Contraception Reviews

Birth control implant vs Copper IUD

Birth control implant

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Copper IUD

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Overview

Rated 3.2

42 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.8

14 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control implant ingredients

Main hormones in Birth control implant

Copper IUD ingredients

Copper coils are made of a T-shaped frame of polyethylene (plastic) and barium sulphate. Copper wire is wound around the vertical arm.

What Lowdown reviewers say

Mood

29% no impact on mood

Bleeds

50% spotting

Sex drive

38% lost sex drive

Weight

43% gained weight

Skin

33% no impact on skin

Cycle return

60% don’t know impact

Mood

36% somewhat negative

Bleeds

71% heavier periods

Sex drive

50% no impact

Weight

71% no impact

Skin

79% no impact on skin

Cycle return

40% in 1 month

Benefits: What this birth control can help with

Period pain

There are no benefits that are recognised in scientific research or guidelines for this birth control

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Real life reviews from people like you

Birth control implant reviews

42 reviews

Birth control implant  
Used for 3 - 5 yr
24 years old
🇺🇸 US
  •  1 day ago

Nexplanon implant  

I loved having Nexplanon. Light periods for 6 months then stopped having periods entirely. My periods didn't return for a year after I had it removed, though. No side effects other than acne & weight gain. I lost all that acne & weight as soon as it was removed.

Read more

Very positive mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
27 years old
🇺🇸 US
  •  2 days ago

Nexplanon implant  

I don't even know we're to start. Not having a period has been amazing. However, the side effects are horrible. The first month I had tingling in my hands and feet, that went away though. The first month I also experienced sever virtago/ dizziness. This issue has been on going for the past year. Its more annoying then a actually issue. I've had several acne that won't go away, mood swings are horrible, and my eye sight is bad. I've never been sick or had any health issue until getting nexplanon. Although not having a period is great, I will be getting mine removed next week after only 1 year do to issue..


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 5 - 8 yr
26 years old
🇺🇸 US
  •  3 days ago

Nexplanon implant  

I am 27, and I have been on some form of hormonal birth control since I turned 15. I have used Nexplanon for the last 5 years. Overall, it was a good pick for me because of my irregular schedule and my inability to remember to take something at the same time every day. An IUD was not an option for me because of some family medical history, and at the time that I was looking, I was told that I was not a candidate for Nuvaring. Nexplanon did make my periods significantly lighter, and for a while I didn’t have a period at all. Now my cycles are very irregular (anywhere from 29-44 days in between period start dates) it lasts 2-3 days, and I can survive with light and regular tampons. Before the implant, I had heavy periods that would last at least a week, and I would go through boxes of the super and super plus tampons. I usually had minimal cramping with Nexplanon, although, as I am nearing the end of this second implant, I do think my cramps are starting to become stronger. I have gained quite a bit of weight while I’ve been on it. I'm 5’6” tall, and I started out at 195 lbs in August of 2018. I was at 225 lbs By December of 2019 (16 months/30 lbs), and 250lbs by January 2022 (41 months/55 lbs). My heaviest was in November of 2023 at 271lbs (51 months/76lbs). I’m currently weighing in at 265 lbs (61 months/70lbs). I do not think that all of my weight is attributed to the implant. I think I have some other factors that have contributed to my specific scenario, but I am curious to see how my weight changes once I have this one removed. I think my plan is to go hormone-free after this implant to give my body some time to regulate itself, and see how hormone-free feels.


Gained weight

0 helpful

0 comments

Birth control implant  
Used for 3 - 5 yr
24 years old
🇺🇸 US
  •  1 day ago

Nexplanon implant  

I loved having Nexplanon. Light periods for 6 months then stopped having periods entirely. My periods didn't return for a year after I had it removed, though. No side effects other than acne & weight gain. I lost all that acne & weight as soon as it was removed.


