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

2777 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

899 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

43% improved skin

Cycle return

36% don’t know impact

43% no impact on mood

46% stopped periods

47% no impact

59% no impact

53% no impact on skin

Cycle return

33% 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

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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

2777 reviews

Combined pill  
Used for 1 - 3 mo
41 years old
🇬🇧 UK
  •  today

Zoely pill  

I was put on this by a private menopause clinic to help my migraines WITHOUT aura which got really awful after 2 years off the pill. It initially made me feel in a great mood, although from the first night I had body aches all over, my joints cracked constantly and I got wicked acid reflux everytime I took it, I had to taken 4 antacids a night. Then I started getting migraine with aura almost everyday, was seeing visuals all the time, felt nauseous and my mood I would describe as hyper, my sleep went out the window. I had night sweats constantly, my skin went dry as a bone and was flaking off, and my hair loss was bad. The clinic told me to remain on it after I complained at 6 weeks. I went to my gp who told me to cease immediately, due to stroke risk with the aura, which I did. Following coming off I felt like a I had a flu, and my mood tanked. Was absolutely horrendous for 3 weeks, before my body and brain recovered. Eventually have gone back on POP which is not perfect, but is not the hell of Zoely!

Read more

Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
31 years old
🇬🇧 UK
  •  2 days ago

Femodette pill  

been on femodette for nearly a decade to control my endometriosis and it’s been fantastic. i used to take it with breaks and had minimal cramps from the endo. i now take back to back and have only had one instance for breakthrough bleeding. it’s been so long that i can’t say for sure the impact on mood, weight etc.


Gained weight

0 helpful

0 comments

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

Qlaira pill  

Improved pain endomyosis symptoms at the expense of mood. Still had issues with breakthrough bleeding but periods were better.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
41 years old
🇬🇧 UK
  •  today

Zoely pill  

I was put on this by a private menopause clinic to help my migraines WITHOUT aura which got really awful after 2 years off the pill. It initially made me feel in a great mood, although from the first night I had body aches all over, my joints cracked constantly and I got wicked acid reflux everytime I took it, I had to taken 4 antacids a night. Then I started getting migraine with aura almost everyday, was seeing visuals all the time, felt nauseous and my mood I would describe as hyper, my sleep went out the window. I had night sweats constantly, my skin went dry as a bone and was flaking off, and my hair loss was bad. The clinic told me to remain on it after I complained at 6 weeks. I went to my gp who told me to cease immediately, due to stroke risk with the aura, which I did. Following coming off I felt like a I had a flu, and my mood tanked. Was absolutely horrendous for 3 weeks, before my body and brain recovered. Eventually have gone back on POP which is not perfect, but is not the hell of Zoely!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
31 years old
🇬🇧 UK
  •  2 days ago

Femodette pill  

been on femodette for nearly a decade to control my endometriosis and it’s been fantastic. i used to take it with breaks and had minimal cramps from the endo. i now take back to back and have only had one instance for breakthrough bleeding. it’s been so long that i can’t say for sure the impact on mood, weight etc.


Gained weight

0 helpful

0 comments

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

Qlaira pill  

Improved pain endomyosis symptoms at the expense of mood. Still had issues with breakthrough bleeding but periods were better.


Somewhat negative mood

2 more effects

0 helpful

0 comments


Hormonal coil (IUS) reviews

899 reviews

Hormonal coil (IUS)  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

only had mirena coil fitted 3 weeks ago but so far it’s been good, i have had quite a lot of lower back pain but other than that i don’t feel any different


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  3 days ago

Mirena coil  

Prior to having the mirena coil I had the most horrific periods literally to the point of passing out. I can say I have had my coil in for nearly 6 years and not had a period since and now I feel like I have my life back! It has been one of the decisions I have ever made and also hardly had any hormonal side effects.


Very positive mood

2 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  4 days ago

Mirena coil  

I loved the mirena but over 3 different coils, shortly after insertion I would get kidney infections that didn’t respond to antibiotics. The link was only made on the third despite me asking the gyno about it. Such a shame because I loved it otherwise. Kidney infections mostly skipped the uti stage and went straight to them but bacteria wouldn’t grow in pee. If this sounds like you remove it!


Somewhat positive mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

only had mirena coil fitted 3 weeks ago but so far it’s been good, i have had quite a lot of lower back pain but other than that i don’t feel any different


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  3 days ago

Mirena coil  

Prior to having the mirena coil I had the most horrific periods literally to the point of passing out. I can say I have had my coil in for nearly 6 years and not had a period since and now I feel like I have my life back! It has been one of the decisions I have ever made and also hardly had any hormonal side effects.


