Contraception Reviews

Birth control implant vs Hormonal IUD

Birth control implant

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Hormonal IUD

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Overview

Rated 3.3

35 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.6

36 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control implant ingredients

Main hormones in Birth control implant


Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

What Lowdown reviewers say

Mood

31% no impact on mood

Bleeds

57% spotting

Sex drive

43% lost sex drive

Weight

40% gained weight

Skin

37% no impact on skin

Cycle return

75% don’t know impact

Mood

47% no impact on mood

Bleeds

56% stopped periods

Sex drive

36% no impact

Weight

47% no impact

Skin

42% no impact on skin

Cycle return

56% in 1 month

Benefits: What this birth control can help with

Period pain

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Check out our latest reviews

Real life reviews from people like you

Birth control implant reviews

35 reviews

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

Nexplanon implant  

To start, I gained about 20 pounds. My periods were sometimes non existent and then I would have a two week period, then two days of no bleeding, followed by another two week period. After a while the implant migrated in my arm and started to cause aches whenever I exercised. I could handle most side effects but the real issue was low libido. The implant made me actively avoid sex and even be a little repulsed by it. It definitely hurt my relationship. I did love the security of it and how little I had to worry about getting pregnant.

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Decreased sex drive

1 more effect

0 helpful

0 comments

Birth control implant  
Used for 8+ yr
30 years old
🇺🇸 US
  •  1 month ago

Nexplanon implant  

I am approaching the removal date for my 3rd nexplanon. I’m researching alternative non hormonal options but may just go with another nexplanon as it has been nothing but positive for me for nearly a decade. I decided to leave this review to remind anyone reading that while reviews and the experiences of others are important, everyone is different and will react to birth control methods differently. The nexplanon has been extremely reliable for me with little to no noticeable negative reactions and it could be for you too.


Top side effects not reported

0 helpful

0 comments

Birth control implant  
Used for 5 - 8 yr
26 years old
🇺🇸 US
  •  13th Jun 24

Nexplanon implant  

Mostly experienced irregular periods


Somewhat positive mood

0 helpful

0 comments

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

Nexplanon implant  

To start, I gained about 20 pounds. My periods were sometimes non existent and then I would have a two week period, then two days of no bleeding, followed by another two week period. After a while the implant migrated in my arm and started to cause aches whenever I exercised. I could handle most side effects but the real issue was low libido. The implant made me actively avoid sex and even be a little repulsed by it. It definitely hurt my relationship. I did love the security of it and how little I had to worry about getting pregnant.


Decreased sex drive

1 more effect

0 helpful

0 comments

Birth control implant  
Used for 8+ yr
30 years old
🇺🇸 US
  •  1 month ago

Nexplanon implant  

I am approaching the removal date for my 3rd nexplanon. I’m researching alternative non hormonal options but may just go with another nexplanon as it has been nothing but positive for me for nearly a decade. I decided to leave this review to remind anyone reading that while reviews and the experiences of others are important, everyone is different and will react to birth control methods differently. The nexplanon has been extremely reliable for me with little to no noticeable negative reactions and it could be for you too.


Top side effects not reported

0 helpful

0 comments

Birth control implant  
Used for 5 - 8 yr
26 years old
🇺🇸 US
  •  13th Jun 24

Nexplanon implant  

Mostly experienced irregular periods


Somewhat positive mood

0 helpful

0 comments


Hormonal IUD reviews

36 reviews

Hormonal IUD  
Used for 18 mo - 3 yr
38 years old
🇺🇸 US
  •  28th May 24

Kyleena IUD  

Getting it in hurt briefly, but tolerable. The first period after getting it was early and super intense, and I continued having spotting most days for the first three months or so, but bleeding dwindled over time and by a year later I was barely getting periods at all, which was great.


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
31 years old
🇺🇸 US
  •  24th May 24

Kyleena IUD  

I have been on kyleena almost 5 years, January 2025 it will be 5 and little to no problems. But I didn't know there was a mucus discharge, had thought I always had a yeast infection. Almost time to get a new one and I've started spotting again.


Increased sex drive

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  17th May 24

Liletta IUD  

I could feel it when I exercised always. Starting year 5 I had terrible cystic acne and lower back pain that travelled down my left leg to my knee. It’s been 4 days since it was removed and my back is already feeling better. A heavy period starting the night I had it removed. It’s been going on 4 days and it is still heavy. I am hoping the acne goes away over time since it is out. It was nice not having heavy periods but not at the expense of my face and back. I have had to see a Dermatologist for several years now and the treatments don’t help much. I also saw a back doc and had a shot to help with the pain along with physical therapy for a few months. The shot helped for a month or two but the pain returned. I gained weight because it was uncomfortable to exercise and feel the IUD even when I walked uphill and the back and left leg pain. Insertion was traumatizing and I was conscious sedated for the removal which was a much better experience. Women should not have to go through that without conscious sedating. We should also be provided with more info on what to expect when we get it, how it might age, what to look for side effect wise, and guidance on getting it out and the aftermath. Terrible experience


Somewhat negative mood

3 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
38 years old
🇺🇸 US
  •  28th May 24

Kyleena IUD  

Getting it in hurt briefly, but tolerable. The first period after getting it was early and super intense, and I continued having spotting most days for the first three months or so, but bleeding dwindled over time and by a year later I was barely getting periods at all, which was great.