Very positive mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
27 years old
🇺🇸 US
  •  2 days ago

Nexplanon implant  

I don't even know we're to start. Not having a period has been amazing. However, the side effects are horrible. The first month I had tingling in my hands and feet, that went away though. The first month I also experienced sever virtago/ dizziness. This issue has been on going for the past year. Its more annoying then a actually issue. I've had several acne that won't go away, mood swings are horrible, and my eye sight is bad. I've never been sick or had any health issue until getting nexplanon. Although not having a period is great, I will be getting mine removed next week after only 1 year do to issue..


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 5 - 8 yr
26 years old
🇺🇸 US
  •  3 days ago

Nexplanon implant  

I am 27, and I have been on some form of hormonal birth control since I turned 15. I have used Nexplanon for the last 5 years. Overall, it was a good pick for me because of my irregular schedule and my inability to remember to take something at the same time every day. An IUD was not an option for me because of some family medical history, and at the time that I was looking, I was told that I was not a candidate for Nuvaring. Nexplanon did make my periods significantly lighter, and for a while I didn’t have a period at all. Now my cycles are very irregular (anywhere from 29-44 days in between period start dates) it lasts 2-3 days, and I can survive with light and regular tampons. Before the implant, I had heavy periods that would last at least a week, and I would go through boxes of the super and super plus tampons. I usually had minimal cramping with Nexplanon, although, as I am nearing the end of this second implant, I do think my cramps are starting to become stronger. I have gained quite a bit of weight while I’ve been on it. I'm 5’6” tall, and I started out at 195 lbs in August of 2018. I was at 225 lbs By December of 2019 (16 months/30 lbs), and 250lbs by January 2022 (41 months/55 lbs). My heaviest was in November of 2023 at 271lbs (51 months/76lbs). I’m currently weighing in at 265 lbs (61 months/70lbs). I do not think that all of my weight is attributed to the implant. I think I have some other factors that have contributed to my specific scenario, but I am curious to see how my weight changes once I have this one removed. I think my plan is to go hormone-free after this implant to give my body some time to regulate itself, and see how hormone-free feels.


Gained weight

0 helpful

0 comments


Copper IUD reviews

14 reviews

Copper IUD  
Used for 12 - 18 mo
26 years old
🇺🇸 US
  •  3rd Oct 24

Paragard IUD  

I’ve had it for over a year, I’m happy with it since it’s been effective in preventing pregnancy but I’ve all the sudden been getting weird side effects and hormone imbalances and bloating.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 12 - 18 mo
28 years old
🇺🇸 US
  •  2nd Aug 24

Paragard IUD  

I love the copper IUD as I was looking for a non hormonal way of birth control. Besides the heavy bleeding and intense cramps during my period, it’s great!


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 3 - 6 mo
18 years old
🇺🇸 US
  •  31st Jul 24

Paragard IUD  

I wanted the copper IUD because it was non-hormonal and my DR said the only real side effect was worse periods (which she said would be fine for me because my periods are were not too bad in the first place. Insertion was not as painful as I thought it would be. Periods have become extremely painful and mood has definitely suffered


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 12 - 18 mo
26 years old
🇺🇸 US
  •  3rd Oct 24

Paragard IUD  

I’ve had it for over a year, I’m happy with it since it’s been effective in preventing pregnancy but I’ve all the sudden been getting weird side effects and hormone imbalances and bloating.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 12 - 18 mo
28 years old
🇺🇸 US
  •  2nd Aug 24

Paragard IUD  

I love the copper IUD as I was looking for a non hormonal way of birth control. Besides the heavy bleeding and intense cramps during my period, it’s great!


