Copper coil (IUD) vs Progestogen-only / Mini pill
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Overview
Rated 3.5
613 reviews
5 - 10 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1457 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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Real life reviews from people like you
Copper coil (IUD) reviews
613 reviews
Used for 8+ yr
40 years old
🇬🇧 UK
• 2 days ago
The only down fall is low iron this has caused debilitating fatigue, so be prepare to have to maybe take iron supplements
Very positive mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
23 years old
🇬🇧 UK
• 2 weeks ago
I got the Kyleena coil fitted in Jan 2025 - just for reference I am a 5"3 23yr old without ever given birth - the insertion was very uncomfortable but not the worst ever, I did it with my sexual health clinic as I find they are more patient and kind rather than a quick GP / hosp appointment. My 11 months with the coil were overall great, except extreme contraction like pain and very occasional periods that would either last hours or a day. I didn't bleed every month but would get the odd few days of a period, quite unpredictable. I got a scan in July time just to make sure it was in the right place due to the amount of pain I was getting, and was all fine. In November 2025 I suddenly got excruciating pain and was told the coil has moved (perhaps explains the contraction pain throughout the year, I presume my body was rejecting it). Thankfully I pushed for another scan otherwise I would've kept having unprotected sex lol. Despite all the above, I am getting another one fitted because it is a trusty bit of contraception - just be aware if you experience a lot of pain in the lower tummy, to get it checked out!!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 3 weeks ago
I may have only had mine for 6 weeks but am currently very happy with my decision. Decided to get it to prevent a potential pregnancy as the morning after pill was potentially not going to be effective for where I was in my cycle. The insertion was uncomfortable as expected but the nurses were phenomenal, i was given a lidocaine gel and they talked me through every step. Had 24hrs of quite hefty cramps and light bleeding post insertion and it triggered my period early a few days later which was longer and heavier than my usual, but since then things have got back to normal in terms of my cycle length and symptoms I usually experience throughout and my next period came on time. Yes it’s heavier, a bit longer and the cramps are sometimes tough, but with a good regimen of painkillers, hot water bottles and being kinder to myself, i would take that over the risk of pregnancy any day. My partner doesn’t feel the strings when we have sex either. Will update in a few months 😊
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
40 years old
🇬🇧 UK
• 2 days ago
The only down fall is low iron this has caused debilitating fatigue, so be prepare to have to maybe take iron supplements
Very positive mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
23 years old
🇬🇧 UK
• 2 weeks ago
I got the Kyleena coil fitted in Jan 2025 - just for reference I am a 5"3 23yr old without ever given birth - the insertion was very uncomfortable but not the worst ever, I did it with my sexual health clinic as I find they are more patient and kind rather than a quick GP / hosp appointment. My 11 months with the coil were overall great, except extreme contraction like pain and very occasional periods that would either last hours or a day. I didn't bleed every month but would get the odd few days of a period, quite unpredictable. I got a scan in July time just to make sure it was in the right place due to the amount of pain I was getting, and was all fine. In November 2025 I suddenly got excruciating pain and was told the coil has moved (perhaps explains the contraction pain throughout the year, I presume my body was rejecting it). Thankfully I pushed for another scan otherwise I would've kept having unprotected sex lol. Despite all the above, I am getting another one fitted because it is a trusty bit of contraception - just be aware if you experience a lot of pain in the lower tummy, to get it checked out!!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 3 weeks ago
I may have only had mine for 6 weeks but am currently very happy with my decision. Decided to get it to prevent a potential pregnancy as the morning after pill was potentially not going to be effective for where I was in my cycle. The insertion was uncomfortable as expected but the nurses were phenomenal, i was given a lidocaine gel and they talked me through every step. Had 24hrs of quite hefty cramps and light bleeding post insertion and it triggered my period early a few days later which was longer and heavier than my usual, but since then things have got back to normal in terms of my cycle length and symptoms I usually experience throughout and my next period came on time. Yes it’s heavier, a bit longer and the cramps are sometimes tough, but with a good regimen of painkillers, hot water bottles and being kinder to myself, i would take that over the risk of pregnancy any day. My partner doesn’t feel the strings when we have sex either. Will update in a few months 😊
Top side effects not reported
0 helpful
0 comments
Progestogen-only / Mini pill reviews
1457 reviews
Used for 1 - 3 mo
34 years old
🇬🇧 UK
• 1 day ago
Was put on zeletta 5 weeks ago had one normal period 2 weeks later, then 2 weeks ago I started heavily bleeding a week later it became even heavier especially at night where i get intense cramping and fill a pad or tampon every 1-2hrs losing significantly large blood clots, several phone calls to doctors who claimed "its normal" on zelleta then prescribed me tranexamic acid 4 days ago which has not helped at all the large blood clots, cramping and heavy bleeding still continues so today 2 weeks later my doctor has asked me to stop and up dosage of tranexamic acid. I also noticed a breakout with large spots on face that ive never had! Very low mood and loss of motivation crying over the most smallest of things! This pill has ruined me this past 2 weeks and wreaked havoc on my body hoping now ive stopped the bleeding and cramping will ease, I honestly wish id looked into this more before started but was told it was the same as the last brand cerelle (which I had no issues with) so started to take. I have never experienced anything like this and its really taken a toll on me.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
35 years old
🇬🇧 UK
• 2 weeks ago
Hi everyone, I’ve been on Cerazette since October. Before that I had a Mirena coil, but I was bleeding constantly and had it removed after 10 months. First month on Cerazette was great period on time, only 4 days. Since then it’s been a mess: weeks of spotting short breaks a few days of bleeding then spotting again now spotting again with very sore breasts, which feels like another period starting My GP says to wait 6 months for things to settle, but I was told the same with Mirena and it never improved. I can’t use other hormonal methods and coils don’t suit me, so I’m really stuck. This constant bleeding/spotting is physically and mentally exhausting, and it’s affecting my relationship too. Did anyone actually see improvement on Cerazette? If yes, how long did it take? Or did you eventually have to stop? Thanks for any honest experiences.
