Hormonal coil (IUS) vs Combined pill

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Hormonal coil (IUS)

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Combined pill

£From £0.16/day

Overview

Rated 3.5

752 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2410 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen


Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

What Lowdown reviewers say

Benefits: What this contraceptive can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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£From £0.16/day

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Real life reviews from people like you

Hormonal coil (IUS) reviews

752 reviews

Used for 8+ yr
46 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I had my first Mirena fitted after the birth of my second child. It seemed to work well although my periods became even more irregular than then they were before and I had weeks of spotting at a time especially as I was approaching the 5 year mark. However overall I was satisfied and opted to have it replaced when it expired. This was quite traumatic and took a very long time as the strings had moved making it hard to access. However, the GP was able to remove it and I had a second one fitted which worked much like the first one. However, when it came time to have that one removed and a third one fitted my cervix went into spasm at the point of fitting the new one which was extremely painful and after what felt like forever the GP told me they were unable to fit a new coil that day and to come back. I went back and tried again a month later and the same thing happened. A month after that I was admitted to hospital with an abscess in my fallopian tube caused by repeated failed attempts to insert the coil. I was in hospital for 4 days and off work for over 3 weeks due to the pain/side effects of the antibiotics I had to take.

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Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  5 days ago

  •  Stopped using

I started it after changing from the copper coil. Having previously had no issues with the mirena coil i thought this would be fine but instead i got constant spotting, bled after sex, had a painful and irritated cervix and lost my sex drive.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
43 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

I have pmdd, I could not track my cycle with an iud fitted, it helped initially then made me so much worse. I seen 3 doctors who didn't help, I'm now treating holistically, tracking my cycle and tailoring my food, lifestyle, exercising to my cycle and Somatic healing.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
46 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I had my first Mirena fitted after the birth of my second child. It seemed to work well although my periods became even more irregular than then they were before and I had weeks of spotting at a time especially as I was approaching the 5 year mark. However overall I was satisfied and opted to have it replaced when it expired. This was quite traumatic and took a very long time as the strings had moved making it hard to access. However, the GP was able to remove it and I had a second one fitted which worked much like the first one. However, when it came time to have that one removed and a third one fitted my cervix went into spasm at the point of fitting the new one which was extremely painful and after what felt like forever the GP told me they were unable to fit a new coil that day and to come back. I went back and tried again a month later and the same thing happened. A month after that I was admitted to hospital with an abscess in my fallopian tube caused by repeated failed attempts to insert the coil. I was in hospital for 4 days and off work for over 3 weeks due to the pain/side effects of the antibiotics I had to take.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  5 days ago

  •  Stopped using

I started it after changing from the copper coil. Having previously had no issues with the mirena coil i thought this would be fine but instead i got constant spotting, bled after sex, had a painful and irritated cervix and lost my sex drive.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
43 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

I have pmdd, I could not track my cycle with an iud fitted, it helped initially then made me so much worse. I seen 3 doctors who didn't help, I'm now treating holistically, tracking my cycle and tailoring my food, lifestyle, exercising to my cycle and Somatic healing.


Top side effects not reported

0 helpful

0 comments


Combined pill reviews

2410 reviews

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  today

  •  Still using

I've been on Yacella for 4 months now. I got switched to Yacella due to issues with acne. I can say it cleared up my acne and made my skin look lovely and bright. However, the changes to my hormones really weren't worth it. Yacella has made me incredibly paranoid. I developed anxiety so bad that it effected my day to day life and my relationships. It also made me incredibly depressed, which also had a huge impact on my wellbeing. Due to the impact it has had on my mental health, I decided to stop taking it. It may work for some but losing my sanity for the sake of good skin was not worth it at all!


Top side effects not reported

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0 comments

Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I swapped onto Lucette after I started having spotting on Yasmin. I thought it would be an easy switch as they are the same but it was not. I started having awful low moods and suffering from cystic acne for the first time in my life. I stopped after 6 weeks. I have since found out that they use different binders in yasmin and lucette and that is what likely caused my issues.


Top side effects not reported

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0 comments

Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  4 days ago

  •  Stopped using

switched from levest bcos of skin, didn’t really help my skin at all i think i experienced more breakouts on it than when i was on levest, made my boobs bigger but also i feel like it made my cellulite worse?? also was bloated a lot. sex drive went down like crazy


Top side effects not reported

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0 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  today

  •  Still using

I've been on Yacella for 4 months now. I got switched to Yacella due to issues with acne. I can say it cleared up my acne and made my skin look lovely and bright. However, the changes to my hormones really weren't worth it. Yacella has made me incredibly paranoid. I developed anxiety so bad that it effected my day to day life and my relationships. It also made me incredibly depressed, which also had a huge impact on my wellbeing. Due to the impact it has had on my mental health, I decided to stop taking it. It may work for some but losing my sanity for the sake of good skin was not worth it at all!


