Copper coil (IUD) vs Hormonal coil (IUS)

Need help choosing? Speak to a doctor
Copper coil (IUD)

Add your Copper coil (IUD) review

Hormonal coil (IUS)

Add your Hormonal coil (IUS) review

Overview

Rated 3.5

584 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

813 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Copper coil (IUD) ingredients

Most copper coils are made of a T-shaped frame of polyethylene (plastic) and barium sulphate. Copper wire is wound around the vertical arm.

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

What Lowdown reviewers say

55% no impact on mood

68% heavier periods

63% no impact

75% no impact

74% no impact on skin

Cycle return

45% in 1 month

43% no impact on mood

48% stopped periods

48% no impact

59% no impact

53% no impact on skin

Cycle return

31% don’t know impact

Benefits: What this contraceptive can help with

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Try it now

Add your Copper coil (IUD) review

Try it now

Add your Hormonal coil (IUS) review

Check out our latest reviews

Real life reviews from people like you

Copper coil (IUD) reviews

584 reviews

Copper coil (IUD)  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  2 days ago

Copper coil (IUD)  

This post is for those considering the copper IUD. I know it is scary and you can find many horror stories online, so I thought I make the effort and share my IUD journey with you which has been very positive. Insertion: Got the IUD on the 4th February Insertion was uncomfortable and for a few seconds very painful but it did go away very quickly. I did bleed a little bit as well but I always do when they are examining my cervix. I’m very sensitive down there. Note:I have never given birth and my GP said that it can be more painful for those who never given birth vaginally. The GP who did the insertion was absolutely brilliant. She talked me through what she was doing and she prepared me for the most painful part. There was also a nurse present who was literally holding my hand through the whole procedure. It was such a positive experience. I’m grateful for both of them for making this experience so manageable. Right after insertion: I wasn’t in pain afterwards - I only had a mild sense of discomfort like you would have after a smear test. I even went for an hour walk right after the procedure, so it was really not bad at all. Please note that I’m a physically active person, so walking for an hour doesn’t tax me much. Others might have different experiences and it’s absolutely fine if you just go home and rest in bad for the rest of the day. That’s what i was told to do to be fair. Days After insertion: The cramping was moderately bad after the next 4-5 days, spotting was light After the 4-5 days cramping intensified especially after exercise and at some point the pain made it difficult to walk. Never felt cramping like that before. It made me very irritated as well. Normal painkillers didn’t work, I had to take cocodamol to get some relief but it was short term. Later it turned out that it coincided with my PMS. I was bleeding everyday after insertion, so it was hard to determine what was menstrual bleeding or bleeding because of the IUD insertion. Around day 11 cramping settled significantly. I only had occasional cramps which don’t require pain killers. I think I got my period on day 12 (16th Feb or 15th Feb) because the bleeding intensified around that time. It is the 17th February today. Moderate bleeding (more than usual but moderate) very light cramping. Fast forward March. After my period in February, I did not experience anymore unusual cramping - even after exercise. I got my period on the 9th of March. I did have some light cramping and mood changes as PMS but nothing unusual. The cramping was very moderate and did not require painkillers. Bleeding lasted 6 days with 3 days of heavier bleeding -3 pads a day- which for me is heavy bleeding. I have had sex a few times since insertion and my partner couldn’t feel the strings, so no problem there. Did not experience any dryness and my sex drive during ovulation is definitely higher than when I was on the pill. Overall very happy with my wee copper coil. 😊 Just a reminder that negative stories often get more attention than they deserve—people are more likely to vent about bad experiences than take the time to share positive ones Will keep you updated!

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

I’m writing this purely because of how terrified I was going to get the coil after all the horror stories I read about on here. If you are prepared the insertion is an absolute walk in the park. I took 2 feminax and 2 paracetamol about 45 minutes before my appointment, chose the local anaesthetic (call in advance to check you can get this!) - I literally hardly felt the anaesthetic at all and then the insertion is like sudden onset of moderate period pain but again it was nothing as bad as I was expecting!! The 24 hours after I kept using the pain relief tablets and I haven’t needed to use it since. A tiny bit of bleeding since which I think will continue for a few days but that’s it. If this fear of the insertion is what’s stopping you from getting either coil please read this! I almost didn’t get it because of the anxiety I had around fainting / extreme pain etc. that I read about. Eat before, take pain relief and get the local anaesthetic and you will be so fine


