Fertility awareness methods (FAM) vs Copper coil (IUD)

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Fertility awareness methods (FAM)

Add your fertility awareness methods (FAM) review

Copper coil (IUD)

Add your Copper coil (IUD) review

Overview

Rated 4.3

160 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

619 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Fertility awareness methods (FAM) ingredients

Fertility awareness methods is an umbrella term for a method of contraception that works by being able to identify when in the menstrual cycle you are fertile through a range of factors.

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.

What Lowdown reviewers say

51% very positive

64% no change

49% increased sex drive

83% no impact

61% no impact on skin

Cycle return

67% in 1 month

54% no impact on mood

69% heavier periods

63% no impact

75% no impact

75% no impact on skin

Cycle return

44% 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

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

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Add your Copper coil (IUD) review

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

160 reviews

Fertility awareness methods (FAM)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  25th Mar 26

Natural Cycles App  

Hi everyone! I’ve been using Natural Cycles for a while now and it’s genuinely helped me feel more in control of my cycle and fertility awareness. If anyone here is thinking about trying it, I have a referral code that gives you a discount on subscription (and also helps me get closer to becoming a Star Cycler). If you’d like to use it, here it is: https://www.naturalcycles.com/refer-a-friend?name=QmV0aA%3D%3D&code=referralid20&referral=70eqzvinl2i98q15&utm_source=NCApp&utm_medium=inappbutton&utm_campaign=refer_a_friend_page No pressure at all — just sharing in case it helps someone save a bit while getting started. Happy to answer questions about my experience if that’s useful too 😊 With this you get a free thermometer and a 20% off :)

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  17th Nov 25

Natural Cycles App  

I used natural cycles to prevent and plan pregnancy- worked fabulously on both occasions. After my daughter was born I wanted a more solid contraception (sleep does impact your basal temp guys, so with a newborn, not the one)- now she sleeps through I will be going back!!


Top side effects not reported

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  13th Jun 25

Symptothermal method  

Before using FAM, I was using the copper IUD religiously for about 11 years. I had a mixed experience even if overall positive with it, but back in 2021 after a year of chronic yeast infections and finally discovering it had slipped, I decided to not replace it. In that time, my periods were always like clockwork and I was tracking my cycles in a few years leading up to this. Not just tracking the days, but my symptoms and body sensations as I entered into each phase. I was using a period tracking app called Eve, but I knew not to rely on it religiously, it was just for a rough idea of when my fertile times and period would be. I decided to just continue with this, because I had built such a deep relationship with my body and have no problem checking my cervical fluids. I used it until 2022 when we decided to try to conceive, and we conceived within a few months, even though sadly, it was ectopic. I wouldn't recommend this method to anybody without months of really knowing your body and listening to it-- learning your cues for when you know you're about to ovulate, roughly timing how long your follicular phase is, and it helps if your periods are regular. While apps can be really helpful, you have to do the hard work of building that relationship with your body. I wouldn't recommend it for somebody just starting out, or if your periods are irregular.


Very positive mood

3 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  25th Mar 26

Natural Cycles App  

Hi everyone! I’ve been using Natural Cycles for a while now and it’s genuinely helped me feel more in control of my cycle and fertility awareness. If anyone here is thinking about trying it, I have a referral code that gives you a discount on subscription (and also helps me get closer to becoming a Star Cycler). If you’d like to use it, here it is: https://www.naturalcycles.com/refer-a-friend?name=QmV0aA%3D%3D&code=referralid20&referral=70eqzvinl2i98q15&utm_source=NCApp&utm_medium=inappbutton&utm_campaign=refer_a_friend_page No pressure at all — just sharing in case it helps someone save a bit while getting started. Happy to answer questions about my experience if that’s useful too 😊 With this you get a free thermometer and a 20% off :)


Very positive mood

1 more effect

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  17th Nov 25

Natural Cycles App  

I used natural cycles to prevent and plan pregnancy- worked fabulously on both occasions. After my daughter was born I wanted a more solid contraception (sleep does impact your basal temp guys, so with a newborn, not the one)- now she sleeps through I will be going back!!


Top side effects not reported

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  13th Jun 25

Symptothermal method  

Before using FAM, I was using the copper IUD religiously for about 11 years. I had a mixed experience even if overall positive with it, but back in 2021 after a year of chronic yeast infections and finally discovering it had slipped, I decided to not replace it. In that time, my periods were always like clockwork and I was tracking my cycles in a few years leading up to this. Not just tracking the days, but my symptoms and body sensations as I entered into each phase. I was using a period tracking app called Eve, but I knew not to rely on it religiously, it was just for a rough idea of when my fertile times and period would be. I decided to just continue with this, because I had built such a deep relationship with my body and have no problem checking my cervical fluids. I used it until 2022 when we decided to try to conceive, and we conceived within a few months, even though sadly, it was ectopic. I wouldn't recommend this method to anybody without months of really knowing your body and listening to it-- learning your cues for when you know you're about to ovulate, roughly timing how long your follicular phase is, and it helps if your periods are regular. While apps can be really helpful, you have to do the hard work of building that relationship with your body. I wouldn't recommend it for somebody just starting out, or if your periods are irregular.


