Copper coil (IUD) vs Progestogen-only / Mini pill
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Overview
Rated 3.5
610 reviews
5 - 10 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1452 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Copper coil (IUD) ingredients
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
Period pain
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Check out our latest reviews
Real life reviews from people like you
Copper coil (IUD) reviews
610 reviews
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 1 day ago
Changed from mini-pill after 16 years as I wanted to know my body without hormones and start to understand my cycle better. No issues with the copper IUD. My periods are a bit heavier but they are more predictable and regular. I do have more cramps but they are manageable. Insertion was fine, just uncomfortable. I was surprised how quickly the cramping started after though. I was in quite a bit of pain for an about a week as it settled in.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 3rd Nov 25
I genuinely love my copper coil (IUD) that lasts 10 years, and I wanted to write this review as I used to hear horror stories about it and it almost put me off, but I didn't experience this and I want to reassure others that may be considering this. I got my copper coil in March 2023 after an unwanted pregnancy as a last resort. No hormonal contraception worked for me and I often experienced negative side effects, so I felt my last attempt was the copper coil. What a GREAT choice! Yes, the insertion is uncomfortable, but I asked for cervical numbing cream and it was mildly uncomfortable for two minutes. Definitely bearable with numbing cream. Since then, my periods are still regular a little bit heavier. and I do get a few more cramps. Very easily managed with a menstrual cup and painkillers. I love not having to think about my contraception, and I don't need to think about getting it replaced for TEN years. What a dream! It's a life saver for those of us that struggle with hormonal contraceptives.
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 21st Oct 25
As the copper IUD gets so much negative press I wanted to post my genuine positive experience. Initially I was apprehensive to get the coil after hearing so much fear mongering, and so many users saying they had major cramping (perhaps some did), but this wasn't the case for me. I experienced the worst period cramps that I have ever had within the first 7-10 days post-insertion, but it was manageable with ibuprofen + heating pad. Once I got through those initial days it practically subsided (apart from the slight numbness around my cervix from the procedure which healed around the month marker so I recommend taking any kind of sex slowly to avoid worsening it). Between days 10 and my first period I had occasional mild cramps here and there, but after that first period the cramps completely subsided. Fast forward to month 6 I can confidently say that the cramps only occur at normal times of the month (just before or the first days of your period) just slightly more painful but not unbearable. When it came to bleeding side-effects in the first 3 months I never got any spotting between periods and my period came on time but was heavier than usual (more bleeding but the same number of days as without an IUD). However after that 3 month marker I remember the bleeding becoming lighter, to the point now where it is similar if not the same as the amount pre-IUD. In conclusion the IUD has worked great for me, and I barely even notice it now. If you can do visit a sexual health clinic over a GP surgery, as they seem to be more experienced. Please don't let peoples bad experiences put you off, I strongly believe that for 99% of IUD users the bad experiences are based upon people noticing the fine details with their body that perhaps was there before but now that they have the IUD they become a 'worrier'. That every little cramp means something bad. I say that if you have an issue, go and see a professional who's qualified and not ask the internet.
Very positive mood
0 helpful
1 comments
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 1 day ago
Changed from mini-pill after 16 years as I wanted to know my body without hormones and start to understand my cycle better. No issues with the copper IUD. My periods are a bit heavier but they are more predictable and regular. I do have more cramps but they are manageable. Insertion was fine, just uncomfortable. I was surprised how quickly the cramping started after though. I was in quite a bit of pain for an about a week as it settled in.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 3rd Nov 25
I genuinely love my copper coil (IUD) that lasts 10 years, and I wanted to write this review as I used to hear horror stories about it and it almost put me off, but I didn't experience this and I want to reassure others that may be considering this. I got my copper coil in March 2023 after an unwanted pregnancy as a last resort. No hormonal contraception worked for me and I often experienced negative side effects, so I felt my last attempt was the copper coil. What a GREAT choice! Yes, the insertion is uncomfortable, but I asked for cervical numbing cream and it was mildly uncomfortable for two minutes. Definitely bearable with numbing cream. Since then, my periods are still regular a little bit heavier. and I do get a few more cramps. Very easily managed with a menstrual cup and painkillers. I love not having to think about my contraception, and I don't need to think about getting it replaced for TEN years. What a dream! It's a life saver for those of us that struggle with hormonal contraceptives.
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 21st Oct 25
As the copper IUD gets so much negative press I wanted to post my genuine positive experience. Initially I was apprehensive to get the coil after hearing so much fear mongering, and so many users saying they had major cramping (perhaps some did), but this wasn't the case for me. I experienced the worst period cramps that I have ever had within the first 7-10 days post-insertion, but it was manageable with ibuprofen + heating pad. Once I got through those initial days it practically subsided (apart from the slight numbness around my cervix from the procedure which healed around the month marker so I recommend taking any kind of sex slowly to avoid worsening it). Between days 10 and my first period I had occasional mild cramps here and there, but after that first period the cramps completely subsided. Fast forward to month 6 I can confidently say that the cramps only occur at normal times of the month (just before or the first days of your period) just slightly more painful but not unbearable. When it came to bleeding side-effects in the first 3 months I never got any spotting between periods and my period came on time but was heavier than usual (more bleeding but the same number of days as without an IUD). However after that 3 month marker I remember the bleeding becoming lighter, to the point now where it is similar if not the same as the amount pre-IUD. In conclusion the IUD has worked great for me, and I barely even notice it now. If you can do visit a sexual health clinic over a GP surgery, as they seem to be more experienced. Please don't let peoples bad experiences put you off, I strongly believe that for 99% of IUD users the bad experiences are based upon people noticing the fine details with their body that perhaps was there before but now that they have the IUD they become a 'worrier'. That every little cramp means something bad. I say that if you have an issue, go and see a professional who's qualified and not ask the internet.
