Hormonal coil (IUS) vs Injection

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Hormonal coil (IUS)

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Injection

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Overview

Rated 3.6

712 reviews

Every 3-6 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

250 reviews

Every 2-3 months

Frequency

97% - 99+%

Effectiveness

None

Blood clot risk

Short term

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen


Injection ingredients

Main hormones in Injection

progestogen

What Lowdown reviewers say

Benefits: What this contraceptive can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Endometriosis

Heavy periods

Period pain

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Check out our latest reviews

Real life reviews from people like you

Hormonal coil (IUS) reviews

712 reviews

Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  5 days ago

  •  Still using

I had the IUS Mirena fitted just over a week ago and it is the worst decision. I am now deeply regretting it. After being put on a waitlist for it due to painful periods, an appointment became available. I did some initial research through the NHS website and in the appointment, the Dr ran through a few things. The insertion was honestly awful. It took ages and hurt a lot. I came home in agony and felt the worst cramps of my life for the rest of the day. Since then I've had my period and it's again been the worst. Cramping, lower back pain, feeling like I need to urinate a lot, heavy pressure on my tummy and bladder. My period was also more painful than ever and I'm still bleeding. Fed up and now willing to wait months and months like so many women for it to possibly settle (but judging by most reviews and conversations with women who have it, it rarely works as the doctors say it will). They also put me on a 3-day course of antibiotics when I called to say what was happening. They think I have an infection but no one has cared to see me in person. Once the course is over, I am booking the first appointment to have it removed.

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Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
36 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I had this fitted this morning to help with endometriosis and wow I didn’t expect how much the insertion would hurt. They tried to fit the Mirena but my body just wouldn’t let me as it was too big so inserted this instead. Whoever wrote the protocols for this insertion was definitely a man.. keeping everything crossed this works.


Top side effects not reported

1 helpful

0 comments

Used for 6 - 12 mo
33 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Having the more a coil inserted is still to this day the most painful experience I have ever endured. I nearly passed out and I'm horrified I wasn't told local anaesthetic was an option until afterwards because the doctor felt sorry for me. I got some cramping after that but ainknew that was normal, but it never fully went away. Then I noticed I got cramping pain during sex that prevented me from climax. It was awful. I even had a vaginal ultrasound to check it was in the right position and apparently there was nothing out of place. After 9 months of putting up with random stabbing pelvic pain and it killing my sex drive, I got it removed. The doctor said it seemed like my cervix was really clamping down on it when she removed it. I am never letting anyone put anything through my cervix ever again. Horrific experience start to finish.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  5 days ago

  •  Still using

I had the IUS Mirena fitted just over a week ago and it is the worst decision. I am now deeply regretting it. After being put on a waitlist for it due to painful periods, an appointment became available. I did some initial research through the NHS website and in the appointment, the Dr ran through a few things. The insertion was honestly awful. It took ages and hurt a lot. I came home in agony and felt the worst cramps of my life for the rest of the day. Since then I've had my period and it's again been the worst. Cramping, lower back pain, feeling like I need to urinate a lot, heavy pressure on my tummy and bladder. My period was also more painful than ever and I'm still bleeding. Fed up and now willing to wait months and months like so many women for it to possibly settle (but judging by most reviews and conversations with women who have it, it rarely works as the doctors say it will). They also put me on a 3-day course of antibiotics when I called to say what was happening. They think I have an infection but no one has cared to see me in person. Once the course is over, I am booking the first appointment to have it removed.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
36 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I had this fitted this morning to help with endometriosis and wow I didn’t expect how much the insertion would hurt. They tried to fit the Mirena but my body just wouldn’t let me as it was too big so inserted this instead. Whoever wrote the protocols for this insertion was definitely a man.. keeping everything crossed this works.


