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

761 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

577 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

39% stopped periods

47% no impact

59% no impact

52% no impact on skin

Cycle return

30% don’t know impact

38% somewhat negative

39% irregular periods

50% lost sex drive

41% gained weight

58% no impact on skin

Cycle return

31% 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

761 reviews

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

Kyleena coil  

When first inserted 3 months ago the cramps lasted for about 2-3 weeks inconsistently and occasionally get random ones between cycles, I still get occasional spotting for 1-2 days and periods now last longer than before (originally 3-4 days, now about 4-6 days, sometimes they stop then start again over two weeks). The most frustrating thing is not being able to predict when your period will start, they are getting lighter, but I had hoped they would stop. Also a note on insertion, I know this is all recommended beforehand but make sure you take the pain killers, only local anaesthetic is applied which seemed like it made no difference. You will likely have cramps for at least two weeks or longer whilst it settles down.

Read more

Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 8+ yr
51 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

I haven't noticed any side effects, and its been a good form of contraception, which is why I have remained on it for 8+ years. The only downside is the painful insertion and removal process.


Worse skin

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  4 days ago

Kyleena coil  

The experience is very good in terms of contraception. However I have had quite irregular periods which can be heavy alongside bad cramps.


Top side effects not reported

0 helpful

0 comments

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

Kyleena coil  

When first inserted 3 months ago the cramps lasted for about 2-3 weeks inconsistently and occasionally get random ones between cycles, I still get occasional spotting for 1-2 days and periods now last longer than before (originally 3-4 days, now about 4-6 days, sometimes they stop then start again over two weeks). The most frustrating thing is not being able to predict when your period will start, they are getting lighter, but I had hoped they would stop. Also a note on insertion, I know this is all recommended beforehand but make sure you take the pain killers, only local anaesthetic is applied which seemed like it made no difference. You will likely have cramps for at least two weeks or longer whilst it settles down.


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 8+ yr
51 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

I haven't noticed any side effects, and its been a good form of contraception, which is why I have remained on it for 8+ years. The only downside is the painful insertion and removal process.


Worse skin

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  4 days ago

Kyleena coil  

The experience is very good in terms of contraception. However I have had quite irregular periods which can be heavy alongside bad cramps.


Top side effects not reported

0 helpful

0 comments


Implant reviews

577 reviews

Implant  
Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

Getting it put in: was a little more involved and bigger than I expected. It was fine, little gross but I couldn't feel it and just avoided looking. They numb the arm area, and slowly insert it. It feels like the they're slowly inserting the pointy side of one of those old school card sized mail openers. It was fine. You can do it. Was much more appealing to me than pill or any vaginal coil. Experience 0-3 months: irregular bleeding, spotting, almost constantly for the first three months. Not heavy at all, very light but irregular. No cramps and before I had these a lot! Experience 3-7 months: no period, no spotting, no cramps. It's amazing and I'm so happy with it. My hair has been shedding more but I have a lot of very thick Asian hair so unsure if related. I've had increased appetite, but again this could be due to other factors in life. No other side effects. I'm very pleasantly surprised. I expected a pretty difficult journey with this one, but it's the best contraceptive I've used so far.


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I was originally on the Evra patch, but I got the implant as I was moving from the UK to NZ - where the patch is not available and id have to pay out of pocket for any other kind of pill. My experience was awful. I had constant, nonstop breakthrough bleeding, anxiety, stress, depression, suicidal ideation and no libido. I was very sensitive to stress and pollen so would come home from work and be absolutely drained, stuck in bed with an awful headache. I was bloated all the time and gained weight as I was bingeing to help deal with the stress of moving and my side effects from the implant - I suffer from an eating disorder… I was a mess. Not a great mix when you move to the other side of the world with your boyfriend. I do deal with real bad dryness around ovulation when I’m not on any contraception - so the patch and implant did help with that - but of course bleeding for 4 months straight did not help anything else. My doctor was very worried about my iron levels… Everything got so bad with my moods and the physical side effects, my boyfriend was like “you need to sort this out and have it remove or think about moving home…” I had it removed in November 2022. Currently not on any contraception but thinking about Yaz or Yasmin. Although not subsidised here in New Zealand, everything else available that is subsidised has a high androgenic strength. Not impressed, however i had a very good experience with Yasmin back in 2017, so maybe it’s best I eat up the £75 charge for 6 months worth? Can’t wait to move back home so I have access to free contraception lol.