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

I got my gynefix mini online and had it inserted at the John Hunter clinic in London. I had paraguard before which gave me terrible cramps and incredibly heavy periods: I had Jaydess for 3 years which gave low but manageable mood but I started having terrible back pains either it. Once I had it removed, back pains stopped. I didn’t use anything for a while and then tried the implant, which was awful! It gave me terrible mood swings and anger! Went back to jaydess and back pains returned and low mood. I started looking for other options and found gynefix and I am so glad I did! Insertion was painful and my periods are significantly heavier but nothing I can’t live with. No back-pains, no horrible craps and no mood effects! Thank you whoever created this! I really forget it is there and only sometimes can slightly feel it, but this is by far the best contraception I’ve tried! It was hard to find a dr to get it fitted and I had to order it myself as NHS don’t supply it, but worth it!


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  2 days ago

Copper coil (IUD)  

This post is for those considering the copper IUD. I know it is scary and you can find many horror stories online, so I thought I make the effort and share my IUD journey with you which has been very positive. Insertion: Got the IUD on the 4th February Insertion was uncomfortable and for a few seconds very painful but it did go away very quickly. I did bleed a little bit as well but I always do when they are examining my cervix. I’m very sensitive down there. Note:I have never given birth and my GP said that it can be more painful for those who never given birth vaginally. The GP who did the insertion was absolutely brilliant. She talked me through what she was doing and she prepared me for the most painful part. There was also a nurse present who was literally holding my hand through the whole procedure. It was such a positive experience. I’m grateful for both of them for making this experience so manageable. Right after insertion: I wasn’t in pain afterwards - I only had a mild sense of discomfort like you would have after a smear test. I even went for an hour walk right after the procedure, so it was really not bad at all. Please note that I’m a physically active person, so walking for an hour doesn’t tax me much. Others might have different experiences and it’s absolutely fine if you just go home and rest in bad for the rest of the day. That’s what i was told to do to be fair. Days After insertion: The cramping was moderately bad after the next 4-5 days, spotting was light After the 4-5 days cramping intensified especially after exercise and at some point the pain made it difficult to walk. Never felt cramping like that before. It made me very irritated as well. Normal painkillers didn’t work, I had to take cocodamol to get some relief but it was short term. Later it turned out that it coincided with my PMS. I was bleeding everyday after insertion, so it was hard to determine what was menstrual bleeding or bleeding because of the IUD insertion. Around day 11 cramping settled significantly. I only had occasional cramps which don’t require pain killers. I think I got my period on day 12 (16th Feb or 15th Feb) because the bleeding intensified around that time. It is the 17th February today. Moderate bleeding (more than usual but moderate) very light cramping. Fast forward March. After my period in February, I did not experience anymore unusual cramping - even after exercise. I got my period on the 9th of March. I did have some light cramping and mood changes as PMS but nothing unusual. The cramping was very moderate and did not require painkillers. Bleeding lasted 6 days with 3 days of heavier bleeding -3 pads a day- which for me is heavy bleeding. I have had sex a few times since insertion and my partner couldn’t feel the strings, so no problem there. Did not experience any dryness and my sex drive during ovulation is definitely higher than when I was on the pill. Overall very happy with my wee copper coil. 😊 Just a reminder that negative stories often get more attention than they deserve—people are more likely to vent about bad experiences than take the time to share positive ones Will keep you updated!


Very positive mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

I’m writing this purely because of how terrified I was going to get the coil after all the horror stories I read about on here. If you are prepared the insertion is an absolute walk in the park. I took 2 feminax and 2 paracetamol about 45 minutes before my appointment, chose the local anaesthetic (call in advance to check you can get this!) - I literally hardly felt the anaesthetic at all and then the insertion is like sudden onset of moderate period pain but again it was nothing as bad as I was expecting!! The 24 hours after I kept using the pain relief tablets and I haven’t needed to use it since. A tiny bit of bleeding since which I think will continue for a few days but that’s it. If this fear of the insertion is what’s stopping you from getting either coil please read this! I almost didn’t get it because of the anxiety I had around fainting / extreme pain etc. that I read about. Eat before, take pain relief and get the local anaesthetic and you will be so fine


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

I got my gynefix mini online and had it inserted at the John Hunter clinic in London. I had paraguard before which gave me terrible cramps and incredibly heavy periods: I had Jaydess for 3 years which gave low but manageable mood but I started having terrible back pains either it. Once I had it removed, back pains stopped. I didn’t use anything for a while and then tried the implant, which was awful! It gave me terrible mood swings and anger! Went back to jaydess and back pains returned and low mood. I started looking for other options and found gynefix and I am so glad I did! Insertion was painful and my periods are significantly heavier but nothing I can’t live with. No back-pains, no horrible craps and no mood effects! Thank you whoever created this! I really forget it is there and only sometimes can slightly feel it, but this is by far the best contraception I’ve tried! It was hard to find a dr to get it fitted and I had to order it myself as NHS don’t supply it, but worth it!


