Birth control implant vs Hormonal IUD
Birth control implant ingredients
Main hormones in Birth control implant
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
What Lowdown reviewers say
28% no impact on mood
52% spotting
35% lost sex drive
46% gained weight
32% worse skin
46% in 1 month
40% no impact on mood
45% stopped periods
42% no impact
50% no impact
42% no impact on skin
50% in 1 month
Check out our latest reviews
Real life reviews from people like you
Birth control implant reviews
82 reviews
Used for 3 - 5 yr
22 years old
🇺🇸 US
• 15th Jul 26
I always had heavy and irregular periods before starting Nexplanon (except for when I was on the pill). In my first three years, I had moderate flow irregular bleeding and took the pill to help regulate (did not work). I then got Nexplanon reinserted after 3 years, at which point I lost my period altogether for almost 2 years, and now only have light (but irregular) spotting. I believe my mood is more consistent without a regular cycle. It is possible that my sex drive went down, but I was not sexually active before starting, so it might not have decreased. I did not gain weight like I did on the pill, and I do not feel as puffy from water retention. I found the insertion to be very easy. Removal was more uncomfortable because of how they pry it out, but it was not bad. I like the piece of mind of having it always in and being able to touch it to check.
Somewhat positive mood
0 helpful
0 comments
Used for 12 - 18 mo
31 years old
🇺🇸 US
• 30th Jun 26
Overall very satisfied with it as a way of avoiding periods. In the beginning there was a lot of spotting, and then period right after, then spotting again, but once that was over it's all good. I have not had a period in 3 months, but when I do get one, they last for at least a week (my normal period is 4 days). But as a contraceptive it is kind of useless, as I have 0% sex drive. None existent. To the point where sex is a chore, which is not healthy for any relationship. Acne is also quite alot worse, despite using retinol and salsylic acid, I get a lot of blackheads and big yellow pimples. Probably going to get it removed soon, because of the two negatives.
Worse skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇺🇸 US
• 3rd May 26
Very positive mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
22 years old
🇺🇸 US
• 15th Jul 26
I always had heavy and irregular periods before starting Nexplanon (except for when I was on the pill). In my first three years, I had moderate flow irregular bleeding and took the pill to help regulate (did not work). I then got Nexplanon reinserted after 3 years, at which point I lost my period altogether for almost 2 years, and now only have light (but irregular) spotting. I believe my mood is more consistent without a regular cycle. It is possible that my sex drive went down, but I was not sexually active before starting, so it might not have decreased. I did not gain weight like I did on the pill, and I do not feel as puffy from water retention. I found the insertion to be very easy. Removal was more uncomfortable because of how they pry it out, but it was not bad. I like the piece of mind of having it always in and being able to touch it to check.
Somewhat positive mood
0 helpful
0 comments
Used for 12 - 18 mo
31 years old
🇺🇸 US
• 30th Jun 26
Overall very satisfied with it as a way of avoiding periods. In the beginning there was a lot of spotting, and then period right after, then spotting again, but once that was over it's all good. I have not had a period in 3 months, but when I do get one, they last for at least a week (my normal period is 4 days). But as a contraceptive it is kind of useless, as I have 0% sex drive. None existent. To the point where sex is a chore, which is not healthy for any relationship. Acne is also quite alot worse, despite using retinol and salsylic acid, I get a lot of blackheads and big yellow pimples. Probably going to get it removed soon, because of the two negatives.
Worse skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇺🇸 US
• 3rd May 26
Very positive mood
3 more effects
0 helpful
0 comments
Hormonal IUD reviews
82 reviews
Used for 3 - 5 yr
26 years old
🇺🇸 US
• 2 weeks ago
Wish doctors were honest about how Kyleena (and hormonal IUDs in general) cause acne breakouts in women. I asked doctors and they repeatedly assured me that since hormonal IUDs use a localized progestin, the hormone doesn't enter into the bloodstream and cause acne. But this is not true. I had never struggled with acne prior to my Kyleena insertion. I've now had my IUD for over 3 years, and ever since I have persistent hormonal acne on my chin. It's still a good birth control product, but please keep in mind that acne is a common side effect of the hormonal IUD, affecting between 14-30% of people who have one.
Worse skin
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇺🇸 US
• 3 weeks ago
initial "spotting" turned out to be almost 10 days of light to medium bleeding but cramps and bleeding have become much lighter compared to my regular cycle
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
41 years old
🇺🇸 US
• 1 month ago
Increased sex drive
0 helpful
0 comments
Used for 3 - 5 yr
26 years old
🇺🇸 US
• 2 weeks ago
Wish doctors were honest about how Kyleena (and hormonal IUDs in general) cause acne breakouts in women. I asked doctors and they repeatedly assured me that since hormonal IUDs use a localized progestin, the hormone doesn't enter into the bloodstream and cause acne. But this is not true. I had never struggled with acne prior to my Kyleena insertion. I've now had my IUD for over 3 years, and ever since I have persistent hormonal acne on my chin. It's still a good birth control product, but please keep in mind that acne is a common side effect of the hormonal IUD, affecting between 14-30% of people who have one.
Worse skin
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇺🇸 US
• 3 weeks ago
initial "spotting" turned out to be almost 10 days of light to medium bleeding but cramps and bleeding have become much lighter compared to my regular cycle
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
41 years old
🇺🇸 US
• 1 month ago
Increased sex drive
0 helpful
0 comments
Used for 8+ yr
25 years old
🇺🇸 US
• 11th Jun 26
’m young (under 30) and yet desire is not there like it used to. I walk around with constant painful acne on my face no matter how many times I wash my face. I had it removed years ago and everything went back to normal. Then I got it again 3 years ago (still have it) and instantly remembered exactly why I got it removed in the first place.
Worse skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇺🇸 US
• 15th Apr 26
I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇺🇸 US
• 2nd Apr 26
The insertion did cause me a great deal of pain, and the following days after I was cramping constantly. I am on my 2nd month of Kyleena and I do still experience some cramping in my day to day. It has made my period lighter but I have been bleeding for 22days.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇺🇸 US
• 27th Mar 26
No major changes but i started to have ovarian hemorrhagic cyst 3 times in the last 3 years. Got scared and now i am focusing on family planning technique, specifically measuring Basal Body Temperature (BBT). So super excited with this. Also using this amazing app called Cosia where I am not only tracking but also getting practical lifestyle tips to make my hormonal balance settle.
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
41 years old
🇺🇸 US
• 24th Mar 26
Absolutely loved my Mirena IUDs (I've had 3) compared to the other forms of birth control I've used. I did develop irritable bowel and didn't realize it was because of the IUD until I removed it and it went away (my doctor's also never suspected the IUD so I spent a lot of money and time with specialists only to find out it's a listed side effect in the insert). I've also had a steep decrease in migraines since removing my IUD, but besides the migraines and IBS, it was great!
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 3rd Mar 26
Side affects can change as time passes. I noticed more side effects the longer I was on it.
Somewhat negative mood
1 more effect
0 helpful
0 comments
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