Combined pill vs Hormonal coil (IUS)
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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
886 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
2749 reviews
Used for 18 mo - 3 yr
17 years old
🇬🇧 UK
• today
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
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
• 2 days ago
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
Used for 1 - 3 mo
15 years old
🇬🇧 UK
• 6 days ago
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
Used for 18 mo - 3 yr
17 years old
🇬🇧 UK
• today
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
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
• 2 days ago
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
Used for 1 - 3 mo
15 years old
🇬🇧 UK
• 6 days ago
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
Hormonal coil (IUS) reviews
886 reviews
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 2 days ago
The insertion process wasn’t pleasant and I found very painful however I will say it was very quick and the pain didn’t last. After leaving the doctors I felt fine apart from a little light headed but that was due to me stressing. The next day if I didn’t know if had it fitted I would be none the wiser as I felt normal and had no issues. Since then I have really liked not having to think about it, I had no periods at all but have started to get a day or so of spotting once a month at the 18 month mark and some light cramps. The only other negative to me is that it’s meant that I now always have to use lube for sex as it’s definitely affected dryness. The best overall contraception I have tried
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 2 weeks ago
Such a hideous experience for me I went to the doctors to get it taken out ASAP. Had severe mental health dip and felt suicidal which was really unlike me. The pain on inspiration was absolutely awful (removal was easy and painless).
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
21 years old
🇬🇧 UK
• 3 weeks ago
Random cramps throughout the day, they suddenly stop and start again a few days later. Period almost completely gone, but random spotting through ovulation and calculated period days (on clue app). Very bad breast tenderness during ovulation and periods
Worse skin
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 2 days ago
The insertion process wasn’t pleasant and I found very painful however I will say it was very quick and the pain didn’t last. After leaving the doctors I felt fine apart from a little light headed but that was due to me stressing. The next day if I didn’t know if had it fitted I would be none the wiser as I felt normal and had no issues. Since then I have really liked not having to think about it, I had no periods at all but have started to get a day or so of spotting once a month at the 18 month mark and some light cramps. The only other negative to me is that it’s meant that I now always have to use lube for sex as it’s definitely affected dryness. The best overall contraception I have tried
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 2 weeks ago
Such a hideous experience for me I went to the doctors to get it taken out ASAP. Had severe mental health dip and felt suicidal which was really unlike me. The pain on inspiration was absolutely awful (removal was easy and painless).
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
21 years old
🇬🇧 UK
• 3 weeks ago
Random cramps throughout the day, they suddenly stop and start again a few days later. Period almost completely gone, but random spotting through ovulation and calculated period days (on clue app). Very bad breast tenderness during ovulation and periods
Worse skin
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 1 month ago
I’ve had the mirena in for almost 2 years and it’s been working great as a contraception and minimal side effects (very light periods).
Top side effects not reported
0 helpful
0 comments
Used for 5 - 8 yr
27 years old
🇬🇧 UK
• 1 month ago
I'm on my second Jaydess (been using it for almost 6 years now), before I was on the pill (estrogen+progesterone combination) for about 6 years. Insertion is no fun for me, other than that I can only recommend it. Compared to the pill I have much lighter periods, period pain has significantly decreased (I get a little abdominal discomfort+back pain a day before the start of my period, and that's it). Acne stayed about the same as on the pill. I get a little breast swelling/tenderness for about one week every cycle which I think has slightly increased compared to the pill but isn't so bad. Sex drive and mood stayed about the same, if anything, my mood has become more stable on Jaydess actually (but that could also be attributed to me growing up I guess). Overall I'm satisfied with it
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
• 10th Mar 26
I got the coil after having a failed mirena coil. Tried this one for almost 3yrs and didn't think I had alot of side effects, though reflecting on a time where I was not on contraception, I realised it had greatly impacted my moods and caused quite bad acne on my back, which I had never suffered with previous. I also would get debilitating cramps during my periods again which I never suffered with before. Only bonus was my very heavy periods were light, which made them way more manageable. I decided to get it taken out when my moods were having an adverse effect on my relationship and life.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
21 years old
🇬🇧 UK
• 26th Feb 26
Insertion of the jaydess for me was incredibly painful and i had severe period cramps the days following insertion. Other than that for the first year i had no symptoms other than tender breasts and they had grown from C-DD (no complaints!) and often reccomended it to friends. However, after that i started getting regular thrush. It started off just coming before my period some months but now it is pretty much constant. Treatment only resolves symptoms for a short period and the its back! For this reason ive booked to have it taken out next week. Also the waitlist with my local clinic is so long ive been on it months and am no where near being seen so have had to go private unfortunately as the symptoms hae become unbearable :(
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
33 years old
🇬🇧 UK
• 17th Feb 26
After taking the pill for at least ten years I thought it was time to reconsider my options. Used the Lowdown to eventually choose the hormonal coil. Insertion was uncomfortable but nothing unbearable (for me, I know alot of people have had horrid experiences). My periods are very irregular (think maybe four a year and more spotting that bloody). My hormonal state throughout the month is more consistent, no major ups and downs than I used to get on the pill. I couldn't fault this as an option and also not having to remember to take the pill everyday was a huge bonus. Recent changes to the length of time for changing them meant I got an extra two years out of mine. Great long term option if you know you don't want to have children for a large chunk of time. Clicked some sweating and thrush as side effects, but can't be certain they're due to the coil or due to hitting mid-thirties, ha!
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
42 years old
🇬🇧 UK
• 17th Feb 26
I'm hypermobile, and over time it has made my symptoms a lot worse despite my levels of exercise to strengthen. I'm now in pain regularly and sometimes struggle to sleep because of it. I've also started having migraines with aura and frequent headaches. Getting it taken out next week. It did however reduce my heavy bleeding to infrequent spotting, but I bled for 9 months straight after having it inserted.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 16th Feb 26
Had kyleena fitted on recommendation from my doctor due to severe painful heavy periods, I have adenomyosis and suspected endo. Insertion was uncomfortable but not excruciating, the cramp lasted a couple of seconds and I was fine. Bleeding started within hours and didn't stop for the duration of use, I was having excruciating pain every day to the point I couldn't walk, feel my legs and awful tail bone pain. I booked an appointment a month later and my doctor said I didn't look well and removed it without me even having to ask. I wish it had worked for me but it just didn't. The removal was fine and gave instant relief.
Very negative mood
1 more effect
0 helpful
0 comments
Women's health, reviewed.
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