Very positive mood

0 helpful

0 comments


Hormonal coil (IUS) reviews

813 reviews

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

Mirena coil  

Never having to worry about condoms is such a great plus. I had a lot of pain in the first six months and three 11+ day periods. Afterwards, my periods have stopped totally and I only get the occasional cramp, akin to an ovulation cramp. My libido has decreased slightly and my breast have gotten bigger. Overall it’s been a great help in my sex life


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

Jaydess coil  

At first all the skin problems I got from it scarred me. But I first started Jaydesss becuse of extremely painfull periods. This absolutely helped, I mostly lost my period which I thought I will never be lucky enough to experience in my life. The skin problems got a bit less annoying and extreme after I lost my periods. But at first I had really painfull pimples all over me - my face, chest, back, especially back on y neck and under my hair - on my head (i never had that before ever). Later I only experienced a few shoulder and face pimples. Since my period is gone, my back pain and cramps are gone completely. I am so happy and I feel like I no longer have to fight a battle with my body every month. I am a happier person, I feel mentally healthier. Before that I was scarred what the month will bring with body pain and how I will hide blood stain that was everywhere, ruining my clothes, bedsheets, even towels. There was so much blood and now there is none and I feel lucky :)


Worse skin

0 helpful

0 comments

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

Mirena coil  

Got on really well for first few years but after year 5 the side effects seem to have become more frequent/worse.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Mirena coil  

Never having to worry about condoms is such a great plus. I had a lot of pain in the first six months and three 11+ day periods. Afterwards, my periods have stopped totally and I only get the occasional cramp, akin to an ovulation cramp. My libido has decreased slightly and my breast have gotten bigger. Overall it’s been a great help in my sex life


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

Jaydess coil  

At first all the skin problems I got from it scarred me. But I first started Jaydesss becuse of extremely painfull periods. This absolutely helped, I mostly lost my period which I thought I will never be lucky enough to experience in my life. The skin problems got a bit less annoying and extreme after I lost my periods. But at first I had really painfull pimples all over me - my face, chest, back, especially back on y neck and under my hair - on my head (i never had that before ever). Later I only experienced a few shoulder and face pimples. Since my period is gone, my back pain and cramps are gone completely. I am so happy and I feel like I no longer have to fight a battle with my body every month. I am a happier person, I feel mentally healthier. Before that I was scarred what the month will bring with body pain and how I will hide blood stain that was everywhere, ruining my clothes, bedsheets, even towels. There was so much blood and now there is none and I feel lucky :)


Worse skin

0 helpful

0 comments

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

Mirena coil  

Got on really well for first few years but after year 5 the side effects seem to have become more frequent/worse.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 8+ yr
47 years old
🇬🇧 UK
  •  3 weeks ago

Mirena coil  

I used an Mirena coil over 12 years, having 3 inserted over that time. The first one was great, I was really pleased with it. Periods basically stopped and no real side effects. With the 2nd one there was sometimes period pain aches after sex but not always. However when it came to have it replaced nearly 6 years later it had moved and took some finding. At the time I just had the new one immediately put in but I was worried about it moving again and didn't relax so have had it taken out after only a year. As I am now 48 I do not know if things like my mood, no sex drive, random spotting, or anything else was linked to the Mirena or peri-menopause, so have not listed them as side effects for this (as more likely peri at this age)


