Copper coil (IUD) vs Progestogen-only / Mini pill
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Overview
Rated 3.5
571 reviews
5 - 10 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1312 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
571 reviews
Used for 8+ yr
42 years old
🇬🇧 UK
• 4 days ago
My 3rd coil now. 1st lasted years. Second one fell out and I didn’t realise so accidentally got pregnant. 3rd has extra long strings so hopefully that won’t happen again. Never had much pain during insertion or removal or any added pain any other time just slightly heavier periods. Overall have always been happy with the copper coil just need to be better at checking the strings after each period. Feel happier and have a higher sex drive while it’s in.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 6 - 12 mo
41 years old
🇬🇧 UK
• 2 weeks ago
I switched to the copper IUD after 8 years with implants and always irregular bleeding with the implant. The fitting was a little uncomfortable as expected but definitely bearable with a paracetamol taken beforehand. My first two proper periods were heavy-ish but not unmanageable (I don't remember having particularly heavy or painful periods before using implants); I felt some lower back ache and cramping for a couple of days at the beginning of each period but again this wasn't too bad, and it was nice to recognise a normal cycle after losing this when using the implant. Over the next four periods my bleeding has got a bit lighter than the first two, and I only feel occasional cramps or back ache so I'm very happy with the IUD and would definitely recommend it.
Somewhat positive mood
1 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 2 weeks ago
I've had copper coil since february 2024 and I feel so good that my body can have a normal cycle again after years on a pill. The insertion itself wasn't nearly as bad as people say. Yes it was a sharp cramp but it only lasted around 30 seconds and I could still talk through it so it wasn't anything traumatising. I took 800 mg of ibuprofen beforehand and that's what the doctor advised as well, it definitely helped. On the day I had it done I felt a bit weak and my lower abdomen felt as if I did a great deal of ab exercise. Nothing a couple painkillers and hot water bottle couldn't solve. My periods did become much heavier and more painful but before I had a coil they were very light and I had no pain at all so it is probably just about the same as most women experience every month. For this reason I wouldn't recommend it to people who already have heavy and painful periods but for someone like me it is manageable. I definitely feel so much better with it than a pill, sex became way more enjoyable and I'm more in tune with my body. I had the procedure done at sexual health clinic so I would recommend it over a GP. Overall very good experience and If I don't get any side effects from it over the next 5 years I will definitely do it again.
Top side effects not reported
2 helpful
0 comments
Used for 8+ yr
42 years old
🇬🇧 UK
• 4 days ago
My 3rd coil now. 1st lasted years. Second one fell out and I didn’t realise so accidentally got pregnant. 3rd has extra long strings so hopefully that won’t happen again. Never had much pain during insertion or removal or any added pain any other time just slightly heavier periods. Overall have always been happy with the copper coil just need to be better at checking the strings after each period. Feel happier and have a higher sex drive while it’s in.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 6 - 12 mo
41 years old
🇬🇧 UK
• 2 weeks ago
I switched to the copper IUD after 8 years with implants and always irregular bleeding with the implant. The fitting was a little uncomfortable as expected but definitely bearable with a paracetamol taken beforehand. My first two proper periods were heavy-ish but not unmanageable (I don't remember having particularly heavy or painful periods before using implants); I felt some lower back ache and cramping for a couple of days at the beginning of each period but again this wasn't too bad, and it was nice to recognise a normal cycle after losing this when using the implant. Over the next four periods my bleeding has got a bit lighter than the first two, and I only feel occasional cramps or back ache so I'm very happy with the IUD and would definitely recommend it.
Somewhat positive mood
1 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 2 weeks ago
I've had copper coil since february 2024 and I feel so good that my body can have a normal cycle again after years on a pill. The insertion itself wasn't nearly as bad as people say. Yes it was a sharp cramp but it only lasted around 30 seconds and I could still talk through it so it wasn't anything traumatising. I took 800 mg of ibuprofen beforehand and that's what the doctor advised as well, it definitely helped. On the day I had it done I felt a bit weak and my lower abdomen felt as if I did a great deal of ab exercise. Nothing a couple painkillers and hot water bottle couldn't solve. My periods did become much heavier and more painful but before I had a coil they were very light and I had no pain at all so it is probably just about the same as most women experience every month. For this reason I wouldn't recommend it to people who already have heavy and painful periods but for someone like me it is manageable. I definitely feel so much better with it than a pill, sex became way more enjoyable and I'm more in tune with my body. I had the procedure done at sexual health clinic so I would recommend it over a GP. Overall very good experience and If I don't get any side effects from it over the next 5 years I will definitely do it again.
