Hormonal coil (IUS) vs Implant

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Hormonal coil (IUS)

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Implant

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Overview

Rated 3.5

838 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

605 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen


Implant ingredients

Main hormones in Implant

progestogen

What Lowdown reviewers say

43% no impact on mood

47% stopped periods

48% no impact

59% no impact

53% no impact on skin

Cycle return

32% don’t know impact

37% somewhat negative

48% irregular periods

50% lost sex drive

40% gained weight

56% no impact on skin

Cycle return

32% in 1 month

Benefits: What this contraceptive can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Heavy periods

Ovulation pain

Period pain

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Check out our latest reviews

Real life reviews from people like you

Hormonal coil (IUS) reviews

838 reviews

Hormonal coil (IUS)  
Used for 5 - 8 yr
43 years old
🇬🇧 UK
  •  4 days ago

Mirena coil  

First 6 months is an adjustment period so I had plenty of headache and feeling sick but after a while my body used to it and I am fine. 100% contraception effectiveness and no heavy period.

Read more

Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
40 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

So far I love the mirena coil! Insertion was definitely painful (not just “uncomfortable”!), but the pain was very brief. I had cramps for a couple of days, and then light bleeding/spotting for about a month. However since then I’ve had no periods, and don’t even know it’s there. I get a few more spots now but that’s from rarely getting any when I was on the pill, it’s not a lot. My weight has stayed exactly the same. I was terrified of getting it fitted but am so glad I did, if it continues like this then I will take 30 seconds of pain for 8 years of not having to think about contraception, no periods and no side effects!


Worse skin

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
43 years old
🇬🇧 UK
  •  4 days ago

Mirena coil  

First 6 months is an adjustment period so I had plenty of headache and feeling sick but after a while my body used to it and I am fine. 100% contraception effectiveness and no heavy period.


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
40 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

So far I love the mirena coil! Insertion was definitely painful (not just “uncomfortable”!), but the pain was very brief. I had cramps for a couple of days, and then light bleeding/spotting for about a month. However since then I’ve had no periods, and don’t even know it’s there. I get a few more spots now but that’s from rarely getting any when I was on the pill, it’s not a lot. My weight has stayed exactly the same. I was terrified of getting it fitted but am so glad I did, if it continues like this then I will take 30 seconds of pain for 8 years of not having to think about contraception, no periods and no side effects!


Worse skin

0 helpful

0 comments


Implant reviews

605 reviews

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  today

Nexplanon implant  

Random bleeding throughout which was frustrating. Partner felt like I seemed happier in general once I came off. Suffered anxiety attacks after coming off the implant (may or may not be related currently unsure)


Somewhat positive mood

2 more effects

0 helpful

0 comments

Implant  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  5 days ago

Nexplanon implant  

Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  today

Nexplanon implant  

Random bleeding throughout which was frustrating. Partner felt like I seemed happier in general once I came off. Suffered anxiety attacks after coming off the implant (may or may not be related currently unsure)


Somewhat positive mood

2 more effects

0 helpful

0 comments

Implant  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  5 days ago

Nexplanon implant  

Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  24th May 25

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  7th May 25

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
  •  28th Apr 25

Nexplanon implant  

Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  27th Apr 25

Nexplanon implant  

Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.


Very negative mood

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  26th Apr 25

Nexplanon implant  

my periods stopped but i noticed when i wanted to have sex i wasn’t able to get wet easily. i also developed acne for the first time after i stopped due to the sudden loss of hormones. overall it worked and i enjoyed no periods and no other symptoms outside of sex.


Improved skin

1 more effect

0 helpful

0 comments

Implant  
Used for 1 - 3 mo
25 years old
🇬🇧 UK
  •  17th Mar 25

Nexplanon implant  

took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!


Worse skin

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
27 years old
🇬🇧 UK
  •  13th Mar 25

Nexplanon implant  

I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!


Top side effects not reported

0 helpful

0 comments

Contraceptive alternatives and comparisons

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