Copper coil (IUD) vs Implant

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Copper coil (IUD)

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Implant

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Overview

Rated 3.5

595 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

604 reviews

Every 3 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.

Implant ingredients

Main hormones in Implant

progestogen

What Lowdown reviewers say

55% no impact on mood

68% heavier periods

63% no impact

75% no impact

75% no impact on skin

Cycle return

44% in 1 month

37% somewhat negative

49% irregular periods

50% lost sex drive

40% gained weight

57% no impact on skin

Cycle return

31% in 1 month

Benefits: What this contraceptive can help with

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

Heavy periods

Ovulation pain

Period pain

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Real life reviews from people like you

Copper coil (IUD) reviews

595 reviews

Copper coil (IUD)  
Used for 8+ yr
35 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

My experience of the copper IUD is mixed, even if overall positive. I first got it as emergency contraception after my first sexual experience, and was not properly offered any pain relief. The pain was excruciating and slightly traumatic, but also as I wasn't used to things going inside my vagina either. However it served me perfectly for 5 years, and no hormones and side effects from those. When it was time for renewal I was prepared emotionally and knew what pain relief to ask for. The procedure itself was quick and felt very empowering. They offered me the 10 year one which was slightly bigger and I thought it was no big deal. I was in constant low level pain and discomfort with it, and periods became excruciating. I got it switched back to a 5 year one and this cleared up. Again. the procedure was fairly quick as I knew my body and had good pain relief. My last one suited me fine up until around 2020, when the combination of the stress from the pandemic and using an expired lube gave me recurring yeast infections that lasted at least a year. I then discovered that it had slipped and so got it removed, deciding to switch to Fertility Awareness Method. After that, the recurring yeast infections stopped.

Read more

Top side effects not reported

0 helpful

0 comments

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

Copper coil (IUD)  

Personally, I would never get another coil again. The reason for 2 stars is I actually had the copper coil inserted in 2018 and it was okay but I had it removed in 2021 after asking for it to be removed for over a year. My periods were heavier as expected, but I also had thrush every month, BV multiple times and it just became so uncomfortable dealing with this constantly. I had the copper coil again this year (march 2025) and it was awful. The insertion this time took an hour compared to the 10 minutes last time. I was in so much pain I was heaving, I have had three babies and this was worse than birthing a child. They finally got it in and I ended up with a mild infection probably due to how long and how many attempts it took. A week later it started to settle down 🤞🏼 however almost three months later and I'm having it removed next week. I don't know if it's misplaced (they will be checking this first) but I feel it 'stabbing' me randomly every day. I will be walking and suddenly stop and feel like it's stabbing me or trying to come out, but I can still feel the strings. On two occasions it's hurts me during sex which is a red flag. My periods are 10-12 days long and I'm getting through a pack of pads every 1-2 days, plus the thrush is back again. I was offered a replacement however I have declined and I am currently trying to decide which combined pill may be best for me, tho I am nervous about going on the pill now!


Top side effects not reported

0 helpful

1 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

I was having heavier periods


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 8+ yr
35 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

My experience of the copper IUD is mixed, even if overall positive. I first got it as emergency contraception after my first sexual experience, and was not properly offered any pain relief. The pain was excruciating and slightly traumatic, but also as I wasn't used to things going inside my vagina either. However it served me perfectly for 5 years, and no hormones and side effects from those. When it was time for renewal I was prepared emotionally and knew what pain relief to ask for. The procedure itself was quick and felt very empowering. They offered me the 10 year one which was slightly bigger and I thought it was no big deal. I was in constant low level pain and discomfort with it, and periods became excruciating. I got it switched back to a 5 year one and this cleared up. Again. the procedure was fairly quick as I knew my body and had good pain relief. My last one suited me fine up until around 2020, when the combination of the stress from the pandemic and using an expired lube gave me recurring yeast infections that lasted at least a year. I then discovered that it had slipped and so got it removed, deciding to switch to Fertility Awareness Method. After that, the recurring yeast infections stopped.


Top side effects not reported

0 helpful

0 comments

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

Copper coil (IUD)  

Personally, I would never get another coil again. The reason for 2 stars is I actually had the copper coil inserted in 2018 and it was okay but I had it removed in 2021 after asking for it to be removed for over a year. My periods were heavier as expected, but I also had thrush every month, BV multiple times and it just became so uncomfortable dealing with this constantly. I had the copper coil again this year (march 2025) and it was awful. The insertion this time took an hour compared to the 10 minutes last time. I was in so much pain I was heaving, I have had three babies and this was worse than birthing a child. They finally got it in and I ended up with a mild infection probably due to how long and how many attempts it took. A week later it started to settle down 🤞🏼 however almost three months later and I'm having it removed next week. I don't know if it's misplaced (they will be checking this first) but I feel it 'stabbing' me randomly every day. I will be walking and suddenly stop and feel like it's stabbing me or trying to come out, but I can still feel the strings. On two occasions it's hurts me during sex which is a red flag. My periods are 10-12 days long and I'm getting through a pack of pads every 1-2 days, plus the thrush is back again. I was offered a replacement however I have declined and I am currently trying to decide which combined pill may be best for me, tho I am nervous about going on the pill now!


Top side effects not reported

0 helpful

1 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

I was having heavier periods


Top side effects not reported

0 helpful

0 comments


Implant reviews

604 reviews

Implant  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  1 day ago

Nexplanon implant  

Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  24th May 25

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

Implant  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  1 day ago

Nexplanon implant  

Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  24th May 25

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  7th May 25

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
  •  28th Apr 25

Nexplanon implant  

Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  27th Apr 25

Nexplanon implant  

Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.


Very negative mood

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  26th Apr 25

Nexplanon implant  

my periods stopped but i noticed when i wanted to have sex i wasn’t able to get wet easily. i also developed acne for the first time after i stopped due to the sudden loss of hormones. overall it worked and i enjoyed no periods and no other symptoms outside of sex.


Improved skin

1 more effect

0 helpful

0 comments

Implant  
Used for 1 - 3 mo
25 years old
🇬🇧 UK
  •  17th Mar 25

Nexplanon implant  

took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!


Worse skin

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
27 years old
🇬🇧 UK
  •  13th Mar 25

Nexplanon implant  

I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  6th Mar 25

Nexplanon implant  

Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕


Decreased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

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