Gained weight

0 helpful

0 comments

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

Kyleena coil  

I've always had painful periods and the month before I got my coil, my period hurt so much I actually threw up and that's when I decided I would do something about it. I've been on the pill before (rigevidon/microgynon) but it negatively affected my mood, I had terrible anxiety and generally felt horrible all the time so I stopped. When I got the coil, the sexual health clinic I went to used spray anaesthesia, but it still really hurt. The thing is, it only hurt for about a couple seconds, where it basically felt like your insides are being crushed and you're having the worst possible cramps ever (x10). Afterwards, I had normal (period-like) cramping for the rest of the day but they gave me a heat pack which really helped. I had spotting for about 3 months afterwards (yes, every single day) but it was fine and after a while I got used to just wearing a pantyliner every day. I'm really glad my periods are very light now (I've missed it once only) but it's still there. I don't know whether it will disappear or not, but one of the reasons I chose kyleena over mirena is in hopes my periods won't completely disappear, just for peace of mind that I'm not pregnant lol. I have terrible breast tenderness sometimes, like it hurts to even touch, I can't tell if it's before I get my period or during ovulation, but it definitely appears once every month or so. My breasts didn't grow though so that's a bit of a disappointment compared to the pill.... All in all, I haven't noticed any mood changes, I'm still definitely very attracted to my partner, and he doesn't feel it during sex. There were a few times early on when he thought he did, but I got it checked and it was all good, I think he just had it in his head.


Top side effects not reported

0 helpful

0 comments

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

Levosert coil  

First few month I havent notice any side effects at all, but after like 4 months time it does get worst day by day with all the symptoms mentioned above, especially lower back pain. I always had a pain in there before coil but it was somehow managable but now not possible even rolling on bed to another side causing me a lot of pain. Plus the endo is still growing back and having full on period, I did agree to have this coil to stopthese 2 major symptoms of my endo but the the inflamaction in my body is still high with estrogen levels sky high so there is not reason for me to keep it in,the coil definetly didnt work on my stage 4 endo and adenomyosis and will be removed today after 9 months. Hope it will help to other people everyone body works differently It does seem synthetic hormones doesnt agree with me Had the same with birth control, had to come off due heavy period while on pills and pain was still present with huge side effects. Lasted on pills 3 years.


Very negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  1 month ago

Kyleena coil  

The lack of periods has been nice. But I experiences a dramatic decrease in sex drive from the moment it was put it and it takes a lot to turn me on. 12 months in, I noticed a lot of hairs drop happening and now my hair is notably thinner with a lot of breaks - I'm considering whipping it out.


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
31 years old
🇬🇧 UK
  •  1 month ago

Kyleena coil  

I had the Kyleena twice. It worked very well for me in regulating and making my heavy periods lighter. It probably masked my symptoms of endometriosis for years, which was diagnosed after removing the coil and going hormone free for a while. A few months after having replaced the first IUD for the second one as it had nearly been five years, my relationship broke down and I no longer needed contraception. When I went to have the coil removed, my doctor saw that it had been dislodged, had moved downwards, and would have not protected against pregnancy. I had heavy cramps at the time which I did not link to the IUD until I learned about this. Due to endometriosis and not being able to take the pill anymore, I have recently gone for the Mirena. I hope that without period cup use this will stay in place. In terms of side effects, the Kyleena gave me adult acne but this was managed with prescription cremes. I also had hair loss for about a year with the onset of this side effect around month seven after insertion. While I lost a few kilograms following the insertion I also gained them back so I cannot judge whether it affected my overall weight. Other than that this method worked very well for me. While I feel slightly ambivalent after having dislodged a coil, I really hope that the Mirena will work just as well for me as the first Kyleena did.


Worse skin

0 helpful

0 comments

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

Hormonal coil (IUS)  

Jaydess is okay but not for me I’d say. It was painful to put in and I bled for 5 months straight, I bled heavily until I was taken for a scan and it did stop a week before the scan. But the scan then disturbed my uterus and I started bleeding again for around a month. Since then I have gained over 10kg, I don’t get period at all but I do get the PMS symptoms. No spots but I do get abdominal pain here and there. Whenever I have stomach pains they are 5 times as worse due to the coil. I never had these problems before… I am scared to have it taken out because I know it will hurt lol but otherwise it is effective and prevents pregnancy just not a fan of the other health problems I now have because of it.


Gained weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
31 years old
🇬🇧 UK
  •  24th Feb 25

Mirena coil  

Insertion was incredibly painful and had cramping for 3-4 days following. It's mostly been fine and no massive changes apart from excessive bloating and nausea. Since going on the coil I've been diagnosed with IBS which I didn't have symptoms for before so I wonder if it's linked. I had no periods for 5 months and now just really light or spotting for a few days.


Decreased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Copper coil (IUD) with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them