Hormonal coil (IUS) vs Injection

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Hormonal coil (IUS)

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Injection

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Overview

Rated 3.5

895 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

311 reviews

Every 2-3 months

Frequency

94% - 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

43% no impact on mood

46% stopped periods

47% no impact

59% no impact

53% no impact on skin

Cycle return

33% don’t know impact

31% somewhat negative

70% stopped periods

57% lost sex drive

48% gained weight

47% no impact on skin

Cycle return

43% don’t know impact

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

895 reviews

Hormonal coil (IUS)  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  5 days ago

Mirena coil  

occasional cramps and sore boobs but I'll take that for no periods and no babies!

Read more

Improved skin

1 more effect

0 helpful

0 comments

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

Benilexa coil  

I got the Benilexa IUS to treat painful periods and PMS. However, within under two months, it severely exacerbated my PMS, causing sleep deprivation, frequent panic attacks, bouts of crying, and increased suicidal thoughts. This was also experienced during my period. Most importantly, it has completely disrupted my Psoriatic Arthritis management. Despite being on a biologic (adalimumab), the IUD has triggered a massive flare in my right foot that has now progressed to my left foot and ankle. I went from rarely needing NSAIDs to relying on daily ibuprofen. Regarding my psoriasis, I noticed a slight change in dryness/thickness in scales but not much else. My periods were even more awful than before and I had to call sick into work which l've never had to do. I further experienced fluctuating pelvic and ovary pain, with some days better than others. I expected side effects, but not to this extreme, system-wide level. I understand for some women the IUS is life changing in a positive way and a great treatment for endometriosis, etc. However, for other women, it may not be suitable for our body, especially if you have pre-existing conditions like myself. Whether that's due to the small amount of hormones released into the blood stream or the body reacting to a foreign object to the body. Or even both. Please do your research and consult with professionals if you have specific conditions or autoimmune diseases. Because most of the time, they won’t or care to understand your concerns. I've thankfully had it taken out today and was told by the GP it would take a few weeks to see a positive adjustment, flare reduction, and difference to body/mind, to my joints especially. You know your body best, any triggers and what helps. If you have a terrible experience like mine, don't let anyone tell you to put up with the lUS a few more months just to see if it "settles", etc. Advocate for yourself and try all avenues. I’m lucky my threads today were visible as they were not at the last GP appt. And I’m very grateful I had a caring and understanding GP who listened, affirmed my concerns (such as assessing my joints), and believed me.


Very negative mood

1 more effect

0 helpful

0 comments

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

Kyleena coil  

Super convenient; few side effects though not negligible.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  5 days ago

Mirena coil  

occasional cramps and sore boobs but I'll take that for no periods and no babies!


Improved skin

1 more effect

0 helpful

0 comments

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

Benilexa coil  

I got the Benilexa IUS to treat painful periods and PMS. However, within under two months, it severely exacerbated my PMS, causing sleep deprivation, frequent panic attacks, bouts of crying, and increased suicidal thoughts. This was also experienced during my period. Most importantly, it has completely disrupted my Psoriatic Arthritis management. Despite being on a biologic (adalimumab), the IUD has triggered a massive flare in my right foot that has now progressed to my left foot and ankle. I went from rarely needing NSAIDs to relying on daily ibuprofen. Regarding my psoriasis, I noticed a slight change in dryness/thickness in scales but not much else. My periods were even more awful than before and I had to call sick into work which l've never had to do. I further experienced fluctuating pelvic and ovary pain, with some days better than others. I expected side effects, but not to this extreme, system-wide level. I understand for some women the IUS is life changing in a positive way and a great treatment for endometriosis, etc. However, for other women, it may not be suitable for our body, especially if you have pre-existing conditions like myself. Whether that's due to the small amount of hormones released into the blood stream or the body reacting to a foreign object to the body. Or even both. Please do your research and consult with professionals if you have specific conditions or autoimmune diseases. Because most of the time, they won’t or care to understand your concerns. I've thankfully had it taken out today and was told by the GP it would take a few weeks to see a positive adjustment, flare reduction, and difference to body/mind, to my joints especially. You know your body best, any triggers and what helps. If you have a terrible experience like mine, don't let anyone tell you to put up with the lUS a few more months just to see if it "settles", etc. Advocate for yourself and try all avenues. I’m lucky my threads today were visible as they were not at the last GP appt. And I’m very grateful I had a caring and understanding GP who listened, affirmed my concerns (such as assessing my joints), and believed me.


Very negative mood

1 more effect

0 helpful

0 comments

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

Kyleena coil  

Super convenient; few side effects though not negligible.


Somewhat negative mood

1 more effect

0 helpful

0 comments


Injection reviews

311 reviews

Injection  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  1 week ago

Depo-Provera injection  

First 3 weeks were fine, I spent first 3 days filled with rage and nausea and a few headaches but fine. First expected period rolled around at 3 weeks in and didn't stop, like at all (day 77 as I write this). About 6 weeks in my mood crashed. As someone who has previously had mental health problems, I was incredibly apprehensive about going on any kind of hormonal birth control because I was scared of side effects. But in order to get my tubes tied, my doctors wanted to see me try this first and everyone reassured me that I was just being paranoid and it wouldn't be as bad as I imagined. Unfortunately it was worse than I imagined. I spent 4 weeks getting progressively more suicidal until I finally went to the doctors (which was its own story) but had to take three Valium a day in order to function and go to work. At the time of writing, I'm 2 weeks out of the 12-week expected window, still bleeding and still suffering mentally but less so and more manageably. This experience has put me off trying any other form of birth control. I had done this to try and reduce PMS symptoms and wish I never had. I was also recommended the mirena coil but didn't like the idea of having to have it inserted or removed if things went wrong/justify myself to a doctor


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  14th May 26

Depo-Provera injection  

I went on the depo injection due to the mini pill making my IBS constipation symptoms worse and the doctor saying this would be better. For first 6 months, no side effects. It did level out my moods and constipation, but it gave me vaginal dryness and a loss of sex drive after 9 months of being on it.