Very positive mood

3 helpful

0 comments


Copper coil (IUD) reviews

619 reviews

Copper coil (IUD)  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 day ago

Copper coil (IUD)  

I got pregnant because my copper coil moved down towards my cervix. Could still feel the strings as normal. For 4 months prior to that I'd been having symptoms of vaginitis (dry feeling during sex without actually being dry and stinging during urination). The doctors told me it couldn't be the coil causing it but I now believe it was, instead they treated me for uti and yeast infection and dermatitis (none of which I actually had). So yeah I suffered pain for 4 months and then got pregnant. I wouldn't recommend because it's so hard to tell it moved, if you get symptoms of vaginitis or vaginal irritation ask for an ultrasound. Getting pregnant at 20 and then having to terminate the pregnancy is traumatic.


Very negative mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
29 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

I loved the copper coil however it caused very heavy and long periods and I had to get it out after 5 months due to anaemia. I also have pmdd so I wanted to try something hormonal to ease this


Lost weight

0 helpful

0 comments

Copper coil (IUD)  
Used for 12 - 18 mo
35 years old
🇬🇧 UK
  •  20th May 26

Copper coil (IUD)  

Before having the copper coil, I’d tried all other forms of contraceptives. I got to a point where I felt, even though the copper coil would cause more heavier and painful periods, it was non hormonal so thought it was my old option (hormones really don’t suit me) The insertion was pretty bad I won’t lie but when it’s done it’s done! I never could feel my threads and my periods went from 5 days to 10 days. I went from being someone with light periods to unbelievably heavy; to the point I was wearing period knickers with two overlapped night pads for two of the days. The nurses said after 6 months my body would adjust and the bleeding would settle down. They started me on TXA as my ferretin and iron became low. To cut a long story short the bleeding never settled and I was still having ten day long periods. It was a horrible 12 months as I felt the majority of the time I was on a period and doing daily tasks or working proved very very hard some days. I became anaemic and would spend a lot of money on supplements alongside the prescribed iron. The anaemic led to a lower moon, zero sex drive, ravinous appetite and tiredness. I know they say research shows a small percentage gain weight on it and I was one of them. But they always like to say it’s others things like lifestyle. For me I was certain it was the coil due to the anaemia it causes. I’m 155cm and weigh 8 stone 3. I’ve always been that weight and I go to the gym 3-5 days a week, probably twice a week since the coil. I gained a stone in that year.


Somewhat negative mood

2 more effects

0 helpful

1 comments

Copper coil (IUD)  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 day ago

Copper coil (IUD)  

I got pregnant because my copper coil moved down towards my cervix. Could still feel the strings as normal. For 4 months prior to that I'd been having symptoms of vaginitis (dry feeling during sex without actually being dry and stinging during urination). The doctors told me it couldn't be the coil causing it but I now believe it was, instead they treated me for uti and yeast infection and dermatitis (none of which I actually had). So yeah I suffered pain for 4 months and then got pregnant. I wouldn't recommend because it's so hard to tell it moved, if you get symptoms of vaginitis or vaginal irritation ask for an ultrasound. Getting pregnant at 20 and then having to terminate the pregnancy is traumatic.


Very negative mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
29 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

I loved the copper coil however it caused very heavy and long periods and I had to get it out after 5 months due to anaemia. I also have pmdd so I wanted to try something hormonal to ease this


Lost weight

0 helpful

0 comments

Copper coil (IUD)  
Used for 12 - 18 mo
35 years old
🇬🇧 UK
  •  20th May 26

Copper coil (IUD)  

Before having the copper coil, I’d tried all other forms of contraceptives. I got to a point where I felt, even though the copper coil would cause more heavier and painful periods, it was non hormonal so thought it was my old option (hormones really don’t suit me) The insertion was pretty bad I won’t lie but when it’s done it’s done! I never could feel my threads and my periods went from 5 days to 10 days. I went from being someone with light periods to unbelievably heavy; to the point I was wearing period knickers with two overlapped night pads for two of the days. The nurses said after 6 months my body would adjust and the bleeding would settle down. They started me on TXA as my ferretin and iron became low. To cut a long story short the bleeding never settled and I was still having ten day long periods. It was a horrible 12 months as I felt the majority of the time I was on a period and doing daily tasks or working proved very very hard some days. I became anaemic and would spend a lot of money on supplements alongside the prescribed iron. The anaemic led to a lower moon, zero sex drive, ravinous appetite and tiredness. I know they say research shows a small percentage gain weight on it and I was one of them. But they always like to say it’s others things like lifestyle. For me I was certain it was the coil due to the anaemia it causes. I’m 155cm and weigh 8 stone 3. I’ve always been that weight and I go to the gym 3-5 days a week, probably twice a week since the coil. I gained a stone in that year.


Somewhat negative mood

2 more effects

0 helpful

1 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
  •  31st Mar 26

Copper coil (IUD)  

Brain fog ,Acne , weight gain , tender and painful breasts all the time as a result , extremely heavy periods, although it's non hormonal doesn't mean no side effects , be careful when considering " non hormonal contraception"


Somewhat negative mood

3 more effects

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  27th Mar 26

Copper coil (IUD)  

Very frustrated with the copper coil, if it didn't make my periods so heavy and painful I would continue as there has been no other issues you would likely see in a hormonal contraceptive. If you can manage 2 weeks every month in a lot of pain, then it's worth it for the other two when I'm fine and no mood changes


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  26th Mar 26

Copper coil (IUD)  

I got pregnant


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 8+ yr
40 years old
🇬🇧 UK
  •  26th Jan 26

Copper coil (IUD)  

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

Copper coil (IUD)  
Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  15th Jan 26

Copper coil (IUD)  

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

Copper coil (IUD)  
Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  11th Jan 26

Copper coil (IUD)  

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

1 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
  •  21st Dec 25

Copper coil (IUD)  

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

Contraceptive alternatives and comparisons

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