Increased sex drive
1 more effect
2 helpful
1 comments
Used for 3 - 6 mo
34 years old
🇬🇧 UK
• 3 weeks ago
I felt satisfied until I came on here and realised my symptoms might be to do with this pill. I had a baby 14 months ago and have recently felt awful - low self esteem,anxiety, back pain, bad skin, weight gain, bloating, headaches, migraines... The list goes on. I thought it was part and parcel of having a small human but I'm starting to think it might be because of the noriday. In terms of my periods this is the best mini pill I've tried which is why I've still given it 3 stars. They're shorter and not too heavy or painful so an improvement for me. But due to the other symptoms I might have to look at an alternative. Maybe the dreaded coil.
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 1 - 3 mo
34 years old
🇬🇧 UK
• 1 day ago
Was put on zeletta 5 weeks ago had one normal period 2 weeks later, then 2 weeks ago I started heavily bleeding a week later it became even heavier especially at night where i get intense cramping and fill a pad or tampon every 1-2hrs losing significantly large blood clots, several phone calls to doctors who claimed "its normal" on zelleta then prescribed me tranexamic acid 4 days ago which has not helped at all the large blood clots, cramping and heavy bleeding still continues so today 2 weeks later my doctor has asked me to stop and up dosage of tranexamic acid. I also noticed a breakout with large spots on face that ive never had! Very low mood and loss of motivation crying over the most smallest of things! This pill has ruined me this past 2 weeks and wreaked havoc on my body hoping now ive stopped the bleeding and cramping will ease, I honestly wish id looked into this more before started but was told it was the same as the last brand cerelle (which I had no issues with) so started to take. I have never experienced anything like this and its really taken a toll on me.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
35 years old
🇬🇧 UK
• 2 weeks ago
Hi everyone, I’ve been on Cerazette since October. Before that I had a Mirena coil, but I was bleeding constantly and had it removed after 10 months. First month on Cerazette was great period on time, only 4 days. Since then it’s been a mess: weeks of spotting short breaks a few days of bleeding then spotting again now spotting again with very sore breasts, which feels like another period starting My GP says to wait 6 months for things to settle, but I was told the same with Mirena and it never improved. I can’t use other hormonal methods and coils don’t suit me, so I’m really stuck. This constant bleeding/spotting is physically and mentally exhausting, and it’s affecting my relationship too. Did anyone actually see improvement on Cerazette? If yes, how long did it take? Or did you eventually have to stop? Thanks for any honest experiences.
Increased sex drive
1 more effect
2 helpful
1 comments
Used for 3 - 6 mo
34 years old
🇬🇧 UK
• 3 weeks ago
I felt satisfied until I came on here and realised my symptoms might be to do with this pill. I had a baby 14 months ago and have recently felt awful - low self esteem,anxiety, back pain, bad skin, weight gain, bloating, headaches, migraines... The list goes on. I thought it was part and parcel of having a small human but I'm starting to think it might be because of the noriday. In terms of my periods this is the best mini pill I've tried which is why I've still given it 3 stars. They're shorter and not too heavy or painful so an improvement for me. But due to the other symptoms I might have to look at an alternative. Maybe the dreaded coil.
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 12 - 18 mo
23 years old
🇬🇧 UK
• 3 weeks ago
The good thing about Cerelle is that it stopped my periods. However, it triggered an androgenic response for me so I gained weight on it, got lots of stretch marks (which I have never had before), experienced hair loss, experience increased and darker body hair, and it gave me bad skin, also seemed to be more irritable all the time. I have been changed to a combined pill now so fingers crossed everything gets better!
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 1 month ago
it has helped massively with my cramps which is the reason i was put onto it. my tender breasts and spotting are what i have struggled with the most
Somewhat negative mood
1 more effect
0 helpful
3 comments
Used for 6 - 12 mo
18 years old
🇬🇧 UK
• 18th Dec 25
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
• 17th Dec 25
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
• 13th Dec 25
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
• 10th Dec 25
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
• 6th Dec 25
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
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