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

Persistent thrush immediately after getting it fitted, also VERY low mood when period is due and generally more emotional.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

Getting it put in: was a little more involved and bigger than I expected. It was fine, little gross but I couldn't feel it and just avoided looking. They numb the arm area, and slowly insert it. It feels like the they're slowly inserting the pointy side of one of those old school card sized mail openers. It was fine. You can do it. Was much more appealing to me than pill or any vaginal coil. Experience 0-3 months: irregular bleeding, spotting, almost constantly for the first three months. Not heavy at all, very light but irregular. No cramps and before I had these a lot! Experience 3-7 months: no period, no spotting, no cramps. It's amazing and I'm so happy with it. My hair has been shedding more but I have a lot of very thick Asian hair so unsure if related. I've had increased appetite, but again this could be due to other factors in life. No other side effects. I'm very pleasantly surprised. I expected a pretty difficult journey with this one, but it's the best contraceptive I've used so far.


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I was originally on the Evra patch, but I got the implant as I was moving from the UK to NZ - where the patch is not available and id have to pay out of pocket for any other kind of pill. My experience was awful. I had constant, nonstop breakthrough bleeding, anxiety, stress, depression, suicidal ideation and no libido. I was very sensitive to stress and pollen so would come home from work and be absolutely drained, stuck in bed with an awful headache. I was bloated all the time and gained weight as I was bingeing to help deal with the stress of moving and my side effects from the implant - I suffer from an eating disorder… I was a mess. Not a great mix when you move to the other side of the world with your boyfriend. I do deal with real bad dryness around ovulation when I’m not on any contraception - so the patch and implant did help with that - but of course bleeding for 4 months straight did not help anything else. My doctor was very worried about my iron levels… Everything got so bad with my moods and the physical side effects, my boyfriend was like “you need to sort this out and have it remove or think about moving home…” I had it removed in November 2022. Currently not on any contraception but thinking about Yaz or Yasmin. Although not subsidised here in New Zealand, everything else available that is subsidised has a high androgenic strength. Not impressed, however i had a very good experience with Yasmin back in 2017, so maybe it’s best I eat up the £75 charge for 6 months worth? Can’t wait to move back home so I have access to free contraception lol.


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

Persistent thrush immediately after getting it fitted, also VERY low mood when period is due and generally more emotional.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I love the implant. My doctor refused to renew my combination pill due to high blood pressure, and at first I was really disappointed and angry because I had been really happy with that method and I was afraid that a new method would give me side effects. After five months, however, I haven’t had any unwanted side effects whatsoever. The only change for me is that I don’t get periods, but it’s actually a bonus. During the first five months I’ve had a tiny bit of spotting maybe twice and it only lasted a day if that. I know everyone is different but I would highly recommend the implant!


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
25 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

It was good for the first implant but then when my second one was fitted I bled for almost a whole year and became very exhausted


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
29 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I really enjoyed the implant for the first 12 months, however after this I started to spot more and more and for longer periods. These were also accompanied with increased fatigue and pain. The breakout bleeding than got progressively worse until the end of the 3 year period. Otherwise little to no symptoms which was made the increasing spotting so much more annoying!


Somewhat positive mood

1 more effect

0 helpful

0 comments

Implant  
Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  7th May 24

Nexplanon implant  

It was my first time on contraception, I was afraid to forget the pill and had the feeling that the implant had less hormones in it. My mood was very fluctuating for the first 4-6 months but then settled. My period was much lighter at the beginning and not painful for the first few months, then actually got irregular after 7-8 months (only a few days, then nothing for 2 weeks, then 3 weeks long period...) The insertion of the implant was very easy and not too painful, been able to feel it since the beginning.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  7th May 24

Nexplanon implant  

Loved having no periods and the convenience around not needing to remember anything for 3 years at a time. But over time I did realise I was getting vaginal dryness and thrush more often.


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
39 years old
🇬🇧 UK
  •  7th May 24

Nexplanon implant  

I didn't get on with the implant. After 4 months of heavy bleeding most days, a nurse was worried it was exacerbating my endometriosis. I agreed it probably was, so went on the cerelle mini-pill for 3 months at the same time. Cerelle and the implant together did stop the constant bleeding for 2 months, but then it came back slowly and I was no better off. I suffered from low mood, leg aches, acne and bloating for the entire 7 months I had nexplannon, so it was a relief to get it removed.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
36 years old
🇬🇧 UK
  •  7th May 24

Nexplanon implant  

Unfortunately the implant wasn’t for me. At first I didn’t notice any effects for the first couple of weeks, however, a few weeks in I started my first period on the implant which lasted two weeks, I then stopped for a week and then I started with some spotting which turned into a full blown period. This pattern was repeated for several months until I was prescribed a pill, to help regulate my periods, as a temporary measure, with the hope the implant would adjust. Unfortunately once I came off the pill I had bleeding for 6 weeks straight until I decided to start taking a combined pill and I have just today had the implant removed. Obviously everyone’s bodies work differently so I don’t necessarily want to put people off the implant but I would say from my experience to give it 6 months and if it’s not working try something else, don’t suffer in silence.


Somewhat negative mood

0 helpful

0 comments

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