Combined pill vs Copper coil (IUD)

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Combined pill

£From £0.16/day

Copper coil (IUD)

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Overview

Rated 2.8

2749 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

616 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

Copper coil (IUD) ingredients

Most 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

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

43% improved skin

Cycle return

37% don’t know impact

54% no impact on mood

69% heavier periods

63% no impact

75% no impact

74% no impact on skin

Cycle return

44% in 1 month

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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

Try it now

£From £0.16/day

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Add your Copper coil (IUD) review

Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2749 reviews

Combined pill  
Used for 18 mo - 3 yr
17 years old
🇬🇧 UK
  •  today

Rigevidon  

Went on this at 15 because I had very painful and heavy periods, which the pill stopped entirely. I had no physical side effects aside from the complete stop of periods however it did severely affect my mental health (I already have a history of mental health issues prior to going on this pill but it made them notably worse and I’ve noticed improvements after coming off it). I would notice that I’d get very suicidal and anxious a couple weeks before I was due to have a 4 day break from the pill and this would then go away after the 4 days, I also experienced feeling dazed and derealisation which has somewhat improved after coming off this pill. I came off the pill because I was scared of the blood clot risk that had not been properly explained to me by doctors, so be aware of this also.

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Very negative mood

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
  •  2 days ago

Rigevidon  

Overall not too bad, did give me some pretty bad mood swings, felt a bit down but had no reason to be, found my mood then got better as I came off it - however this may have just been due to life events surrounding it so not 100% sure but It did made me feel a bit rubbish. Side effects period wise were fine, bled on the break


Somewhat negative mood

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
15 years old
🇬🇧 UK
  •  6 days ago

Rigevidon  

honestly great pill and has stopped my periods completely but I’ve had ridiculous amounts of headaches and period cramps, I’ve also been incredibly sweaty specifically in the night to the point I’m waking up because I’m covered in sweat which has never happened to me before


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
17 years old
🇬🇧 UK
  •  today

Rigevidon  

Went on this at 15 because I had very painful and heavy periods, which the pill stopped entirely. I had no physical side effects aside from the complete stop of periods however it did severely affect my mental health (I already have a history of mental health issues prior to going on this pill but it made them notably worse and I’ve noticed improvements after coming off it). I would notice that I’d get very suicidal and anxious a couple weeks before I was due to have a 4 day break from the pill and this would then go away after the 4 days, I also experienced feeling dazed and derealisation which has somewhat improved after coming off this pill. I came off the pill because I was scared of the blood clot risk that had not been properly explained to me by doctors, so be aware of this also.


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
  •  2 days ago

Rigevidon  

Overall not too bad, did give me some pretty bad mood swings, felt a bit down but had no reason to be, found my mood then got better as I came off it - however this may have just been due to life events surrounding it so not 100% sure but It did made me feel a bit rubbish. Side effects period wise were fine, bled on the break


Somewhat negative mood

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
15 years old
🇬🇧 UK
  •  6 days ago

Rigevidon  

honestly great pill and has stopped my periods completely but I’ve had ridiculous amounts of headaches and period cramps, I’ve also been incredibly sweaty specifically in the night to the point I’m waking up because I’m covered in sweat which has never happened to me before


Somewhat negative mood

3 more effects

0 helpful

0 comments


Copper coil (IUD) reviews

616 reviews

Copper coil (IUD)  
Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

Brain fog ,Acne , weight gain , tender and painful breasts all the time as a result , extremely heavy periods, although it's non hormonal doesn't mean no side effects , be careful when considering " non hormonal contraception"


Somewhat negative mood

3 more effects

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

Very frustrated with the copper coil, if it didn't make my periods so heavy and painful I would continue as there has been no other issues you would likely see in a hormonal contraceptive. If you can manage 2 weeks every month in a lot of pain, then it's worth it for the other two when I'm fine and no mood changes


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

I got pregnant


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

Brain fog ,Acne , weight gain , tender and painful breasts all the time as a result , extremely heavy periods, although it's non hormonal doesn't mean no side effects , be careful when considering " non hormonal contraception"


Somewhat negative mood

3 more effects

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

Very frustrated with the copper coil, if it didn't make my periods so heavy and painful I would continue as there has been no other issues you would likely see in a hormonal contraceptive. If you can manage 2 weeks every month in a lot of pain, then it's worth it for the other two when I'm fine and no mood changes


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

I got pregnant


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 8+ yr
40 years old
🇬🇧 UK
  •  26th Jan 26

Copper coil (IUD)  

The only down fall is low iron this has caused debilitating fatigue, so be prepare to have to maybe take iron supplements


Very positive mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  15th Jan 26

Copper coil (IUD)  