Top side effects not reported
2 helpful
0 comments
Progestogen-only / Mini pill reviews
1312 reviews
Used for 5 - 8 yr
23 years old
🇬🇧 UK
• 2 weeks ago
I’ve taken it for 6 years now. Not really any side effects. However, it might have affected my mood negatively, but i am not certain as I went through big life changes when i started taking it so my mood may have been a result of that. Also lost a bit of weight at that time and it stayed off. Didn’t get my period anymore for a couple of years but now i have irregular bleeding sometimes (Some months more, some less).
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I started the POP because I had a few migraines with auras on the combined pill and had to stop this. When I started the mini-pill my periods became very irregular. However, I went on the combined pill in the first place because of my irregular cycle so this may just be me. I have noticed my periods are lighter but I never had heavy periods anyway. I have had a few cases of spotting for 2-3weeks after getting my period but this hopefully seems to have settled now after 5/6 months and I get a 3-5 day light period. My skin flared up with bad hormonal acne about 3/4months after I started taking the POP and hasn’t gotten any better. Another reason why I went on the combined pill initially was to help with acne so I feel this has regressed since starting the mini-pill. Also, I have had some horrific cramping at random times. A couple of times has been a whole week of painful cramps but again this hopefully seems to have settled down a bit after about 7/8 months of taking the POP. Overall, I’m not happy with the side effects I’m experiencing, especially my skin, and am considering trying the hormonal coil, but will give it a full year on the POP to see if my body starts to settle.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 3 weeks ago
I really wanted to like Desogestrel. Initially, my skin was the worst - so oily and immediately broke out in painful acne. This quickly subsided after about 2 weeks. For 3 months, my breasts were so enlarged and sore all the time. I noticed around the 3 month mark that I was experiencing vaginal dryness too. My periods have been totally irregular - since starting Desogestrel in May I've had 10 periods. Many of these were trigged by intercourse. The volume of blood and the level of pain was variable for every period, making it hard to predict. The final straw for me was I started losing my hair around the 5-6 month mark. My hair is noticeably thinner on top and the ends are ruined / look awful. The only positive for me has been that it made me more energetic and have a better / more even mood. It did has not affected my sex drive and I gained a negligible amount of weight.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
23 years old
🇬🇧 UK
• 2 weeks ago
I’ve taken it for 6 years now. Not really any side effects. However, it might have affected my mood negatively, but i am not certain as I went through big life changes when i started taking it so my mood may have been a result of that. Also lost a bit of weight at that time and it stayed off. Didn’t get my period anymore for a couple of years but now i have irregular bleeding sometimes (Some months more, some less).