Very positive mood
0 helpful
1 comments
Progestogen-only / Mini pill reviews
1452 reviews
Used for 6 - 12 mo
18 years old
🇬🇧 UK
• 3 days ago
I started the pill 12 months ago and it was fine for the first 2 months,no pain or anything but then i started bleeding and i havnt stopped bleeding for 10 months straight,it ranges in how heavy it is but it is constant everyday
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
42 years old
🇬🇧 UK
• 5 days ago
My overall experience on this pill was a very negative one. I was on this pill for 12 months. I'm hoping to switch to the coil in January, still deciding which one, the copper or Mirena. I am 42 years old. On the mini pill I was emotional, very irritable and anxiety was through the roof. I could be okay one minute then the next I could flip a switch and be kicking off over minor things. I had racing thoughts most of the time which led me to be crying and causing my anxiety to be out of control. The spotting and breakthrough bleeding were horrendous which led to heavy clotting and sometimes it would happen unexpectingly. Sex most of the time wasn't happening due to this. The stomach cramps are so painful and because of this I felt unmotivated to do any hobbies and lost interest. I describe my hair as fine but I noticed it started to really thin and fall out which has led me to have low self-esteem and not wanting to engage in social events.
Very negative mood
1 more effect
1 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 2 weeks ago
This pill made me feel emotionally empty and depressed. I know it wasn't placebo because I'm a pretty anxious person, and have tried everything to get rid of anxiety, without much success! A week on this pill and I had absolutely no anxiety because I had absolutely no emotions. I'm also a very motivated person normally, but I found it really hard to just get out of bed and function. It was wild. Took it for 2 weeks and then stopped, couldn't find any hard evidence that side effects improve after 3 months, and I genuinely didn't have time to be that unproductive and miserable for more than a couple of weeks.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
18 years old
🇬🇧 UK
• 3 days ago
I started the pill 12 months ago and it was fine for the first 2 months,no pain or anything but then i started bleeding and i havnt stopped bleeding for 10 months straight,it ranges in how heavy it is but it is constant everyday
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
42 years old
🇬🇧 UK
• 5 days ago
My overall experience on this pill was a very negative one. I was on this pill for 12 months. I'm hoping to switch to the coil in January, still deciding which one, the copper or Mirena. I am 42 years old. On the mini pill I was emotional, very irritable and anxiety was through the roof. I could be okay one minute then the next I could flip a switch and be kicking off over minor things. I had racing thoughts most of the time which led me to be crying and causing my anxiety to be out of control. The spotting and breakthrough bleeding were horrendous which led to heavy clotting and sometimes it would happen unexpectingly. Sex most of the time wasn't happening due to this. The stomach cramps are so painful and because of this I felt unmotivated to do any hobbies and lost interest. I describe my hair as fine but I noticed it started to really thin and fall out which has led me to have low self-esteem and not wanting to engage in social events.
Very negative mood
1 more effect
1 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 2 weeks ago
This pill made me feel emotionally empty and depressed. I know it wasn't placebo because I'm a pretty anxious person, and have tried everything to get rid of anxiety, without much success! A week on this pill and I had absolutely no anxiety because I had absolutely no emotions. I'm also a very motivated person normally, but I found it really hard to just get out of bed and function. It was wild. Took it for 2 weeks and then stopped, couldn't find any hard evidence that side effects improve after 3 months, and I genuinely didn't have time to be that unproductive and miserable for more than a couple of weeks.
Very negative mood
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 2 weeks ago
Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly
Very negative mood
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 3 weeks ago
I went on norgeston because although i didnt get many side effects on desogestrel, i did suffer from hairloss. I think it has given me less regulation over my anxiety and notnreally done anything to reduce pain from adenomyosis but other contraceptives disagree with me (to the point I have painfully expelled 2 mirena coils).
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 3 weeks ago
I’ve been on 3 different mini pills over the last 6 months and I have bled every single day since. 3 months ago I was recommended to double dose and take 2 mini pills a day to try and stop the bleeding. (I was previously on the combined pill and loved it but not allowed now as history of migraines with aura) It made no difference and actually made them heavier by the last month. Doctors just kept trying me on a different mini pill hoping it would stop the bleeding, so obviously my hormones have been all over the shop, when I would change to a new pill I couldn’t stop crying. It felt like no one really cared until today I sat in the doctors and just cried saying I just want someone to listen to me. I am now considering the hormonal coil.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 5 yr
25 years old
🇬🇧 UK
• 3 weeks ago
The mini-pill has been a life saver for me. I’ve always struggled with combined pills, trying so many to control horrible periods and always having awful side effects. Since first trying the mini pill, I had spotting for about a week, and I haven’t had anything since, it’s been three years! The only side effect I have is that my skin is very sensitive and breaks out easily like it did before I started taking oral contraceptives, which started again about two months in, but it’s worth it for the benefits for me. No mood swings, no migraines, no bleeding, no hair loss, no weight gain, just a bit of manageable acne!
Very positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
64 years old
🇬🇧 UK
• 1 month ago
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
64 years old
🇬🇧 UK
• 1 month ago
Im a trans for estrogen therapy to help with my breast
Improved skin
0 helpful
0 comments
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 1 month ago
Somewhat positive mood
0 helpful
0 comments
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