I got the Kyleena coil fitted in Jan 2025 - just for reference I am a 5"3 23yr old without ever given birth - the insertion was very uncomfortable but not the worst ever, I did it with my sexual health clinic as I find they are more patient and kind rather than a quick GP / hosp appointment. My 11 months with the coil were overall great, except extreme contraction like pain and very occasional periods that would either last hours or a day. I didn't bleed every month but would get the odd few days of a period, quite unpredictable. I got a scan in July time just to make sure it was in the right place due to the amount of pain I was getting, and was all fine. In November 2025 I suddenly got excruciating pain and was told the coil has moved (perhaps explains the contraction pain throughout the year, I presume my body was rejecting it). Thankfully I pushed for another scan otherwise I would've kept having unprotected sex lol. Despite all the above, I am getting another one fitted because it is a trusty bit of contraception - just be aware if you experience a lot of pain in the lower tummy, to get it checked out!!


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  11th Jan 26

Copper coil (IUD)  

I may have only had mine for 6 weeks but am currently very happy with my decision. Decided to get it to prevent a potential pregnancy as the morning after pill was potentially not going to be effective for where I was in my cycle. The insertion was uncomfortable as expected but the nurses were phenomenal, i was given a lidocaine gel and they talked me through every step. Had 24hrs of quite hefty cramps and light bleeding post insertion and it triggered my period early a few days later which was longer and heavier than my usual, but since then things have got back to normal in terms of my cycle length and symptoms I usually experience throughout and my next period came on time. Yes it’s heavier, a bit longer and the cramps are sometimes tough, but with a good regimen of painkillers, hot water bottles and being kinder to myself, i would take that over the risk of pregnancy any day. My partner doesn’t feel the strings when we have sex either. Will update in a few months 😊


Top side effects not reported

1 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
  •  21st Dec 25

Copper coil (IUD)  

Changed from mini-pill after 16 years as I wanted to know my body without hormones and start to understand my cycle better. No issues with the copper IUD. My periods are a bit heavier but they are more predictable and regular. I do have more cramps but they are manageable. Insertion was fine, just uncomfortable. I was surprised how quickly the cramping started after though. I was in quite a bit of pain for an about a week as it settled in.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  3rd Nov 25

Copper coil (IUD)  

I genuinely love my copper coil (IUD) that lasts 10 years, and I wanted to write this review as I used to hear horror stories about it and it almost put me off, but I didn't experience this and I want to reassure others that may be considering this. I got my copper coil in March 2023 after an unwanted pregnancy as a last resort. No hormonal contraception worked for me and I often experienced negative side effects, so I felt my last attempt was the copper coil. What a GREAT choice! Yes, the insertion is uncomfortable, but I asked for cervical numbing cream and it was mildly uncomfortable for two minutes. Definitely bearable with numbing cream. Since then, my periods are still regular a little bit heavier. and I do get a few more cramps. Very easily managed with a menstrual cup and painkillers. I love not having to think about my contraception, and I don't need to think about getting it replaced for TEN years. What a dream! It's a life saver for those of us that struggle with hormonal contraceptives.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  21st Oct 25

Copper coil (IUD)  

As the copper IUD gets so much negative press I wanted to post my genuine positive experience. Initially I was apprehensive to get the coil after hearing so much fear mongering, and so many users saying they had major cramping (perhaps some did), but this wasn't the case for me. I experienced the worst period cramps that I have ever had within the first 7-10 days post-insertion, but it was manageable with ibuprofen + heating pad. Once I got through those initial days it practically subsided (apart from the slight numbness around my cervix from the procedure which healed around the month marker so I recommend taking any kind of sex slowly to avoid worsening it). Between days 10 and my first period I had occasional mild cramps here and there, but after that first period the cramps completely subsided. Fast forward to month 6 I can confidently say that the cramps only occur at normal times of the month (just before or the first days of your period) just slightly more painful but not unbearable. When it came to bleeding side-effects in the first 3 months I never got any spotting between periods and my period came on time but was heavier than usual (more bleeding but the same number of days as without an IUD). However after that 3 month marker I remember the bleeding becoming lighter, to the point now where it is similar if not the same as the amount pre-IUD. In conclusion the IUD has worked great for me, and I barely even notice it now. If you can do visit a sexual health clinic over a GP surgery, as they seem to be more experienced. Please don't let peoples bad experiences put you off, I strongly believe that for 99% of IUD users the bad experiences are based upon people noticing the fine details with their body that perhaps was there before but now that they have the IUD they become a 'worrier'. That every little cramp means something bad. I say that if you have an issue, go and see a professional who's qualified and not ask the internet.


Very positive mood

1 helpful

1 comments

Copper coil (IUD)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  17th Oct 25

Copper coil (IUD)  

I’ve had no issues since having it put in January 2022. Having it placed was uncomfortable but not painful (I was 22 and not had any children). I was done with the side effects of hormonal contraception and I’m glad I made the switch.


Top side effects not reported

0 helpful

0 comments

Contraceptive alternatives and comparisons

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