Very positive mood

2 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  4 days ago

Mirena coil  

I loved the mirena but over 3 different coils, shortly after insertion I would get kidney infections that didn’t respond to antibiotics. The link was only made on the third despite me asking the gyno about it. Such a shame because I loved it otherwise. Kidney infections mostly skipped the uti stage and went straight to them but bacteria wouldn’t grow in pee. If this sounds like you remove it!


Somewhat positive mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  5 days ago

Levosert coil  

Had it inserted at birth during a c section so no pain for insertion. Periods for lighter every month with significantly less pain than before and have virtually stopped after 8 months - just a small amount of spotting.


Very positive mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

occasional cramps and sore boobs but I'll take that for no periods and no babies!


Improved skin

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  3 weeks ago

Benilexa coil  

I got the Benilexa IUS to treat painful periods and PMS. However, within under two months, it severely exacerbated my PMS, causing sleep deprivation, frequent panic attacks, bouts of crying, and increased suicidal thoughts. This was also experienced during my period. Most importantly, it has completely disrupted my Psoriatic Arthritis management. Despite being on a biologic (adalimumab), the IUD has triggered a massive flare in my right foot that has now progressed to my left foot and ankle. I went from rarely needing NSAIDs to relying on daily ibuprofen. Regarding my psoriasis, I noticed a slight change in dryness/thickness in scales but not much else. My periods were even more awful than before and I had to call sick into work which l've never had to do. I further experienced fluctuating pelvic and ovary pain, with some days better than others. I expected side effects, but not to this extreme, system-wide level. I understand for some women the IUS is life changing in a positive way and a great treatment for endometriosis, etc. However, for other women, it may not be suitable for our body, especially if you have pre-existing conditions like myself. Whether that's due to the small amount of hormones released into the blood stream or the body reacting to a foreign object to the body. Or even both. Please do your research and consult with professionals if you have specific conditions or autoimmune diseases. Because most of the time, they won’t or care to understand your concerns. I've thankfully had it taken out today and was told by the GP it would take a few weeks to see a positive adjustment, flare reduction, and difference to body/mind, to my joints especially. You know your body best, any triggers and what helps. If you have a terrible experience like mine, don't let anyone tell you to put up with the lUS a few more months just to see if it "settles", etc. Advocate for yourself and try all avenues. I’m lucky my threads today were visible as they were not at the last GP appt. And I’m very grateful I had a caring and understanding GP who listened, affirmed my concerns (such as assessing my joints), and believed me.


Very negative mood

1 more effect

0 helpful

0 comments

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

Kyleena coil  

Super convenient; few side effects though not negligible.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  19th May 26

Kyleena coil  

Sex drive plummeted on this, plus I think it made doggy uncomfortable and even painful, never had that issue before! I also had breakthrough bleeding whenever I did have sex, although this was the only time I would bleed. I had more intense period cramps and sore breasts on this than I had on any other contraception (implant, combined pill and mini pill), and I'm so glad to have it gone! Absolutely horrific experience getting it in, and ended up getting it out by myself at home when the sexual health nurse didn't want to remove it. Thankfully it was barely even uncomfortable to remove (would still recommend going to a health professional to remove though just in case!).


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
42 years old
🇬🇧 UK
  •  15th May 26

Mirena coil  

I've had the mirena coil for four months, I'm still bleeding irregularly (period every 8 days) and lots of spotting. I've been dizzy for months, I'm feeling very low, I have water retention and a lot of lower back pain that feels like a pinched nerve so I'm battling to concentrate on work. I really want to have it removed but I'm terrified of going back to the alternative of extreme heavy periods that made me anemic.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  15th May 26

Kyleena coil  

I had Kyleena for 5 years. For the first 6 months I had painful cramps, but my cycle became very light. I have noticed that I have had increasingly more acne, especially back acne, so be prepared for your skin to be very itchy. Towards the end of having it, I had constant light bleeding through the month and there was no regularity to it (probably because the hormones were wearing off). I have had incredibly bad bloating, water retention, and generic weight gain. I'm a very light build so this weight would normally have been easy to lose. Finally, I had to undergo investigations for ovarian cysts as I was getting all the symptoms for them, and after a bit of research it turns out that Kyleena can be a contributor to the formation of cysts. Overall, I have really liked the Kyleena. The side effects have been fairly insignificant compared to other methods. But just take into account the potential insidious side effects like cysts etc that can happen. I've now switched over to the copper IUD because of these side effects, and I'd prefer to be hormone free.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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