Somewhat positive mood

3 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
29 years old
🇬🇧 UK
  •  5th May 26

Depo-Provera injection  

I got with a new partner a few years back and gave this ago as I wanted something I didn’t need to remember to take. I gained weight fast, I had mood changes, my skin broke out badly, my periods were heavier than before. I only ever had one injection then stopped as I no longer needed it and I didn’t like how it made me feel. Unfortunately I had a rare side effect where it stopped my periods/ovulation all together for 12 months I was referred to gynaecology at 6 months and luckily after all the scans everything was normal and by month 12 my cycle returned without needing to be medically induced. This is not a horror story but important that you could react the same or if you are reacting the same please get referred to gynaecology and hopefully your periods will return 🤍


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  1 week ago

Depo-Provera injection  

First 3 weeks were fine, I spent first 3 days filled with rage and nausea and a few headaches but fine. First expected period rolled around at 3 weeks in and didn't stop, like at all (day 77 as I write this). About 6 weeks in my mood crashed. As someone who has previously had mental health problems, I was incredibly apprehensive about going on any kind of hormonal birth control because I was scared of side effects. But in order to get my tubes tied, my doctors wanted to see me try this first and everyone reassured me that I was just being paranoid and it wouldn't be as bad as I imagined. Unfortunately it was worse than I imagined. I spent 4 weeks getting progressively more suicidal until I finally went to the doctors (which was its own story) but had to take three Valium a day in order to function and go to work. At the time of writing, I'm 2 weeks out of the 12-week expected window, still bleeding and still suffering mentally but less so and more manageably. This experience has put me off trying any other form of birth control. I had done this to try and reduce PMS symptoms and wish I never had. I was also recommended the mirena coil but didn't like the idea of having to have it inserted or removed if things went wrong/justify myself to a doctor


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  14th May 26

Depo-Provera injection  

I went on the depo injection due to the mini pill making my IBS constipation symptoms worse and the doctor saying this would be better. For first 6 months, no side effects. It did level out my moods and constipation, but it gave me vaginal dryness and a loss of sex drive after 9 months of being on it.


Somewhat positive mood

3 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
29 years old
🇬🇧 UK
  •  5th May 26

Depo-Provera injection  

I got with a new partner a few years back and gave this ago as I wanted something I didn’t need to remember to take. I gained weight fast, I had mood changes, my skin broke out badly, my periods were heavier than before. I only ever had one injection then stopped as I no longer needed it and I didn’t like how it made me feel. Unfortunately I had a rare side effect where it stopped my periods/ovulation all together for 12 months I was referred to gynaecology at 6 months and luckily after all the scans everything was normal and by month 12 my cycle returned without needing to be medically induced. This is not a horror story but important that you could react the same or if you are reacting the same please get referred to gynaecology and hopefully your periods will return 🤍


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 5 - 8 yr
46 years old
🇬🇧 UK
  •  28th Apr 26

Sayana Press injection  

Having used both Depot and Sanaya Press, these are the best method of contraception. No side effect and a huge positive: no periods.


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  3rd Apr 26

Depo-Provera injection  

This has made my sex life a living hell .I get scared to have sex with my partner since I associate the vaginal dryness with this Depo shot ,the sex is always pain towards the end as there’s not enough lubrication


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  14th Feb 26

Noristerat injection  

This was bad experience my stretch marks even increased and low libido is the worst


Very negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
  •  3rd Feb 26

Sayana Press injection  

I would have rated this 5 stars last year. I used to be on the depo jab that had to be done at the doctors but I work 12 hour shifts meaning it was a struggle to attended every 12 weeks. So I was over the moon when I found out about sayana press that I could do myself. I usually do the injection around 11 weeks but the last 3 times I get to 10 weeks and get crippling period pain that completely debilitates me. Even after I’ve done the injection this will continue for about a week afterwards. I’ve never experienced child birth but the pain is horrendous. It will wake me up in the middle of the night, happen at work and is just completely random spouts of unbearable pain until at whatever point doesn’t happen again until I am next at the 10 week mark. I’ve recently learned that it’s a lower strength to Depo-Provera and maybe that’s why however I’m confused as to why it’s only started happening. My gp surgery is useless and it the whole process of going back to having the higher strength at the surgery is going to take some time but being able to do it at home is not worth this horrendous ordeal. I would not recommend switching


Top side effects not reported

0 helpful

1 comments

Injection  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  3rd Jan 26

Sayana Press injection  

Great if you’re looking to prevent pregnancy with less admin. Having the year’s supply ant home and not needing to see a doctor every few months was handy. Stopped my periods aside from some very minimal spotting and my skin was great - I barely had any spots over the years I was on it. I did feel like I was quite numb emotions wise. I didn’t experience mood swings but it was alarming that I often didn’t really feel anything! My libido was extremely low too.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  1st Dec 25

Noristerat injection  

I experience mood swings, low libido, aura migraine, my face got darker than usual and I stopped seeing my period.


Very negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
24 years old
🇬🇧 UK
  •  18th Nov 25

Noristerat injection  

I had a very bad experience using this contraceptive. Bad moods, bad skin, bad body image, depression, sweating, low libido. Just bad.


Very positive mood

3 more effects

1 helpful

0 comments

Contraceptive alternatives and comparisons

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