Combined pill vs Hormonal coil (IUS)

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Combined pill

£From £0.16/day

Hormonal coil (IUS)

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Overview

Rated 2.8

2615 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

842 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

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

43% no impact on mood

47% stopped periods

47% no impact

59% no impact

53% no impact on skin

Cycle return

32% don’t know impact

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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£From £0.16/day

Try it now

Add your Hormonal coil (IUS) review

Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2615 reviews

Combined pill  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  4 days ago

Rigevidon  

This contraception changed my personality. It made me very angry, easily frustrated and issues that should be small seemed huge in my mind. Since changing contraception to the Yasmin pill, I honestly feel like a different person. I am quite upset that most of my twenties were spent in this state of constant anger. I thought it was just my personality but since changing pill I can now see that it was the contraception. I also got severe withdrawal headaches when I took the 7 day break.

Read more

Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  5 days ago

Rigevidon  

i have PCOS this pill was amazing for the first 3 1/2 years, it made me lose 10 pounds in two weeks from me changing nothing to my active levels and diet, my skin cleared up, i had lighter and regular periods, had a high sex drive until i started having very irregular periods in the last 6 months. including periods happening every other week and spotting between it even when taking it correctly so i decided to change contraception but this may be because of my PCOS


Improved skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
31 years old
🇬🇧 UK
  •  1 week ago

Yaz pill 🇺🇸  

Amazing contraceptive method except for the pigmentation


Worse skin

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  4 days ago

Rigevidon  

This contraception changed my personality. It made me very angry, easily frustrated and issues that should be small seemed huge in my mind. Since changing contraception to the Yasmin pill, I honestly feel like a different person. I am quite upset that most of my twenties were spent in this state of constant anger. I thought it was just my personality but since changing pill I can now see that it was the contraception. I also got severe withdrawal headaches when I took the 7 day break.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  5 days ago

Rigevidon  

i have PCOS this pill was amazing for the first 3 1/2 years, it made me lose 10 pounds in two weeks from me changing nothing to my active levels and diet, my skin cleared up, i had lighter and regular periods, had a high sex drive until i started having very irregular periods in the last 6 months. including periods happening every other week and spotting between it even when taking it correctly so i decided to change contraception but this may be because of my PCOS


Improved skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
31 years old
🇬🇧 UK
  •  1 week ago

Yaz pill 🇺🇸  

Amazing contraceptive method except for the pigmentation


Worse skin

0 helpful

0 comments


Hormonal coil (IUS) reviews

842 reviews

Hormonal coil (IUS)  
Used for 3 - 6 mo
40 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

I've had a mirena coil for about 7 months now. Before getting it I had severely heavy periods. Most months I got a bad migraine. My iron was low. The GP didn't suggest anything to help with the heavy periods/monthly migraines/low iron. However when discussing contraception mirena coil was suggested. (I'm 40, have had 2 children). I was wary to mess with my hormones but the doctor said it could calm down my periods too. It was a long wait (almost 12 months). As soon as I got it I haven't had such heavy periods. Migraines haven't been an issue and my iron levels are back to normal. I haven't noticed any mood or weight changes. I've been happier and healthier because I haven't been dealing with the bad periods anymore. My periods are irregular, but very light. The only negative is a couple of times I've had stomach cramps, quite painful ones, they've gone away in under a day. There has been no follow up with a health professional. It would be nice if they did this to reassure everything is normal and ok.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
35 years old
🇬🇧 UK
  •  1 week ago

Mirena coil  

I had it put in at the end of January. Insertion wasn't fun and did hurt but no worse than the period cramps I used to get. Did spend the afternoon in bed. First few months were ok, some period pain but less than before and lighter periods. But as a few more months have passed I've been getting more migraines again. Also my body hair is more noticeable. My mood is mostly stable except now when I'm ovulating or period about to start, I get very irrational and angry. My last period was heavier than I would have had before the coil but hoping that was just a blip. Have also been spotting constantly the last 2-3 months.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  2 weeks ago

Jaydess coil  

Year 1 was a lot of hormonal changes, strong random cramps and spotting (i had to get the position adjusted slightly about 8 months in), but the effect on my periods was almost immediate. Regular lighter periods with reduced cramps(outside of above) that no longer impacted my life negatively. It's a game changer. Once that all settled down, I was abel to start tracking my periods and moods and for the first time in my life knew when something was "outside the norm" and could get things checked out as they came. The positive impact outweighs the negative by far in my opinion. Peace of mind and regular light periods is absolutely worth it for someone who's emotions and hormones and periods have always affected negatively (before jaydess I'd pms what felt like 3 out of 4 weeks, cramp so hard id pass out and bled through so many clothes)


Somewhat positive mood

1 more effect

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
40 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

