Hormonal coil (IUS) vs Copper coil (IUD)

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Hormonal coil (IUS)

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Copper coil (IUD)

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Overview

Rated 3.5

801 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

580 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

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

43% no impact on mood

48% stopped periods

48% no impact

59% no impact

53% no impact on skin

Cycle return

31% don’t know impact

55% no impact on mood

68% heavier periods

63% no impact

75% no impact

74% no impact on skin

Cycle return

45% in 1 month

Benefits: What this contraceptive can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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

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Check out our latest reviews

Real life reviews from people like you

Hormonal coil (IUS) reviews

801 reviews

Hormonal coil (IUS)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 week ago

Jaydess coil  

I love this coil! I was keen to have a copper coil initially but as I already had quite painful periods I was advised against this and I love the Jaydess! Initially I had some spotting after insertion but my period / ovulation dates are the same (I was tracking my cycles before) the only difference now is that my periods are lighter and a bit longer than they were previously (before they were 3 days and now about 5-7 days but about 2 or 3 of those is just spotting). They are also generally less painful (although the pains feel different - more like the deep cramps you get when the coil is inserted rather than my old period pains). I really like this coil and it is very low hormone so haven't really noticed much in the way of hormonal side effects - my boobs get a bit more tender pre period and I think I might have had like one more spot than is usual for me but that also might be diet related! I haven't noticed any bloating or weight change! It's really really good and I reccomend it!

Read more

Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
34 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

I had mirena fitted on 8/1/25. Insertion was absolutely fine, didn't feel anything at all. Since mirena fitted I was lightly bleeding for 3 weeks. Than stopped for 3 days and than I had my period(on time) so started again. Period is much lighter ( 1 pad a day) no cramps, or any other sides effects. Hopefully it will settle soon with my body if not and I will still bleeding or spotting I will go to remove it because I can compare a few days with periods then constantly bleeding or spotting. I feel absolutely fine.


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  2 weeks ago

Hormonal coil (IUS)  

Best one yet for me. I used to have mirena but thought hormones made me depressed. Especially when initially inserted. So opted for lower does coil as love it and I do feel better with it.


Very positive mood

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 week ago

Jaydess coil  

I love this coil! I was keen to have a copper coil initially but as I already had quite painful periods I was advised against this and I love the Jaydess! Initially I had some spotting after insertion but my period / ovulation dates are the same (I was tracking my cycles before) the only difference now is that my periods are lighter and a bit longer than they were previously (before they were 3 days and now about 5-7 days but about 2 or 3 of those is just spotting). They are also generally less painful (although the pains feel different - more like the deep cramps you get when the coil is inserted rather than my old period pains). I really like this coil and it is very low hormone so haven't really noticed much in the way of hormonal side effects - my boobs get a bit more tender pre period and I think I might have had like one more spot than is usual for me but that also might be diet related! I haven't noticed any bloating or weight change! It's really really good and I reccomend it!


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
34 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

I had mirena fitted on 8/1/25. Insertion was absolutely fine, didn't feel anything at all. Since mirena fitted I was lightly bleeding for 3 weeks. Than stopped for 3 days and than I had my period(on time) so started again. Period is much lighter ( 1 pad a day) no cramps, or any other sides effects. Hopefully it will settle soon with my body if not and I will still bleeding or spotting I will go to remove it because I can compare a few days with periods then constantly bleeding or spotting. I feel absolutely fine.


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  2 weeks ago

Hormonal coil (IUS)  

Best one yet for me. I used to have mirena but thought hormones made me depressed. Especially when initially inserted. So opted for lower does coil as love it and I do feel better with it.


Very positive mood

0 helpful

1 comments


Copper coil (IUD) reviews

580 reviews

Copper coil (IUD)  
Used for 3 - 5 yr
21 years old
🇬🇧 UK
  •  3 days ago

Copper coil (IUD)  

Amazing option for non-hormonal contraception. Yes it does hurt a lot to insert & my period is heavier but i think it outweighs any mental/physical changes other options have. My biggest & only issue is thrush! I get it every single month and no one warned me. Looking to get this sorted because it’s become a challenge and so frustrating.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

I wanted to get a contraception that was hormone free as I’d been on the implant since I was 18 and by the end of it my mental health had definitely taken a toll (my anxiety was unpredictable and awful!), as well as experiencing regular spotting. I went for the copper coil and the experience was pretty straight forward - I didn’t take painkillers beforehand because it was 9am (would not recommend getting the coil fitted at this time haha) but the lady gave me a numbing cream of some sort without me even asking which I appreciated. The pain was pretty bad but in an achey way - when she inserted it I could feel my uterus cramp up. I could barely walk home because it felt like the worst period cramp in the world and I got home and took some painkillers and cried it out for a few hours. I wouldn’t say this deterred me though and honestly I would recommend what the GP told me which is a mix of ibuprofen and paracetamol the day you’re getting it inserted. After this day, it was fine and an amazing decision. My hormones go up and down when they’re supposed to and I follow my cycle pretty accurately which is fun for a change! My periods are heavy on one day out of four or five that I’m bleeding, but nothing I can’t handle!


