Contraception Reviews

Mini pill vs Hormonal IUD

Mini pill

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Hormonal IUD

Want to switch birth control?

Overview

Rated 3.4

28 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.7

54 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Mini pill ingredients

Main hormones in Mini pill

progestin


Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

What Lowdown reviewers say

Mood

32% no impact on mood

Bleeds

36% stopped periods

Sex drive

43% no impact

Weight

50% no impact

Skin

39% no impact on skin

Cycle return

60% don’t know impact

Mood

41% no impact on mood

Bleeds

48% stopped periods

Sex drive

44% no impact

Weight

48% no impact

Skin

39% no impact on skin

Cycle return

50% in 1 month

Benefits: What this birth control can help with

Period pain

Heavy menstrual bleeding

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Check out our latest reviews

Real life reviews from people like you

Mini pill reviews

28 reviews

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  6 days ago

Mini pill  

I lost so much hair. I’m done using this. My periods are more painful, I’m so tired now

Read more

Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  21st Apr 25

Mini pill  

Best bc pill experience I've had


Worse skin

1 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  16th Apr 25

Slynd birth control pill  

Really love it! I can skip my periods, don't experience migraines and my acne cleared up!


Improved skin

1 more effect

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  6 days ago

Mini pill  

I lost so much hair. I’m done using this. My periods are more painful, I’m so tired now


Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  21st Apr 25

Mini pill  

Best bc pill experience I've had


Worse skin

1 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  16th Apr 25

Slynd birth control pill  

Really love it! I can skip my periods, don't experience migraines and my acne cleared up!


Improved skin

1 more effect

0 helpful

0 comments


Hormonal IUD reviews

54 reviews

Hormonal IUD  
Used for 1 - 3 mo
22 years old
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

This is a test!


Very positive mood

3 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
31 years old
🇺🇸 US
  •  29th Apr 25

Mirena IUD  

Best decision ever made!


Top side effects not reported

10 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  28th Apr 25

Kyleena IUD  

I got the Kyleena prescribed off-label to me after suffering from ridiculously heavy periods in my teens. I used to bleed 200mls+ on some periods and even Tranexamic acid didn’t help. This IUD has been an absolute life-saver and my periods are so much lighter. I will admit I have experienced some side effects - I used to have clear skin 95% of the time, however since the IUD I permanently have 1 or 2 pimples around my jawline which can be quite annoying. My periods are often very long now (7-11 days) despite being light which also gets frustrating. Those are the two main side effects I’ve experienced, but overall it’s been a positive experience.


Worse skin

10 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
22 years old
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

This is a test!


Very positive mood

3 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
31 years old
🇺🇸 US
  •  29th Apr 25

Mirena IUD  

Best decision ever made!


Top side effects not reported

10 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  28th Apr 25

Kyleena IUD  

I got the Kyleena prescribed off-label to me after suffering from ridiculously heavy periods in my teens. I used to bleed 200mls+ on some periods and even Tranexamic acid didn’t help. This IUD has been an absolute life-saver and my periods are so much lighter. I will admit I have experienced some side effects - I used to have clear skin 95% of the time, however since the IUD I permanently have 1 or 2 pimples around my jawline which can be quite annoying. My periods are often very long now (7-11 days) despite being light which also gets frustrating. Those are the two main side effects I’ve experienced, but overall it’s been a positive experience.


Worse skin

10 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  28th Apr 25

Kyleena IUD  

I got the Kyleena prescribed off-label for my heavy menstrual bleeding. I used to bleed sometimes over 200ml per period, even Tranexamic acid didn’t help. This IUD has been a life saver - my periods are so much lighter. Overall it’s been a positive experience. I won’t pretend it doesn’t have other side effects though. My periods are now way longer than they used to be (7-11 days) although not heavy at all. I also had clear skin 95% of the time prior to the IUD but now I permanently have one or two pimples around my jawline which can be pretty annoying.


Worse skin

11 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  22nd Apr 25

Mirena IUD  

It actually stabilized my mood. I genuinely have no complaints.


Very positive mood

1 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  20th Apr 25

Mirena IUD  

Irregular cycles. Mood swings, fatigue, brain fog and headaches seem to correlate to menstrual cycle. Effective birth control but still unsure if symptoms are related to Mirena or independent migraine, thyroid or other issues.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
38 years old
🇺🇸 US
  •  20th Apr 25

Kyleena IUD  

I’m pretty pleased for the most part. It’s my 2nd IUD, first hormonal one. My periods are pretty much gone and I love that. They were pretty bad before. The downside is that my scalp sweats PROFUSELY with very little physical exertion and my face is super oily. So much so that I have several pimples along and into my hairline. I’m very upset about that. I’m on month 7 and the pimples just started, but the sweating and oil started almost right away.


Worse skin

1 more effect

1 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  15th Apr 25

Mirena IUD  


Decreased sex drive

2 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  31st Mar 25

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
  •  25th Mar 25

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

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