Combined pill vs Hormonal coil (IUS)
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Overview
Rated 2.8
2585 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.5
826 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
Hormonal coil (IUS) ingredients
Main hormones in Hormonal coil (IUS)
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive 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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Add your Hormonal coil (IUS) review
Check out our latest reviews
Real life reviews from people like you
Combined pill reviews
2585 reviews
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 2 days ago
Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 5 days ago
Gave me cystitis all the time and even after coming off I keep getting it after seeing a specialist they told me it’s due to the The pill, lowering my oestrogen
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 6 days ago
I thought i had gotten on well with Gedarel, didn’t have side effects really and took it continuously to not have periods which only about every 6mnths got beeak-through bleeding, the periods during a pill break were getting heavier each time though. only after coming off it and changing to the mini pill did I realise my sez drive was affected by it as it came back to my normal and my mood felt more stable generally also? The reason for switching was because I had one really bad migrane (and no history of it)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 2 days ago
Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 5 days ago
Gave me cystitis all the time and even after coming off I keep getting it after seeing a specialist they told me it’s due to the The pill, lowering my oestrogen
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 6 days ago
I thought i had gotten on well with Gedarel, didn’t have side effects really and took it continuously to not have periods which only about every 6mnths got beeak-through bleeding, the periods during a pill break were getting heavier each time though. only after coming off it and changing to the mini pill did I realise my sez drive was affected by it as it came back to my normal and my mood felt more stable generally also? The reason for switching was because I had one really bad migrane (and no history of it)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Hormonal coil (IUS) reviews
826 reviews
Used for 6 - 12 mo
40 years old
🇬🇧 UK
• 6 days ago
I've not had any significant side effects...so far. But the one thing I don't like is that I struggle to track my period. I don't bleed it bleed very little. Some periods are just spotting. In theory this is great, but the rest of my body is still experiencing a cycle and without the bleeding it can be hard to track. I still try to, but I'm about ready to give up. If you are like me and spent 10 years on the pill, this can feel a bit jarring. I'm on a hormonal rollercoaster that is normal but I'm not really use to it. My cramping is normal compared to before I had coil. I've had acne rosacea crop up and after a year of it I strongly thing it's linked to hormones but not sure how much the coil plays a part (though I did NOT have this before coil, I am also 40 and may be perimenopauseal). Insertion recovery was totally fine. Very little discomfort. However I was undergoing a minor gyno procedure at the same time and as a result got a general! Highly recommend should it be available. Won't lie, not sure I would have the coil again after this one....I'm still not sold in all honesty. It just emotionally felt evasive as a method of BC.
Worse skin
0 helpful
0 comments
Used for 12 - 18 mo
25 years old
🇬🇧 UK
• 3 weeks ago
Overall my periods were regular but once I got the coil I had very irregular periods and extra cramping. I also have frequent dizzy spells and headaches since it has been inserted. And I've seen an increase in spots and body hair since starting with the coil
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 3 weeks ago
Struggled to fit the Mirena & so fitted the Kyleena instead - potentially leading to an insufficient amount of progesterone as i continued to have irregular bleeding. After about 12 months this settled down and month on month this has lessened and my cycle continued. However, I experienced consistent cramping like I'd never had before and from 15 months onwards severe & debilitating pain about a week before my period. This is why I had it removed.
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
40 years old
🇬🇧 UK
• 6 days ago
I've not had any significant side effects...so far. But the one thing I don't like is that I struggle to track my period. I don't bleed it bleed very little. Some periods are just spotting. In theory this is great, but the rest of my body is still experiencing a cycle and without the bleeding it can be hard to track. I still try to, but I'm about ready to give up. If you are like me and spent 10 years on the pill, this can feel a bit jarring. I'm on a hormonal rollercoaster that is normal but I'm not really use to it. My cramping is normal compared to before I had coil. I've had acne rosacea crop up and after a year of it I strongly thing it's linked to hormones but not sure how much the coil plays a part (though I did NOT have this before coil, I am also 40 and may be perimenopauseal). Insertion recovery was totally fine. Very little discomfort. However I was undergoing a minor gyno procedure at the same time and as a result got a general! Highly recommend should it be available. Won't lie, not sure I would have the coil again after this one....I'm still not sold in all honesty. It just emotionally felt evasive as a method of BC.
Worse skin
0 helpful
0 comments
Used for 12 - 18 mo
25 years old
🇬🇧 UK
• 3 weeks ago
Overall my periods were regular but once I got the coil I had very irregular periods and extra cramping. I also have frequent dizzy spells and headaches since it has been inserted. And I've seen an increase in spots and body hair since starting with the coil
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 3 weeks ago
Struggled to fit the Mirena & so fitted the Kyleena instead - potentially leading to an insufficient amount of progesterone as i continued to have irregular bleeding. After about 12 months this settled down and month on month this has lessened and my cycle continued. However, I experienced consistent cramping like I'd never had before and from 15 months onwards severe & debilitating pain about a week before my period. This is why I had it removed.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
41 years old
🇬🇧 UK
• 1 month ago
I experienced irregular periods, major mood swings and no sex drive at all. Would not recommend this at all.
Very negative mood
2 more effects
1 helpful
1 comments
Used for 8+ yr
36 years old
🇬🇧 UK
• 1 month ago
Insertion isn't pleasant, but once it's in place, there's nothing to do for years! I had my first Mirena coil over 8 years ago and haven't had a period since insertion, only very occasional spotting (maybe once every 3-6months). I know some women like to track their cycle, but I never think about it and prefer it that way! Would recommend.
Top side effects not reported
1 helpful
0 comments
Used for 5 - 8 yr
27 years old
🇬🇧 UK
• 1 month ago
Loved this until I got BV then no treatment would fix it until I got IUS removed
Top side effects not reported
2 helpful
0 comments
Used for 5 - 8 yr
38 years old
🇬🇧 UK
• 1 month ago
The threads disappeared on the first coil so had it changed early (wasn't great as they had to go digging about to find the threads). Had another put straight in at the time thinking it was a one off but the same happened with the second so I had it removed early as soon as I noticed them becoming shorter to avoid the first scenario again and switched to the implant. Great that my periods stopped on it and it's super low maintenance though.
Top side effects not reported
1 helpful
0 comments
Used for 3 - 6 mo
40 years old
🇬🇧 UK
• 26th Apr 25
Extremely painful insertion. Blood loss continuously for about 3 months, bleeding everyday. Then periods became irregular, passing clots the size of my palm. Periods worsened after merina, when ironically merina was prescribed for heavy periods. Dermatitis caused by merina after 2 months. Told that results with merina are variable, and to wait and see. Not good advice considering the health issues and extreme blood loss caused by merina so far.
Somewhat negative mood
2 more effects
2 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 24th Apr 25
I mean as a contraceptive it works because I haven’t gotten pregnant. A positive my periods are extremely light and irregular, but as a distant irregular. But my skin has never been so worse in my life, I constantly have big deep spots on my chin. I used to have quite dry skin but now on the oily side.
Worse skin
1 helpful
0 comments
Used for 12 - 18 mo
32 years old
🇬🇧 UK
• 23rd Apr 25
The mirena coil stopped my periods and worked as a contraceptive, however it stimulated hair growth on my face which was not there before. As a result I have required many courses of laser. I do not have PCOS and have had testing, however I think the hormones in the mirena coil started the changes that are now continuing despite having the coil since removed. The coil was also extremely painful to have inserted.
Very negative mood
1 more effect
1 helpful
0 comments

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