Hormonal coil (IUS) vs Copper coil (IUD)
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Overview
Rated 3.5
903 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.5
622 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
What Lowdown reviewers say
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
903 reviews
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 3 weeks ago
Works well for me, was hoping would take away periods altogether but definitely made them lighter. Found fitting comfortable as just had some cramping. But I have quite a low cervix, so I could feel the strings and needed them trimmed.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 2nd Jul 26
Not pleasant to put in but completely stopped by periods after few months. Reassuring that no pregnancy, however absolutely 0 sex drive and this effects relationships.
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 2nd Jul 26
Initial 3 month settling in period is intense, lots of bleeding and emotional side effects plus insertion pain. After 3 months it settled and I thought I had found the holy grail, emotionally stable and no side effects. At 6 months I developed a large ovarian cyst which put me in agony and A&E, doctors said this was caused by the coil and had to remove it. Unfortunately I cant recommend, the search continues.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 3 weeks ago
Works well for me, was hoping would take away periods altogether but definitely made them lighter. Found fitting comfortable as just had some cramping. But I have quite a low cervix, so I could feel the strings and needed them trimmed.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 2nd Jul 26
Not pleasant to put in but completely stopped by periods after few months. Reassuring that no pregnancy, however absolutely 0 sex drive and this effects relationships.
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 2nd Jul 26
Initial 3 month settling in period is intense, lots of bleeding and emotional side effects plus insertion pain. After 3 months it settled and I thought I had found the holy grail, emotionally stable and no side effects. At 6 months I developed a large ovarian cyst which put me in agony and A&E, doctors said this was caused by the coil and had to remove it. Unfortunately I cant recommend, the search continues.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Copper coil (IUD) reviews
622 reviews
Used for 3 - 6 mo
29 years old
🇬🇧 UK
• today
Liked the coil however my periods were really long and extremely heavy and I became anemic. My partner could feel it too
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 2 weeks ago
Periods became heavy which was expected but cramping after insertion was incredibly painful and I was not prepared for the level for pain. I required A&E support with pain relief and examination to ensure it hadn't moved or perforated. The monthly pain had me missing work, almost fainting and squirming in pain. I had to learn pain management every month to be able to work effectively. Around 1 year later I felt in control but around 3.5 years I have experienced even heavier periods and more pain. I felt determined to make this method work as I didn't want to use hormonal contraception again. Cramping and heavy bleeding caused nausea, extreme fatigue and ovulation cramps. Overall, I experienced a lot of discomfort and only a few days out of the month where I felt well. I recently got told my iron stores are VERY low and that explains a lot of the worsening menstruation symptoms due to losing too much blood per month from the copper coil. I'm not going to scored it as terrible as I know others have had no issues using the copper coil and there were times when I felt in control of it. Maybe my age and change in hormones have made my symptoms worse? Or it just sucks, I don't know. Take ibuprofen and paracetamol before your insertion as this will help a lot!!
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
29 years old
🇬🇧 UK
• 2 weeks ago
The insertion was painful and for the rest of the day I had severe cramps, which paracetamol and ibuprofen didn't help with. I wasn't given any option for pain relief at the time, if I had known it would have been so bad I would have asked whether pain relief was available. After insertion, I went from having manageable periods to very heavy and painful periods (severe cramping particularly on days 2/3 of my period). Naproxen was the only thing that helped to somewhat ease the pain. I persevered thinking it would get better with time, but after 11 months of no improvement I decided to have the copper coil removed. My partner and I also noticed that we would both get very dry and my partner would get cuts on the head of his penis, since removal these have not been an issue. It could be a complete coincidence, but when I asked the nurse removing my coil she said it could be possible... the cuts could have been a result from the dryness or could have been directly from the coil itself (depending on the position of the strings, and they were still quite firm as they take a while to soften). Everyone's body is different and for some this may be a great option (I initially thought it would be due to it being non-hormonal), but I definitely noticed a negative impact on my mental and physical health every month. Since having it removed (2 months ago), I feel a lot better and my periods have pretty much returned to normal.
Very negative mood
0 helpful
0 comments
Used for 3 - 6 mo
29 years old
🇬🇧 UK
• today
Liked the coil however my periods were really long and extremely heavy and I became anemic. My partner could feel it too
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 2 weeks ago
Periods became heavy which was expected but cramping after insertion was incredibly painful and I was not prepared for the level for pain. I required A&E support with pain relief and examination to ensure it hadn't moved or perforated. The monthly pain had me missing work, almost fainting and squirming in pain. I had to learn pain management every month to be able to work effectively. Around 1 year later I felt in control but around 3.5 years I have experienced even heavier periods and more pain. I felt determined to make this method work as I didn't want to use hormonal contraception again. Cramping and heavy bleeding caused nausea, extreme fatigue and ovulation cramps. Overall, I experienced a lot of discomfort and only a few days out of the month where I felt well. I recently got told my iron stores are VERY low and that explains a lot of the worsening menstruation symptoms due to losing too much blood per month from the copper coil. I'm not going to scored it as terrible as I know others have had no issues using the copper coil and there were times when I felt in control of it. Maybe my age and change in hormones have made my symptoms worse? Or it just sucks, I don't know. Take ibuprofen and paracetamol before your insertion as this will help a lot!!
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
29 years old
🇬🇧 UK
• 2 weeks ago
The insertion was painful and for the rest of the day I had severe cramps, which paracetamol and ibuprofen didn't help with. I wasn't given any option for pain relief at the time, if I had known it would have been so bad I would have asked whether pain relief was available. After insertion, I went from having manageable periods to very heavy and painful periods (severe cramping particularly on days 2/3 of my period). Naproxen was the only thing that helped to somewhat ease the pain. I persevered thinking it would get better with time, but after 11 months of no improvement I decided to have the copper coil removed. My partner and I also noticed that we would both get very dry and my partner would get cuts on the head of his penis, since removal these have not been an issue. It could be a complete coincidence, but when I asked the nurse removing my coil she said it could be possible... the cuts could have been a result from the dryness or could have been directly from the coil itself (depending on the position of the strings, and they were still quite firm as they take a while to soften). Everyone's body is different and for some this may be a great option (I initially thought it would be due to it being non-hormonal), but I definitely noticed a negative impact on my mental and physical health every month. Since having it removed (2 months ago), I feel a lot better and my periods have pretty much returned to normal.
Very negative mood
0 helpful
0 comments
Used for 12 - 18 mo
20 years old
🇬🇧 UK
• 21st Jun 26
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
Used for 3 - 6 mo
29 years old
🇬🇧 UK
• 7th Jun 26
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
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 20th May 26
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
Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
• 31st Mar 26
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
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 27th Mar 26
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
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 26th Mar 26
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
40 years old
🇬🇧 UK
• 26th Jan 26
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

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