Contraception Reviews

Birth control patch vs Hormonal IUD

Birth control patch

Want to switch birth control?

Hormonal IUD

Want to switch birth control?

Overview

Rated 3.0

7 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.6

49 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control patch ingredients

Main hormones in Birth control patch

progestin


Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

What Lowdown reviewers say

Mood

71% somewhat negative

Bleeds

43% regular periods

Sex drive

57% no impact

Weight

57% don’t know impact

Skin

43% don’t know impact

Cycle return

100% don’t know impact

Mood

41% no impact on mood

Bleeds

51% stopped periods

Sex drive

41% no impact

Weight

47% no impact

Skin

39% no impact on skin

Cycle return

50% in 1 month

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

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 patch reviews

7 reviews

Birth control patch  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  3 weeks ago

Xulane patch  

Breakthrough bleeding lasted for 3 mos

Read more

Somewhat negative mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  3 weeks ago

Xulane patch  

Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets


Somewhat negative mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  17th Apr 24

Birth control patch  

I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.


Improved skin

0 helpful

0 comments

Birth control patch  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  3 weeks ago

Xulane patch  

Breakthrough bleeding lasted for 3 mos


Somewhat negative mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  3 weeks ago

Xulane patch  

Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets


Somewhat negative mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  17th Apr 24

Birth control patch  

I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.


Improved skin

0 helpful

0 comments


Hormonal IUD reviews

49 reviews

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  1 day ago

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
  •  1 day ago

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

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  6 days ago

Mirena IUD  


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  1 day ago

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
  •  1 day ago

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

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
22 years old
🇺🇸 US
  •  6 days ago

Mirena IUD  


Decreased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
20 years old
🇺🇸 US
  •  3 weeks ago

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
  •  1 month ago

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

Hormonal IUD  
Used for 12 - 18 mo
17 years old
🇺🇸 US
  •  28th Feb 25

Mirena IUD  

If you are considering the hormonal IUD route, I highly encourage you to read this! I primarily chose to switch over to the Mirena due to the weight gain I experienced while on the pill. To preface, I never had any issues with vaginal dryness prior to the switch. Following the insertion, I have been almost completely unable to get wet. As I stated before, this was never a problem for me regardless of arousal. It has been over a year, and without using an external lubricant, I physically cannot have sex due to the severity of this issue. It can be humiliating if the person i’m getting with isn’t aware of the causation. Just wanted to make it known, because it’s impacted my life pretty significantly.


Somewhat positive mood

0 helpful

0 comments

Hormonal IUD  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  5th Jan 25

Mirena IUD  

I took this for endometriosis and it dialed my pain and symptoms down from a 9 to a 2-3, for a whole year. Unfortunately after a year I felt the pain begin to creep back in, a little more intense every month after that year mark, so I decided to pursue excision surgery as a more permanent solution. If you’re not ready for surgery but want endo relief, definitely encourage you to give Mirena a try!


Improved skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
46 years old
🇺🇸 US
  •  4th Jan 25

Kyleena IUD  

I just had it inserted yesterday.


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
26 years old
🇺🇸 US
  •  20th Dec 24

Mirena IUD  

Just got this inserted early November. It's December and Im experiencing a month of bleeding, cramps, irritability, nausea, headaches, dizziness, feeling unwell everyday.


Very negative mood

1 more effect

3 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  7th Nov 24

Hormonal IUD  

Caused increased anxiety, extreme cystic acne that did not respond to prescription acne treatments, and severe hair loss. Made my periods longer and heavier at first, then they finally started getting lighter but I was still spotting almost every day. Gave me hot flashes badly.


Very negative mood

2 more effects

0 helpful

0 comments

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