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
31 years old
🇺🇸 US
  •  24th May 24

Kyleena IUD  

I have been on kyleena almost 5 years, January 2025 it will be 5 and little to no problems. But I didn't know there was a mucus discharge, had thought I always had a yeast infection. Almost time to get a new one and I've started spotting again.


Increased sex drive

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  17th May 24

Liletta IUD  

I could feel it when I exercised always. Starting year 5 I had terrible cystic acne and lower back pain that travelled down my left leg to my knee. It’s been 4 days since it was removed and my back is already feeling better. A heavy period starting the night I had it removed. It’s been going on 4 days and it is still heavy. I am hoping the acne goes away over time since it is out. It was nice not having heavy periods but not at the expense of my face and back. I have had to see a Dermatologist for several years now and the treatments don’t help much. I also saw a back doc and had a shot to help with the pain along with physical therapy for a few months. The shot helped for a month or two but the pain returned. I gained weight because it was uncomfortable to exercise and feel the IUD even when I walked uphill and the back and left leg pain. Insertion was traumatizing and I was conscious sedated for the removal which was a much better experience. Women should not have to go through that without conscious sedating. We should also be provided with more info on what to expect when we get it, how it might age, what to look for side effect wise, and guidance on getting it out and the aftermath. Terrible experience


Somewhat negative mood

3 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  5th May 24

Skyla IUD  

Overall I really disliked this IUD. The insertion was extremely painful. I experienced spotting everyday for 6 months. When I started to get monthly bleeding again I would get debilitating cramps that caused me to miss work and school.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
27 years old
🇺🇸 US
  •  17th Apr 24

Mirena IUD  

I got my first Mirena when I was 17. I would describe the insertion process as uncomfortable but not painful. I did have a vagal response (came close to passing out) right after, but it didn't last long, I just needed to sit for a minute. I experienced very light cramping for about 4-6 days afterwards. I did lose some weight that year that may have been attributed to the birth control, I went from 120lbs to 100lbs (there were no other pressing reasons for the quick change in my weight other than the BC, perhaps stress as it was my senior year of high school). At the time, the Mirena was thought to be effective for five years, so I had it removed and replaced with another Mirena when I was 22. The removal and reinsertion was more uncomfortable than the initial insertion, but totally manageable in my experience. Overall, I did not experience many hormonal side effects that I noticed. I pretty much stopped menstruating after the first few months of having it, aside from very occasional, very light spotting. I would sometimes experience symptoms of PMS without the bleeding (a little fatigue, some mood changes). I did develop some cystic acne in the first 1-3 years of being on my second IUD, but it was truly not much and never lasted long. My favorite part of this method is how effective and easy to use it is. I was truly never concerned about pregnancy from 17-27 which allowed for a lot of freedom in terms of my sex life. In my long term relationship, we do not use condoms (both have been screened for STIs) and I feel completely safe and comfortable with my partner not pulling out (I know that's a personal detail but I what to emphasize that that's how effective it truly is in my experience). I did recently decide to remove my hormonal IUD and replace it with the non-hormonal IUD. My Mirena still had at least 2 years left in it, but since I had not had a period or had gone through that natural, hormonal process in 10 years, I wanted to give my body a break from hormonal birth control to develop that relationship with my body. If I did not have the option/privilege to change methods, I would have 100% kept my Mirena until it expired, and probably got a third one.


Worse skin

1 more effect

1 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
46 years old
🇺🇸 US
  •  11th Apr 24

Mirena IUD  

Love the Mirena!


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  25th Mar 24

Kyleena IUD  

This caused pain/vomiting/inability to sleep for 3 months after insertion. I was promised it would improve, and told to just keep giving it time. Severe menstrual cramps continued the whole 2 years that I had this. Doctors promised many times over the 2 years that my symptoms were normal and/or not due to the IUD(both incorrect). Around the 9 month mark I began to develop progesterone hypersensitivity autoimmune disease. This continued to progress until I removed it. This new condition landed me in the ER multiple times due to anaphylaxis: asthma, heart palpitations, high BP, frequent fainting, extreme rashes etc. I had to quit my job because I was not functional on any level. Luckily I eventually figured it out.


Very negative mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
24 years old
🇺🇸 US
  •  12th Mar 24

Kyleena IUD  

It is nice to never be worried about pregnancy. The random bleeding, frequent cramping unrelated to bleeding, and breast shrinkage has not been great.. but all better than pregnancy i guess. I am definitely more emotional. I used to cry 1 day/month typically day before starting my period. I now cry ~70% of the month.


Somewhat negative mood

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
32 years old
🇺🇸 US
  •  12th Mar 24

Kyleena IUD  

While this birth control didn't cause me to bleed like several others had, I became depressed and had painful cystic acne all over my face and began to get some on my back as well. This was completely irregular for me.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
15 years old
🇺🇸 US
  •  4th Mar 24

Kyleena IUD  

8===D


Decreased sex drive

0 helpful

0 comments

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