Combined pill vs Hormonal coil (IUS)
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Overview
Rated 2.8
2692 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.5
868 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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Check out our latest reviews
Real life reviews from people like you
Combined pill reviews
2692 reviews
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 2 days ago
So I was prescribed the yasmin pill for my PCOS after being on desogestrel since I was about 14 for my periods. I’ve always had really really irregular periods, and bled very heavily. They would last for 2 weeks roughly and sometimes id have two in one month. In my particular case, I was told to take yasmin continuously, so all 3 packets in a row and then stop for a 7 day break, and start a new box. This has worked well for me i think (baring in mind i’ve only just started my 2nd box). At the beginning I had severe nausea, not to the point of throwing up but it was there constantly all day. I started taking the pill just before bed, so 11pm- midnight roughly and that seemed to help with the nausea. That was the side effect that has affected me the most, and since restarting after my 7 day break I am still experiencing nausea. I’m just praying it goes away after 1-2 weeks like it did before. Aside from that, my sex drive historically has been really high. I was down to do it whenever, and no issues whatsoever. Since being on yasmin, i literally could not think of ANYTHING worse than having sex with my partner. (it is nothing to do with him!!) I just have absolutely 0 sex drive, I can’t even get horny unless i really stick with it- so that’s been another big issue for me. I have also had quite bad acne since I was in school, and i’ve always struggled with it especially on my chin, forehead and back. I haven’t noticed a change in my acne yet but praying yasmin is able to clear some of it up! In terms of my PCOS management aswell, yasmin has made my first period during my 7 day break incredibly light, I hardly needed to wear a pad at all. I had cramps but nowhere near as bad as they used to be and it also seemed to completely stop around the 4 day mark out of 7. So if i’m being completely honest, my experience on yasmin so far has been okay- i’m struggling with the nausea and low sex drive but hoping as the weeks/ months go on my body will adapt to the hormones and i’ll be back to normal. If anyone out there is struggling with severe irregular periods and pcos symptoms I would recommend giving it a try and sticking it out for atleast 6 months to 1 year. for me personally my periods are so much easier to deal with, and i will do an update in a few months time to see if my skin and other side effects have cleared!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 3 days ago
This pill severely increased my anxiety levels, I constantly felt like I was in a haze and I couldn’t regulate my emotions- I was constantly crying and overthinking every little thing. I lost my sex drive and was scared to socialise. I had intrusive thoughts that made me worry even more and I just wanted to stay at home all of the time, I was on the border of spiralling into depression. The first month was okay, I didn’t notice any symptoms and it did the job fine, but soon after the symptoms started to kick in. I gained weight which made me feel increasingly insecure and I had a larger than normal appetite.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 5 days ago
This is the first pill I’ve been on and after being so scared to start it, I’ve generally had quite a good experience. The first few weeks were quite rough, really bad headache, moodiness and nausea but this went away with time. I used to find I’d have a bit of nausea when starting the pill after the 7 day break but I shorted this to 4 days and had helped immensely! My periods are so regular and really light with way less cramping, my periods only last about 3/4 days now when they used to be over a week. I haven’t had any weight gain or changes to my libido. Overall it’s been quite good to me, my only issue is I’ve definitely become a lot moodier - still nothing crazy but not quite like how I used to be. I also can’t tell if my anxiety has worsened or if that’s just coincidental. I’m thinking of trying a different pill to see if my mood improves but nervous incase I get other side effects that I haven’t on this! My only other complaint is hair loss, I didn’t even know this was linked until I read this page and saw one of the hormones might cause this. Didn’t have any issues at the start but in the last few months I’ve been noticing a lot more hair coming out in the shower and am now wondering if this is linked.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 2 days ago
So I was prescribed the yasmin pill for my PCOS after being on desogestrel since I was about 14 for my periods. I’ve always had really really irregular periods, and bled very heavily. They would last for 2 weeks roughly and sometimes id have two in one month. In my particular case, I was told to take yasmin continuously, so all 3 packets in a row and then stop for a 7 day break, and start a new box. This has worked well for me i think (baring in mind i’ve only just started my 2nd box). At the beginning I had severe nausea, not to the point of throwing up but it was there constantly all day. I started taking the pill just before bed, so 11pm- midnight roughly and that seemed to help with the nausea. That was the side effect that has affected me the most, and since restarting after my 7 day break I am still experiencing nausea. I’m just praying it goes away after 1-2 weeks like it did before. Aside from that, my sex drive historically has been really high. I was down to do it whenever, and no issues whatsoever. Since being on yasmin, i literally could not think of ANYTHING worse than having sex with my partner. (it is nothing to do with him!!) I just have absolutely 0 sex drive, I can’t even get horny unless i really stick with it- so that’s been another big issue for me. I have also had quite bad acne since I was in school, and i’ve always struggled with it especially on my chin, forehead and back. I haven’t noticed a change in my acne yet but praying yasmin is able to clear some of it up! In terms of my PCOS management aswell, yasmin has made my first period during my 7 day break incredibly light, I hardly needed to wear a pad at all. I had cramps but nowhere near as bad as they used to be and it also seemed to completely stop around the 4 day mark out of 7. So if i’m being completely honest, my experience on yasmin so far has been okay- i’m struggling with the nausea and low sex drive but hoping as the weeks/ months go on my body will adapt to the hormones and i’ll be back to normal. If anyone out there is struggling with severe irregular periods and pcos symptoms I would recommend giving it a try and sticking it out for atleast 6 months to 1 year. for me personally my periods are so much easier to deal with, and i will do an update in a few months time to see if my skin and other side effects have cleared!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 3 days ago
This pill severely increased my anxiety levels, I constantly felt like I was in a haze and I couldn’t regulate my emotions- I was constantly crying and overthinking every little thing. I lost my sex drive and was scared to socialise. I had intrusive thoughts that made me worry even more and I just wanted to stay at home all of the time, I was on the border of spiralling into depression. The first month was okay, I didn’t notice any symptoms and it did the job fine, but soon after the symptoms started to kick in. I gained weight which made me feel increasingly insecure and I had a larger than normal appetite.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 5 days ago
This is the first pill I’ve been on and after being so scared to start it, I’ve generally had quite a good experience. The first few weeks were quite rough, really bad headache, moodiness and nausea but this went away with time. I used to find I’d have a bit of nausea when starting the pill after the 7 day break but I shorted this to 4 days and had helped immensely! My periods are so regular and really light with way less cramping, my periods only last about 3/4 days now when they used to be over a week. I haven’t had any weight gain or changes to my libido. Overall it’s been quite good to me, my only issue is I’ve definitely become a lot moodier - still nothing crazy but not quite like how I used to be. I also can’t tell if my anxiety has worsened or if that’s just coincidental. I’m thinking of trying a different pill to see if my mood improves but nervous incase I get other side effects that I haven’t on this! My only other complaint is hair loss, I didn’t even know this was linked until I read this page and saw one of the hormones might cause this. Didn’t have any issues at the start but in the last few months I’ve been noticing a lot more hair coming out in the shower and am now wondering if this is linked.