I've had a mirena coil for about 7 months now. Before getting it I had severely heavy periods. Most months I got a bad migraine. My iron was low. The GP didn't suggest anything to help with the heavy periods/monthly migraines/low iron. However when discussing contraception mirena coil was suggested. (I'm 40, have had 2 children). I was wary to mess with my hormones but the doctor said it could calm down my periods too. It was a long wait (almost 12 months). As soon as I got it I haven't had such heavy periods. Migraines haven't been an issue and my iron levels are back to normal. I haven't noticed any mood or weight changes. I've been happier and healthier because I haven't been dealing with the bad periods anymore. My periods are irregular, but very light. The only negative is a couple of times I've had stomach cramps, quite painful ones, they've gone away in under a day. There has been no follow up with a health professional. It would be nice if they did this to reassure everything is normal and ok.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
35 years old
🇬🇧 UK
  •  1 week ago

Mirena coil  

I had it put in at the end of January. Insertion wasn't fun and did hurt but no worse than the period cramps I used to get. Did spend the afternoon in bed. First few months were ok, some period pain but less than before and lighter periods. But as a few more months have passed I've been getting more migraines again. Also my body hair is more noticeable. My mood is mostly stable except now when I'm ovulating or period about to start, I get very irrational and angry. My last period was heavier than I would have had before the coil but hoping that was just a blip. Have also been spotting constantly the last 2-3 months.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  2 weeks ago

Jaydess coil  

Year 1 was a lot of hormonal changes, strong random cramps and spotting (i had to get the position adjusted slightly about 8 months in), but the effect on my periods was almost immediate. Regular lighter periods with reduced cramps(outside of above) that no longer impacted my life negatively. It's a game changer. Once that all settled down, I was abel to start tracking my periods and moods and for the first time in my life knew when something was "outside the norm" and could get things checked out as they came. The positive impact outweighs the negative by far in my opinion. Peace of mind and regular light periods is absolutely worth it for someone who's emotions and hormones and periods have always affected negatively (before jaydess I'd pms what felt like 3 out of 4 weeks, cramp so hard id pass out and bled through so many clothes)


Somewhat positive mood

1 more effect

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
38 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

I got the coil fitted to control heavy periods with contraception as a bonus. I’m aware I might be still in the settling down phase, this is my experience so far. Fitting was uncomfortable but I’ve had 3 vaginal birth so nothing touches that! Cramps for a few days but settled down. So far I have been bleeding most of the time since having it fitted, not heavy, light, but constant and irregular patterns. Very annoying. Low self esteem and low mood. Weight gain, despite being more physically active and eating healthily. Increase in headaches and migraines. Generally unimpressed at the lack of connection with healthcare professionals and Mirena coil users. So many women reporting poor experience yet doctors aren’t relaying this information. Will be having it removed. I choose control over my body over convenience.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
43 years old
🇬🇧 UK
  •  28th Jun 25

Mirena coil  

First 6 months is an adjustment period so I had plenty of headache and feeling sick but after a while my body used to it and I am fine. 100% contraception effectiveness and no heavy period.


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  21st Jun 25

Mirena coil  

Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
40 years old
🇬🇧 UK
  •  18th Jun 25

Mirena coil  

So far I love the mirena coil! Insertion was definitely painful (not just “uncomfortable”!), but the pain was very brief. I had cramps for a couple of days, and then light bleeding/spotting for about a month. However since then I’ve had no periods, and don’t even know it’s there. I get a few more spots now but that’s from rarely getting any when I was on the pill, it’s not a lot. My weight has stayed exactly the same. I was terrified of getting it fitted but am so glad I did, if it continues like this then I will take 30 seconds of pain for 8 years of not having to think about contraception, no periods and no side effects!


Worse skin

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
24 years old
🇬🇧 UK
  •  18th Jun 25

Mirena coil  

Had the coil for just over a year and bled daily (although only light). Only had a few days a month not bleeding


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  12th Jun 25

Mirena coil  

Generally the Mirena has been great. Only noticed most of the side effects after 4 years having it in - and they’re still very manageable.


Decreased sex drive

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  6th Jun 25

Kyleena coil  

So I’ve had the kyleena put in just over 2 years ago. For the first 18 months it was great, there was no side effects and my periods were getting lighter and less painful! After that, I started noticing quite a bit of hair loss during showers and brushing, visibly making my hair look thinner. I’ve always had thick hair so this was quite upsetting and I put it down to the stress I had during college. Now I’m in a new job that I’m loving, the hair loss hasn’t subsided. It’s still falling a lot everyday so I’m deciding to get the kyleena removed in a months time. I’ve been to the GP and got bloods done in which everything came back fine. So hopefully once I’ve the kyleena removed my hair will slowly start growing back :(


Very positive mood

3 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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