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I swapped onto Lucette after I started having spotting on Yasmin. I thought it would be an easy switch as they are the same but it was not. I started having awful low moods and suffering from cystic acne for the first time in my life. I stopped after 6 weeks. I have since found out that they use different binders in yasmin and lucette and that is what likely caused my issues.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  4 days ago

  •  Stopped using

switched from levest bcos of skin, didn’t really help my skin at all i think i experienced more breakouts on it than when i was on levest, made my boobs bigger but also i feel like it made my cellulite worse?? also was bloated a lot. sex drive went down like crazy


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  4 days ago

  •  Still using

I went on this a few years ago to stop my cycle because I suffer from severe PMS symptoms/PMDD. I remained on it for a year and experienced no side effects. I came off of it because I wanted to attempt to solve my problems naturally and holistically. Unfortunately my mental health became worse and I decided to go back on it. I have now been taking it for a week and am experiencing some mild side effects this time, but hopefully they will settle down.


Top side effects not reported

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0 comments

Used for 3 - 6 mo
29 years old
🇬🇧 UK
  •  4 days ago

  •  Still using

This definitely helped me with my PMS symptoms. No significant changes to my weight. I had more sensitive skin / allergic reactions during my time on it but not necessarily due to the pill. My mood was pretty similar to when I was off the pill.


Top side effects not reported

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Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  6 days ago

  •  Still using

I had the copper coil inserted 2 months ago and have had a very positive experience since. I was on the combined pill for two years which resulted in mood swings and a very low libido. I put off getting the copper coil as I had heard horror stories about the pain that could come with it, but I wish I'd done it sooner! The insertion pain lasted no more than ten seconds and was very much manageable. After that I had maybe 2-3 days of some cramping which I took painkiller for. Overall, I would recommend other women to not be put off by the bad experiences of others. Mine was a highly positive one and everyone has different experiences.


Top side effects not reported

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Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

Initially when I started using microlite i didn't have any side effects and it regulated my previously irregular and long cycle. After about 8 months of use, I started having mental health symptoms and periods which lasted up to 3 weeks. I was v anxious and things which previously made me happy, seeing my friends, hobbies, sport etc didn't make me happy anymore. The doctor told me the dose of hormones was too weak to "override" my natural hormones and that that's why I was bleeding so much. She switched me to ovreena which was much better and all my symptoms subsided.


Top side effects not reported

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Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  1 week ago

  •  Still using

Overall, i have had very limited side effects on this pill though i have noticed increased mood swings.


Top side effects not reported

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Used for 18 mo - 3 yr
29 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

I switched to this brand of pill after getting quite bad mood side effects on the previous pills I had tried (microgynon, yasmin) as I'd heard it was better for that sort of thing. It definitely was a lot better than the previous pills I had tried (they made me extremely depressed, constantly crying and not being able to deal with stress) but since making the decision to stop the pill a month and a half ago I have realised it was definitely still affecting my mood a bit. I feel a lot more bubbly, confident and more in tune with my emotions off the pill. I found it dulled my emotions a bit - I rarely cried even when I needed to - whereas now I feel like my emotions are normal. The main reason for coming off the pill though (as my mood was something I was okay with) was my sex drive. The pill almost completely killed it. Since coming off the pill this has changed dramatically and is what I'm most happy about. I would say Eloine is still a good pill to try and it has done me well for the past 2 and a half years. If you've struggled with low mood or other mood symptoms on previous pills and are very keen to be on contraception I would definitely recommend it.


Top side effects not reported

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Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

I was put on this pill as I struggled with irregular bleeding on the mini pill. I hadn't had a migraine in over a year. However, after the first month on this contraception I started having migraine with aura, headaches and migranes without the aura. I had a lot of headaches in a month and on my 5th month (last month) I had 5 migraines with aura in the space of 10 days. I had no other negative side effects on this pill so it was very disheartening to have to come off and be put back on the mini pill. When I came off, I had a 10 day migraine without aura!! Interestingly, I was on this pill from the summer of to the end of 2022. I had no negative side effects (only 1 migraine with aura a month but that was the norm at the time) on it until the last 2 months of 2022 where I would experience debilitating cramps mid pack at the same day every day for 4 days and the next month I had the same experiences but started bleeding this time. During my check ups I would confirm with the nurse that I could take this pill continuously and they would say yes. However, after speaking to a doctor you cannot take this pill continuously. You must have a break as it is triphasic (3 different concentrations of hormones).


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