Somewhat negative mood
0 helpful
0 comments
Hormonal coil (IUS) reviews
868 reviews
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 2 weeks ago
Hard to tell if it’s improved but I definitely have breast tenderness
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
31 years old
🇬🇧 UK
• 1 month ago
Kyleena was recommended with mr having Adenomyosis due to wrongly being given the copper coil before and bleeding for months on end. Kyleena had irregular periods to begin, the only sidr effect for the first 4 months were severe coldnesd/flu like symptoms the day before my period for all 4 months. As my periods stopped, my sex drive and mental health crashed. I'm on month 9 and awaiting removal.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
35 years old
🇬🇧 UK
• 10th Nov 25
Having used the pill on and off for 20 years I was hesitant to use another hormonal contraception but I was so happy with kyleena - no noticeable mentsl or physical symptoms. Insertion is not pleasant but it's over in seconds.i experienced some period cramps in first few weeks but then periods became extremely light and pain free for the last 3-4 years. I would get this method again without hesitation.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 2 weeks ago
Hard to tell if it’s improved but I definitely have breast tenderness
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
31 years old
🇬🇧 UK
• 1 month ago
Kyleena was recommended with mr having Adenomyosis due to wrongly being given the copper coil before and bleeding for months on end. Kyleena had irregular periods to begin, the only sidr effect for the first 4 months were severe coldnesd/flu like symptoms the day before my period for all 4 months. As my periods stopped, my sex drive and mental health crashed. I'm on month 9 and awaiting removal.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
35 years old
🇬🇧 UK
• 10th Nov 25
Having used the pill on and off for 20 years I was hesitant to use another hormonal contraception but I was so happy with kyleena - no noticeable mentsl or physical symptoms. Insertion is not pleasant but it's over in seconds.i experienced some period cramps in first few weeks but then periods became extremely light and pain free for the last 3-4 years. I would get this method again without hesitation.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 9th Nov 25
I had a terrible experience with Mirena. It started with severe cramping after insertion. The cramping continued for weeks. I got a UTI from it. Then the other symptoms started - severe depression, sneezing, severe sinus pain, insomnia. I experienced severe vaginal dryness and vulvodynia (shooting pain down there) which ultimately led me to showing up at my gp and begging for it to be removed.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 3rd Nov 25
Periods stopped, no noticeable side effects other than toward the end of the 5 years when I had a few side effects (tender breasts, spots, mood swings) which I put down to hormonal change as the coil was coming to expiry date. Now I've had it replaced and I have no side effects. Stable mood, skin clear, no periods, no stomach/back/head pain.
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
• 27th Oct 25
In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods became lighter and I still have the normal symptoms of my cycle which is exactly what I want. The only negatives (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period. One other slight negative at the beginning was my partner took some time to get used to the feeling of the strings when having sex, however this improved after a few months and is no longer an issue.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
• 27th Oct 25
In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods because lighter and I still have the normal symptoms of my cycle. The only negative (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period.
Top side effects not reported
0 helpful
1 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 23rd Oct 25
Got this inserted as a long-acting, reliable method of contraception. I found the insertion process ok, it was uncomfortable but not painful. I was able to easily feel the coil threads when I checked regularly. I had lighter periods but actually found period pains worse with the coil in place - hence the deducted star. I had this removed as we wanted to try to concieve. The removal process was totally painless. We got pregnant in one month of trying.
Top side effects not reported
0 helpful
1 comments
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 22nd Oct 25
Overall my experience has been positive in comparison to my previous experience with combined oral contraception. I no longer have mood swings or night sweats however over the 4 years of having my hormonal coil I now have no sex drive which was a big change for me, in addition to this sex became painful.On the other hand my periods stopped after 6 months to a year.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 22nd Oct 25
Today I finally had my Mirena coil removed. The insertion and removal went smoothly and were painless. I had the coil for 10 months. During the first 6 weeks, I experienced continuous bleeding. After that, my periods became more regular but were very long up to 10 days and lighter than usual. After a period ended, I had another one a week later for only 3 days, and then the cycle repeated exactly every 28 days. I also had persistent discharge, infections, and cysts, and I even had to have a biopsy due to white spots on my cervix caused by the Mirena. Today, having it removed, I felt immediate relief. I was prescribed desogestrel tablets, so hopefully it will be better, although the pill doesn’t have very good reviews either.
Top side effects not reported
0 helpful
3 comments
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