirena since 2022 and just got it taken out today. I will preface this with I do not do well with birth control in general and it’s a struggle. I did not realize the correlation between my Mirena and my side affects. I feel like my side affects got gradually worse. I already suffer from anxiety and depression but since the Mirena was put in I have had to add on another anxiety and depression medication. I’ve also had to get on an acne medication from the dermatologist because I was getting deep acne and my face chemistry had changed including a little more facial hair growth. Once on the medication I no longer had an issue the the hair growth or acne. Let me also point out that I’ve never had acne my entire life so this was new. Everyone’s body reacts differently to birth control. I just want to make sure that I said these things in case there is another person who thought they were going crazy. I had extreme exhaustion and this increased my depression and made things much worse. I am not the only one who has had these symptoms either so take comfort in knowing you are not alone.
Worse skin
0 helpful
0 comments
Vaginal ring reviews
17 reviews
Used for 18 mo - 3 yr
33 years old
🇺🇸 US
• 2 weeks ago
Used for 2,5 years, really lowed my libido after some month of use, get me a complete loss after some years. Later suspended for this same reason and because I had a vaginal yeast infection (not used precautions, such as vaginal ovuli with lactobacilli, useful in every hormonal contraception use). Tried years later, but had big problems with increased vaginal discharge (got a vaginal irritation caused by the costant humidity in my lady parts). Very practical (you can forget about it for 3 weeks), but lots of collateral effects (at least for me). You have to try ii to discover if it's good for you or if gives you difficult side effects (it's very personal). If none, can be a very good choise.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇺🇸 US
• 31st Jul 25
I was put on the pill at 18 for irregular periods, had no problems after the normal first months of weight gain and mood changes. Later on I started a shift job in which I was on alternating shifts, 7a-7p, 11a-11p, 3p-3a, 7p-7a it was impossible to continue taking the pill at the same time everyday. Also I was working in a different state than my OBGYN and traveled alot so planning a procedure was not feasible. I was started on the ring and it was so much easier! My mood swings, breast tenderness were less, I lost some weight. Only thing was having all the symptoms of a 5 day period shoved into 3 days-so more blood and worse cramps. Previously I never needed a heating pad or meds-now I do BUT its only for 3 days. Overall best decision ever to switch to NuvaRing.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇺🇸 US
• 30th Jun 25
Easy to use. However started having severe night sweats and have to sleep with AC very low. Love having regular periods. Went from 7 days of medium heavy bleeding to 3-4 light days. I did have a significant drop in my sex drive and it's now almost nonexistent which I did not know was a side effect. Overall though excellent birth control option
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
33 years old
🇺🇸 US
• 2 weeks ago
Used for 2,5 years, really lowed my libido after some month of use, get me a complete loss after some years. Later suspended for this same reason and because I had a vaginal yeast infection (not used precautions, such as vaginal ovuli with lactobacilli, useful in every hormonal contraception use). Tried years later, but had big problems with increased vaginal discharge (got a vaginal irritation caused by the costant humidity in my lady parts). Very practical (you can forget about it for 3 weeks), but lots of collateral effects (at least for me). You have to try ii to discover if it's good for you or if gives you difficult side effects (it's very personal). If none, can be a very good choise.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇺🇸 US
• 31st Jul 25
I was put on the pill at 18 for irregular periods, had no problems after the normal first months of weight gain and mood changes. Later on I started a shift job in which I was on alternating shifts, 7a-7p, 11a-11p, 3p-3a, 7p-7a it was impossible to continue taking the pill at the same time everyday. Also I was working in a different state than my OBGYN and traveled alot so planning a procedure was not feasible. I was started on the ring and it was so much easier! My mood swings, breast tenderness were less, I lost some weight. Only thing was having all the symptoms of a 5 day period shoved into 3 days-so more blood and worse cramps. Previously I never needed a heating pad or meds-now I do BUT its only for 3 days. Overall best decision ever to switch to NuvaRing.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇺🇸 US
• 30th Jun 25
Easy to use. However started having severe night sweats and have to sleep with AC very low. Love having regular periods. Went from 7 days of medium heavy bleeding to 3-4 light days. I did have a significant drop in my sex drive and it's now almost nonexistent which I did not know was a side effect. Overall though excellent birth control option
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
18 years old
🇺🇸 US
• 23rd May 25
I believe this birth control is very effective and better than others, though it's given me a lot to deal with mentally. My sex drive has decreased drastically and it makes me feel disconnected with my body so I'm considering trying a new route.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇺🇸 US
• 24th Apr 25
Easy, lacks significant side effects (for me), has worked thus far, BUT I think my period is heavier and the body cramps are worse than normal
Worse skin
0 helpful
0 comments
Used for 3 - 6 mo
31 years old
🇺🇸 US
• 6th Apr 25
I love being able to control when I can start my period but my low to no sex drive isn’t for me. My cramping is just as bad (if not worse) than before going on it (the whole reason my gyn prescribed it) but I also now have more clots and dark blood on my period. I can tell my hormones are more regulated though and that’s been good for me mental health most days.
Improved skin
2 more effects
0 helpful
0 comments
Used for 8+ yr
42 years old
🇺🇸 US
• 6th Apr 25
I used nuva ring for 10+ years and had no side effects I left it in for 1 month removed it and put in a new ring and never had a period.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇺🇸 US
• 17th Mar 25
Although I didn't get any physical symptoms, I did find notable mental side effects. History: I did have anxiety before starting the medication. Beginning (first month): I was an absolute raging b*tch. I could not control my anger. I was angry and crying all the time. I couldn't focus on anything. It was horrible. I felt like a monster. After the first month symptoms definitely leveled out. Like I said, no physical symptoms, but I noticed that the brain fog/inability to focus continued and although I did not experience clinical depression, I did feel like I just lost my overall happiness.
Somewhat negative mood
1 more effect
1 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
• 6th Jun 24
I like the ring, I have gained a bit of weight though. I am also very nervous about blood clot risk so I might switch to minipill, but the ring has made my periods very bearable and I can choose to only have them every two months! I also had a decrease in body acne on the ring, particularly on my back. I would recommend this method if you are not overweight, smoke, or are over 35 as the risk of blood clots goes does a lot and it’s easy to use! I also have experienced headaches for the first time in my life since being on this, they’re mild but not fun.
Improved skin
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 17th Mar 24
This birth control caused me to have 2 strokes and I almost died. I do not recommend it at all. My doctor insisted I use it and within the first year I had more frequent and more severe headaches. I gained a ton of weight and my cholesterol shot up despite my being a very active vegetarian and working with a dietician. After 18 months on it I had my first stroke and it went undiagnosed, I had a severe headache and I went blind. The hospital sent me home and told me it was "just a migraine." 10 months later I had a massive bilateral stroke that has ruined my life. I am only in my 30s. Run far away from this medication.
Somewhat negative mood
2 more effects
0 helpful
0 comments
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