Copper coil (IUD) vs Progestogen-only / Mini pill
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Overview
Rated 3.5
596 reviews
5 - 10 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1403 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
596 reviews
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 2 weeks ago
the inserction was painful and invasive, it had me feeling faint that day but come sugary drink helped. i enjoyed my time with it, but my period was much heavier and it led me to iron deficiency. i decided to take it out recently as i wanted to know how it was without anything and i was concered as to whether it was a healthy option for my uterus. when i got it removed i did feel a very positive feeling from not having it, but that could be that it was a concern on my mind for a while. but now im reconsidering having it inserted again since having no birth contol isnt a great option and i think i prefer iron deficiency than hormonal mood swings with a hormonal option.
Very positive mood
0 helpful
0 comments
Used for 8+ yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 8th Jun 25
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
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 2 weeks ago
the inserction was painful and invasive, it had me feeling faint that day but come sugary drink helped. i enjoyed my time with it, but my period was much heavier and it led me to iron deficiency. i decided to take it out recently as i wanted to know how it was without anything and i was concered as to whether it was a healthy option for my uterus. when i got it removed i did feel a very positive feeling from not having it, but that could be that it was a concern on my mind for a while. but now im reconsidering having it inserted again since having no birth contol isnt a great option and i think i prefer iron deficiency than hormonal mood swings with a hormonal option.
Very positive mood
0 helpful
0 comments
Used for 8+ yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 8th Jun 25
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
Progestogen-only / Mini pill reviews
1403 reviews
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 3 days ago
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 4 days ago
Compared to other mini pills ive tried, this one has the least side effects by far. The side effects I do get include slightly reduced sex drive, very sore breasts and I cry more easily. All of them are managable though.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
40 years old
🇬🇧 UK
• 5 days ago
Ive been on this pill for a few years..Mood okay most of month but then after my period it seems to drop quite alot to low levels..which concerned me when im not depressed.. sore breasts at times .bleeding very little .no spotting.. but that could be my age. Sex drive okay. Skin seems okay- normal acne. I'm might try cerazette see if it helps mood issue.
Somewhat positive mood
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 3 days ago
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 4 days ago
Compared to other mini pills ive tried, this one has the least side effects by far. The side effects I do get include slightly reduced sex drive, very sore breasts and I cry more easily. All of them are managable though.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
40 years old
🇬🇧 UK
• 5 days ago
Ive been on this pill for a few years..Mood okay most of month but then after my period it seems to drop quite alot to low levels..which concerned me when im not depressed.. sore breasts at times .bleeding very little .no spotting.. but that could be my age. Sex drive okay. Skin seems okay- normal acne. I'm might try cerazette see if it helps mood issue.
Somewhat positive mood
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 1 week ago
i’m not sure if it is normal but i have been on this pill for 3 months. a week into the taking the pill my period finally came back after around 100 days. since then ive had very irregular periods often bleeding for extended periods of time and also spotting more often with the periods being closer together. i have also experienced much more mood changes as i have felt somewhat more depressed on this pill. this might just be my experience and might also be influenced by the fact i am still going through pubity as i’m 16 yet i still can’t stop thinking that something is wrong .
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 2 weeks ago
I’m was happy with the mini pill as I took it while breastfeeding my son, however as soon as I weaned him my periods came back but they were all over the place. I bled for nearly 2 weeks straight then it finally stopped, but only for 3 days then it started again. If it wasn’t for this issue I’d have kept using the mini pill but I couldn’t deal with it anymore as it was preventing me from living my life normally
Somewhat positive mood
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 3 weeks ago
Started this purely to help my skin after experiencing constant hormonal breakouts, which it did clear up and meant I could eat however I wanted basically with no consequences on my skin (sugar and fatty foods). However I feel as thought the pill has really dampened my mood making me low level depressed all the time. Also experienced a decreased sex drive and lots of hair loss - but still unsure whether these are directly related.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 1 month ago
After coming off a combined pill (Yasmin) that I was on for 14 years - I am now on Desogestrel, within a week I suffered a mild acne rash/breakout on chin and neck but some gel from my GP quickly sorted that. I am now 2 days late to what would have been a bleed/period and my lower back and period cramps are quite severe and prolonged - my breasts are bigger and tender to touch - hoping these symptoms begin to decrease if I get my bleed or not! Saw GP today to discuss and they’re just general side effects whilst my hormones adjust (I’m told to allow >3 months to review) - general mood has decreased a bit and I feel a bit numb emotionally but started feeling better today so fingers crossed I’m on the up!
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
20 years old
🇬🇧 UK
• 1 month ago
Switched eventually to an implant because of having to remember to bring them everywhere each day. Overall a positive experience though - a reduction in headaches, and usually say it 'flattened' my mood. Whereas before there would be some very low mood points in my cycle, this greatly reduced those. Sometimes it felt a little dull as it seemed to also reduce some of the good spikes, but this was worth it to me to not have to deal with such mood swings.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 1 month ago
Got pregnant on it because I wasn’t taking it properly, since having my son and ensuring to take it regularly I have had no issues
Improved skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
35 years old
🇬🇧 UK
• 28th Jun 25
I really wanted to write about my positive experience as most people write reviews when they have a negative experience, for me the Cerazette has been really good, it improved my feeling of being in balance and lessened mood swings, it did not effect my libido, in fact in the beginning I noticed a higher libido, but most importantly I suffer from migraines with aura and since I started taking this a month ago I didn’t have an intense migraine, just one or two mild days and I normally have 2/3 days per week so in a month 8 at least. The only negative things are not too bad: I have very tender breasts which became a bit bigger but I heard this might go away after 3 months or so and I got a little bit of acne but nothing too crazy and this also usually settles after taking it consistently for a few month. All in all for me it’s truly been life changing.
Somewhat positive mood
1 more effect
0 helpful
0 comments

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