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 3 - 6 mo
18 years old
🇺🇸 US
  •  31st Jul 24

Paragard IUD  

I wanted the copper IUD because it was non-hormonal and my DR said the only real side effect was worse periods (which she said would be fine for me because my periods are were not too bad in the first place. Insertion was not as painful as I thought it would be. Periods have become extremely painful and mood has definitely suffered


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 18 mo - 3 yr
46 years old
🇺🇸 US
  •  30th Jul 24

Paragard IUD  

This was super painful to implant and more pain each month I used it during my period-longer and heavier as well as cramping and spotting each month at ovulation. Eventually I had the device removed and I started taking a birth control pill to regulate my hormones in hopes of lowering instance of migraines due to hormonal fluctuations. Now on a pill designed to prevent hormonal migraines, I realize that during my IUD years I had much less frequent migraines so perhaps there is no correlation between my migraines and birth control.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 5 - 8 yr
29 years old
🇺🇸 US
  •  30th May 24

Paragard IUD  

I had Paraguard for almost 7 years. When it was first inserted (insanely painful) I was told it would last for 12 years, however it fell out recently. Only half fell out, as one arm broke off and I was recommended to have a hysteroscopy under full anesthesia to remove the missing part. Luckily it came out on its own and I didn’t require the operation but it was a terrifying experience. Throughout the past 7 years the only issues I had was very heavy periods and severe cramps (including sharp pain when going to the bathroom). Other than that, it was great for me and nice to have regular periods.


Top side effects not reported

0 helpful

0 comments

Copper IUD  
Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  19th Mar 24

Paragard IUD  

I've never used any forms of birth control before, so I don't know what to compare it to other than being normal and not on birth control. Insertion was uncomfortable but not very painful, and I had pain in my cervix and spotting for about a week afterward. My body adjusted very quickly and I had normally spaced periods right after. The most noticeable difference is that my period is lighter and longer. My sex drive noticeably decreased, and my emotions are dampened/numbed. I forget that I even have it 99% of the time, as I don't notice it in my daily life. If all you're looking for is plain and simple low-maintenance birth control, this is it.


Worse skin

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
18 years old
🇺🇸 US
  •  17th Dec 23

Paragard IUD  

Cramping is significantly worse than before I had the IUD. Periods have lasted about 3 weeks when they used to only last 5-7 days. After the IUD was inserted, I ended up having 3 UTIs and cervicitis.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper IUD  
Used for 1 - 3 mo
28 years old
🇺🇸 US
  •  4th Dec 23

Paragard IUD  

I don’t know yet. It’s only been 3 weeks since I got it but I have not stopped bleeding (it started as only spotting and the blood looked brown on my pad and the amount increased to a light period then it went back to spotting.) now after the 2nd week the blood started to look red again and its still only spotting. So now I don’t know is this is my regular period or what! I have iron deficiency anemia, all this bleeding can’t be good. Is this going to be always. I have no cramps which I’m greatful for.


Top side effects not reported

1 helpful

0 comments

Copper IUD  
Used for 3 - 6 mo
24 years old
🇺🇸 US
  •  10th Oct 23

Paragard IUD  

The insertion process was a bit painful, but not the worst experience in my case. I would highly recommend tanking some pain medication beforehand. After insertion I experienced some stronger cramps and my period became a bit heavier for a few months (I was coming off the pill and had lighter periods). Now for the past two months my periods have been lighter than ever with only a couple days of light bleeding at most. My cramps feel a bit worse when I get them, but that doesn’t happen too frequently to me.


Somewhat positive mood

1 more effect

0 helpful

1 comments

Copper IUD  
Used for 3 - 6 mo
22 years old
🇺🇸 US
  •  28th Sep 23

Paragard IUD  

I experienced a lot of common side effects of the IUD, it may have been caused by the fact that it was misplaced, and I didn't find out until I went in to get it removed. While I used it, it was an effective contraceptive, even with it being misplaced. I used it for almost six months, and the negative symptoms didn't alleviate at all throughout that time. I would recommend a provider who has a lot of knowledge about IUDs and who doesn't downplay pain before considering it, but it can be a great choice


Somewhat negative mood

1 more effect

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Birth control implant with other birth control

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