Top side effects not reported

1 helpful

0 comments

Used for 6 - 12 mo
33 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Having the more a coil inserted is still to this day the most painful experience I have ever endured. I nearly passed out and I'm horrified I wasn't told local anaesthetic was an option until afterwards because the doctor felt sorry for me. I got some cramping after that but ainknew that was normal, but it never fully went away. Then I noticed I got cramping pain during sex that prevented me from climax. It was awful. I even had a vaginal ultrasound to check it was in the right position and apparently there was nothing out of place. After 9 months of putting up with random stabbing pelvic pain and it killing my sex drive, I got it removed. The doctor said it seemed like my cervix was really clamping down on it when she removed it. I am never letting anyone put anything through my cervix ever again. Horrific experience start to finish.


Top side effects not reported

0 helpful

0 comments


Injection reviews

250 reviews

Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
  •  2nd Nov 23

  •  Stopped using

I was on the sayanna press injection for 3 years. My periods started off a little irregular for the first couple of months and then stopped completely, which was a blessing as they have always been heavy and painful! Would start to get slight cramps in the week before the injection was due but otherwise, it seemed to suit me quite well. I'm a healthcare professional so injecting myself didn't bother me at all! I gained a little weight whilst using it but I am overweight anyway so unsure if I can attribute this to the injection!


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  30th Oct 23

  •  Still using

I started the depo in June of this year, I then started constantly bleeding 3 weeks later up until the end of August. I had a 2 week break from bleeding, and then I started again for a further 3 weeks, and the pain that comes along with it is unbearable, it’s a constant vicious cycle. My moods are horrendous, I’ve had to start up antidepressants again, my skin hasn’t been this bad in literal months, all the lower part of my face has broken out into sore spots. I have tried all methods of contraception now, various pills, 2x coil and neither time worked as my body rejected both times, the implant which didn’t agree with me and now this. So I’m completely coming off contraception once this dose runs out. Never again


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  25th Oct 23

  •  Stopped using

I began using the Depo as it was recommended by a nurse in my GP clinic. During the first 6 months the only noticeable side effect was the decreased sex drive. After my 3rd injection, I began having serious pain when trying to have sex. Due to this pain I booked an appointment with my GP to get swabs done to check for any infections. They completed swabs and no infection was found, I was told it was most likely just dryness. Therefore I stopped having the depo and started the pill again as I had no issues with the pill. I was on the pill for a month and has really bad head aches so decided to come off contraception completely. After coming off the depo it took 6 months for me to be able to have sex again due to the dryness.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
  •  2nd Nov 23

  •  Stopped using

I was on the sayanna press injection for 3 years. My periods started off a little irregular for the first couple of months and then stopped completely, which was a blessing as they have always been heavy and painful! Would start to get slight cramps in the week before the injection was due but otherwise, it seemed to suit me quite well. I'm a healthcare professional so injecting myself didn't bother me at all! I gained a little weight whilst using it but I am overweight anyway so unsure if I can attribute this to the injection!


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  30th Oct 23

  •  Still using

I started the depo in June of this year, I then started constantly bleeding 3 weeks later up until the end of August. I had a 2 week break from bleeding, and then I started again for a further 3 weeks, and the pain that comes along with it is unbearable, it’s a constant vicious cycle. My moods are horrendous, I’ve had to start up antidepressants again, my skin hasn’t been this bad in literal months, all the lower part of my face has broken out into sore spots. I have tried all methods of contraception now, various pills, 2x coil and neither time worked as my body rejected both times, the implant which didn’t agree with me and now this. So I’m completely coming off contraception once this dose runs out. Never again


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  25th Oct 23

  •  Stopped using

I began using the Depo as it was recommended by a nurse in my GP clinic. During the first 6 months the only noticeable side effect was the decreased sex drive. After my 3rd injection, I began having serious pain when trying to have sex. Due to this pain I booked an appointment with my GP to get swabs done to check for any infections. They completed swabs and no infection was found, I was told it was most likely just dryness. Therefore I stopped having the depo and started the pill again as I had no issues with the pill. I was on the pill for a month and has really bad head aches so decided to come off contraception completely. After coming off the depo it took 6 months for me to be able to have sex again due to the dryness.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  22nd Oct 23