Somewhat positive mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

As I was reading these reviews before getting mine inserted I thought I’d give back by sharing my own experience also. I am writing this while very fresh in mind and I have only had it for a few days, so I cannot comment on long term effect yet. As I was mentally preparing to have it inserted, I was quite scared due to the many comments on how painful it would be to have inserted. What was not clear to me was the difference in terms of whether you have previously given birth or not. I could truely barely feel it at all and had no pain relief. I have given birth 2 times, and as late as 9 weeks ago. Wanted to share this as my physician also informed me that (here, Denmark) we only give pain relief to those who have not yet given birth. Other than that I experienced a little bit of slight bleeding for 1,5 days. Another thing worth commenting on is that you can feel the copper strings after insertion, so you can self-check that it is sitting right and in place. Hope my experiences also gives some comfort to someone else 😊


Somewhat positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 5 yr
21 years old
🇬🇧 UK
  •  3 days ago

Copper coil (IUD)  

Amazing option for non-hormonal contraception. Yes it does hurt a lot to insert & my period is heavier but i think it outweighs any mental/physical changes other options have. My biggest & only issue is thrush! I get it every single month and no one warned me. Looking to get this sorted because it’s become a challenge and so frustrating.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

I wanted to get a contraception that was hormone free as I’d been on the implant since I was 18 and by the end of it my mental health had definitely taken a toll (my anxiety was unpredictable and awful!), as well as experiencing regular spotting. I went for the copper coil and the experience was pretty straight forward - I didn’t take painkillers beforehand because it was 9am (would not recommend getting the coil fitted at this time haha) but the lady gave me a numbing cream of some sort without me even asking which I appreciated. The pain was pretty bad but in an achey way - when she inserted it I could feel my uterus cramp up. I could barely walk home because it felt like the worst period cramp in the world and I got home and took some painkillers and cried it out for a few hours. I wouldn’t say this deterred me though and honestly I would recommend what the GP told me which is a mix of ibuprofen and paracetamol the day you’re getting it inserted. After this day, it was fine and an amazing decision. My hormones go up and down when they’re supposed to and I follow my cycle pretty accurately which is fun for a change! My periods are heavy on one day out of four or five that I’m bleeding, but nothing I can’t handle!


Somewhat positive mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

As I was reading these reviews before getting mine inserted I thought I’d give back by sharing my own experience also. I am writing this while very fresh in mind and I have only had it for a few days, so I cannot comment on long term effect yet. As I was mentally preparing to have it inserted, I was quite scared due to the many comments on how painful it would be to have inserted. What was not clear to me was the difference in terms of whether you have previously given birth or not. I could truely barely feel it at all and had no pain relief. I have given birth 2 times, and as late as 9 weeks ago. Wanted to share this as my physician also informed me that (here, Denmark) we only give pain relief to those who have not yet given birth. Other than that I experienced a little bit of slight bleeding for 1,5 days. Another thing worth commenting on is that you can feel the copper strings after insertion, so you can self-check that it is sitting right and in place. Hope my experiences also gives some comfort to someone else 😊


Somewhat positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 8+ yr
31 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

I had my copper coil for the full 10 years. I had always had slightly heavier periods before my coil however after having it fitted I suffered for years with extremely heavy periods that were painful and I would leak every time. They say it doesn’t make you gain weight however I gained 5 stone whilst on it. It came time to remove it and I was going to just have another fitted however the doctor couldn’t get it out i was bleeding everywhere and in intense pain. Was sent for emergency antibiotics for PID went through a week of feeling awful on strong antibiotics just for all tests to come back negative. Spoke to dr she thinks the coil was causing these issues. Had it removed eventually (thank god!) decided against having another one! When the dr took it out, my coil that was supposed to still have a few weeks left had 0 copper left of the coil! So was completely ineffective at this point! Terrible experience!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

From very heavy periods to light and now basically non-existent this has been a real blessing. Didn't suffer much from mood changes prior and hasn't affected me there either. Cramping on and off occurred for around the first month. Feel a lot freer


Increased sex drive

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

After many years if suffering from side effects from hormonal contraception, I have decided to swotch to copper IUD and couldn’t be happier. The insertion was unpleasant but not painful. My period is a bit heavier and cramps a bit stronger but nothing dramatic and I never have to think about contraception. I am really happy with it and can only recommend getting a copper IUD.


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  27th Dec 24

Copper coil (IUD)  

I used the Lowdown to choose the coil and true to some of the reviews, my experience of insertion was painful. My periods for the first three months were much more painful and heavier than previously. Month one was so bad I thought to remove it but I persevered and it got easier with every passing period. Now it is settled and is a brilliant contraception method! I highly recommend. My periods are heavier and longer but I think it’s worth not having other side effects.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  5th Dec 24

Copper coil (IUD)  

On the whole the coil has been a good method of contraception. It was a little painful when getting fitted but cramps only lasted a few hours after. Mine was meant to last 10 years but I had to get it removed early as I was in a lot of pain and my period had gotten a lot heavier. I managed to get an ultrasound which showed my coil had slipped down and was no longer a reliable method of contraception.


Top side effects not reported

2 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  3rd Dec 24

Copper coil (IUD)  

Getting the Gynefix fitted was surprisingly painful but probably could have been less painful if I took some painkillers before the appointment. My first couple of periods with the coil were bloodier than usual but they quickly normalised. I had absolutely no side effects or symptoms with the Gynefix for 5 years, it was simply brilliant. Although I did experience a few chemical pregnancies and ended up doubling up with condoms for the final 18 months of having the coil. I was particularly concerned about the removal process but surprisingly it didn’t hurt too much at all. In conclusion I would absolutely recommend the Gynefix as a fantastic pain-free, hormone free contraception method.


Top side effects not reported

0 helpful

1 comments

Copper coil (IUD)  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  13th Nov 24

Copper coil (IUD)  

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

Contraceptive alternatives and comparisons

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