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I started the POP because I had a few migraines with auras on the combined pill and had to stop this. When I started the mini-pill my periods became very irregular. However, I went on the combined pill in the first place because of my irregular cycle so this may just be me. I have noticed my periods are lighter but I never had heavy periods anyway. I have had a few cases of spotting for 2-3weeks after getting my period but this hopefully seems to have settled now after 5/6 months and I get a 3-5 day light period. My skin flared up with bad hormonal acne about 3/4months after I started taking the POP and hasn’t gotten any better. Another reason why I went on the combined pill initially was to help with acne so I feel this has regressed since starting the mini-pill. Also, I have had some horrific cramping at random times. A couple of times has been a whole week of painful cramps but again this hopefully seems to have settled down a bit after about 7/8 months of taking the POP. Overall, I’m not happy with the side effects I’m experiencing, especially my skin, and am considering trying the hormonal coil, but will give it a full year on the POP to see if my body starts to settle.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 3 weeks ago
I really wanted to like Desogestrel. Initially, my skin was the worst - so oily and immediately broke out in painful acne. This quickly subsided after about 2 weeks. For 3 months, my breasts were so enlarged and sore all the time. I noticed around the 3 month mark that I was experiencing vaginal dryness too. My periods have been totally irregular - since starting Desogestrel in May I've had 10 periods. Many of these were trigged by intercourse. The volume of blood and the level of pain was variable for every period, making it hard to predict. The final straw for me was I started losing my hair around the 5-6 month mark. My hair is noticeably thinner on top and the ends are ruined / look awful. The only positive for me has been that it made me more energetic and have a better / more even mood. It did has not affected my sex drive and I gained a negligible amount of weight.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
21 years old
🇬🇧 UK
• 3 weeks ago
My periods are much lighter now, I probably bleed for about 3 days in 3-4 months - it is irregular though unfortunately so I can't predict when it may occur. My mood is much more stable than it was before and whilst using other hormonal contraception. I have been getting much more increased sweating recently though and had not made the link that it may be connected to the pill before seeing it on the Lowdown website. I have had a really positive experience with the mini-pill, especially after having used the implant before.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 1 month ago
I was prescribed generic Desogestrel mini pill to treat my adenomyosis. I was only on it for a couple of weeks, but I couldn't cope with the symptoms. Daily bleeding and bloating but more worryingly, horrendous nausea, dizziness and migraines. Also had swollen tender enlarged breasts.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
31 years old
🇬🇧 UK
• 14th Oct 24
I’ve never have had a pain free period over the years my periods of gotten drastically worse which it gotten to a point that i was physically sick during my periods and was house bound for the whole entire wake up period I have PCOS and i was scared using the pill as I read up online that the pill is bad for it I had gotten to point that I was tired and fed up in having painful periods so I as recommended by my nurse to try the Cerazette pill I’m shocked in how quick that this pill stopped my periods however I am over moon that this is the case I don’t wish become a mother so I will be taken this pill till menopause positive effects periods stopped acne on my face and back is starting go Low moods have gone no longer feel bloated Negative effects Little bit of breast pain Little bit of period like cramps only a week coming to what would be my period due this doesn’t last long and I just take paracetamol which helps
Very positive mood
2 more effects
0 helpful
1 comments
Used for 1 - 3 mo
50 years old
🇬🇧 UK
• 14th Oct 24
This desogestrol progesterone only pill was recommended to me during a specialist appointment for severe Menorrhagia, I also have endometriosis. On the first day of taking I did not notice any symptoms, on the second day my whole abdomen from side to side became painful, tender and swollen, same on day three and four progressively becoming worse. On day three and four I was getting pins and needles in both my hands intermittently. I felt nauseous on day two, three and four (this became constant from day three to four) and had some dizzy spells on both days too. I also experienced tender breasts from day 1 to 4. I exercise well everyday and noticed I was sweating more than usual and breathless after exertion, a lot more than usual. My sex drive changed because of the side effects I think. I stopped taking this medication after the fourth tablet because the side effects were so bad.
Somewhat negative mood
0 helpful
0 comments
Used for 1 - 3 mo
31 years old
🇬🇧 UK
• 10th Oct 24
Was put on this to help with my severe period pains. It has helped but I'm not sure it's worth it with the side effects. I can honestly say I am depressed. I have zero motivation, zero energy, zero inclination to do anything I used to enjoy. My sex drive has disappeared it doesn't matter because I've bled for the majority of the time I've been taking it. I want to stop but my GP won't try me on anything else until I've been on this for 3 months.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
40 years old
🇬🇧 UK
• 9th Oct 24
I have been taking Desogestral for just over 6 months. It took 3-4 months of irregular bleeding/spotting before my periods seem to have stopped completely. I do notice that I have had several occurrences of thrush along with weight gain/increased hunger, tender breasts and occasional period like cramping without bleeding. Mood overall has been slightly lower and feel like I am prone to pms symptoms still (teary, low mood) at the time I would have previously been due on. Had been off contraception for several years as combined pill previously contributed to anxiety/depression. Wanted something to control v heavy periods and not impact mood greatly and this seems to be working so far despite some unwanted side effects
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
46 years old
🇬🇧 UK
• 8th Oct 24
Awful , periods went on for 16-28 days over 3 months. Decided to stop taking this totally as it was awful. Don’t recommend at all.
Very negative mood
0 helpful
0 comments
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