  •  Still using

Stopped periods after 2nd injection… fairly happy with this contraception compared to the pill. Biggest side effect for me is low sex drive


Top side effects not reported

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0 comments

Used for 6 - 12 mo
24 years old
🇬🇧 UK
  •  12th Oct 23

  •  Stopped using

Initially, getting the injection was a bit scary, but it wasn't painful and there was very little residual pain the day after. My periods stopped completely, which I found to be great. I didn't notice any side effects,


Top side effects not reported

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0 comments

Used for 6 - 12 mo
16 years old
🇬🇧 UK
  •  11th Oct 23

  •  Stopped using

I was on it for 9 months and I only started the pill today but the injection had made me bleed nonstop and have really bad back pain and the weight gain was really bad I didn’t feel myself and the sex drive at the start was high but it kept getting lower and lower the cramps are worse than the ones i used to get and my family have a high estrogen level it doesn’t work that well when you have high estrogen levels.


Top side effects not reported

0 helpful

1 comments

Used for 1 - 3 mo
23 years old
🇬🇧 UK
  •  2nd Oct 23

  •  Still using

I can not tell you how much I adore this. The injection is a bit intimidating, but it's very quick, I did my first one with the help of a nurse (watch videos on how to do it and ask the nurse any questions you have). The injection is a bit weird in that you squeeze it into you, vs using a plunger, but it is a very short needle, and it didn't even hurt! I have had next to no side effects, my life has become a lot better, I sleep better, and I am able to get up early for uni. I get no PMS or cramps and I don't even get a bleed anymore (I am a bit sad as I had just bought a bunch of sanitary towels on a Prime Day). I switch from POP to this, and Syana is what birth control should be. On POP, I had so many side effects (which you can read about on my profile), this is amazing, my mind is so much clearer and I lack the PMS brain fog. My only complaint is to do with my NHS trust, they can only prescribe one at a time so if the one you get is faulty you need to request a new one which could take a week, also means you can't have one on standby for if you don't have time to contact GP and go to a pharmacy. The nurse who is my point of contact dislikes this rule and has tried to change it.


Top side effects not reported

1 helpful

2 comments

Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  27th Aug 23

  •  Still using

Except for the cramps, I'm happy with this enjection


Top side effects not reported

0 helpful

1 comments

Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  25th Aug 23

  •  Still using

It gives pregnancy like symptoms which makes one think they might be pregnant however it is safe.


Top side effects not reported

2 helpful

1 comments

Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  24th Aug 23

  •  Stopped using

It was my first time on any contraception and I wanted to take necessary precautions before travelling abroad for two months, so I was advised by my Nurse Practitioner to have the Injection rather than go on the Pill so I wouldn’t have to worry about missing days, losing pills, etc., and was told that she’d received no negative feedback about the Injection and that the side effects would be minimal. Perfect, or so I thought. My overall experience was horrendous, and after discussing methods of contraception with strangers I met abroad and hearing their own negative experiences with the Injection and from friends, I was feeling pretty sorry for myself and pretty miffed (to put it politely). I’d missed a period prior to travelling, and my breasts had felt so tender and painful for the first week or so, but then I bleed continuously for my whole trip (yep, two months straight of bleeding in countries where sanitary products are few and far between) and my mood swings absolutely battered me, not to mention my libido dying upon arrival in SE Asia. Now I’ve been home for a few weeks, and yes things are slightly better, but my moods are still all over the place and I’m still spotting everyday. Yes, with the Injection you don’t have to worry about taking pills, but never again will I subject my body to this. I just wish my Nurse Practitioner had offered me more options and have been more upfront regarding the side effects, and instead not dictating what I needed and sending me on my way. I would also like to mention, as a non-binary individual, that this form of contraception did at times make me suffer with body dysphoria, however I appreciate that users may respond differently to the Injection and other methods of contraception.


Top side effects not reported

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0 comments

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