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

891 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

310 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

46% no impact on skin

Cycle return

42% 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

891 reviews

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

Mirena coil  

I've had the mirena coil for four months, I'm still bleeding irregularly (period every 8 days) and lots of spotting. I've been dizzy for months, I'm feeling very low, I have water retention and a lot of lower back pain that feels like a pinched nerve so I'm battling to concentrate on work. I really want to have it removed but I'm terrified of going back to the alternative of extreme heavy periods that made me anemic.

Read more

Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  1 day ago

Kyleena coil  

I had Kyleena for 5 years. For the first 6 months I had painful cramps, but my cycle became very light. I have noticed that I have had increasingly more acne, especially back acne, so be prepared for your skin to be very itchy. Towards the end of having it, I had constant light bleeding through the month and there was no regularity to it (probably because the hormones were wearing off). I have had incredibly bad bloating, water retention, and generic weight gain. I'm a very light build so this weight would normally have been easy to lose. Finally, I had to undergo investigations for ovarian cysts as I was getting all the symptoms for them, and after a bit of research it turns out that Kyleena can be a contributor to the formation of cysts. Overall, I have really liked the Kyleena. The side effects have been fairly insignificant compared to other methods. But just take into account the potential insidious side effects like cysts etc that can happen. I've now switched over to the copper IUD because of these side effects, and I'd prefer to be hormone free.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
33 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

I've had great success with a Mirena for treating jawline acne, after getting it to prep for going onto Roaccutane it actually cleared my acne up amazingly and now I just get the odd spot every month when I'm due on. I get irregular, yet light periods, and occasionally some spotting, and overall my period cramps have been lessened. My sex drive is not what it is when off hormonal contraception, but as I've been on hormonal contraception my whole adult life, bar a couple of years here and there, this hasn't been an issue overall. I have put weight on gradually, but I've also aged (now 34), so its more likely to be metabolic changes rather than a side effect. The only thing I would say is that the coil itself has moved twice, resulting in removal and replacement (I'm waiting for another removal, and will likely explore pill options again as its just too painful getting it replaced every 2 years!). It should last 8 years, but for whatever reason, maybe my anatomy, mine moves to be too low, and then the long process of getting it checked, ultrasounds, appt waiting times for removal, and everything else, means its not something I want to continue using at the moment. Overall though, it has been a really good method for me, and just because mine hasn't stayed where it should be, doesn't mean someone else won't have a good experience, its probably down to my anatomy only!


Improved skin

2 more effects

0 helpful

0 comments

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

Mirena coil  

I've had the mirena coil for four months, I'm still bleeding irregularly (period every 8 days) and lots of spotting. I've been dizzy for months, I'm feeling very low, I have water retention and a lot of lower back pain that feels like a pinched nerve so I'm battling to concentrate on work. I really want to have it removed but I'm terrified of going back to the alternative of extreme heavy periods that made me anemic.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  1 day ago

Kyleena coil  

I had Kyleena for 5 years. For the first 6 months I had painful cramps, but my cycle became very light. I have noticed that I have had increasingly more acne, especially back acne, so be prepared for your skin to be very itchy. Towards the end of having it, I had constant light bleeding through the month and there was no regularity to it (probably because the hormones were wearing off). I have had incredibly bad bloating, water retention, and generic weight gain. I'm a very light build so this weight would normally have been easy to lose. Finally, I had to undergo investigations for ovarian cysts as I was getting all the symptoms for them, and after a bit of research it turns out that Kyleena can be a contributor to the formation of cysts. Overall, I have really liked the Kyleena. The side effects have been fairly insignificant compared to other methods. But just take into account the potential insidious side effects like cysts etc that can happen. I've now switched over to the copper IUD because of these side effects, and I'd prefer to be hormone free.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
33 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

I've had great success with a Mirena for treating jawline acne, after getting it to prep for going onto Roaccutane it actually cleared my acne up amazingly and now I just get the odd spot every month when I'm due on. I get irregular, yet light periods, and occasionally some spotting, and overall my period cramps have been lessened. My sex drive is not what it is when off hormonal contraception, but as I've been on hormonal contraception my whole adult life, bar a couple of years here and there, this hasn't been an issue overall. I have put weight on gradually, but I've also aged (now 34), so its more likely to be metabolic changes rather than a side effect. The only thing I would say is that the coil itself has moved twice, resulting in removal and replacement (I'm waiting for another removal, and will likely explore pill options again as its just too painful getting it replaced every 2 years!). It should last 8 years, but for whatever reason, maybe my anatomy, mine moves to be too low, and then the long process of getting it checked, ultrasounds, appt waiting times for removal, and everything else, means its not something I want to continue using at the moment. Overall though, it has been a really good method for me, and just because mine hasn't stayed where it should be, doesn't mean someone else won't have a good experience, its probably down to my anatomy only!


Improved skin

2 more effects

0 helpful

0 comments


Injection reviews

310 reviews

Injection  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  2 days ago

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
  •  2 weeks ago

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
  •  3 weeks ago

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 6 - 12 mo
21 years old
🇬🇧 UK
  •  2 days ago

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
  •  2 weeks ago

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
  •  3 weeks ago

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

Injection  
Used for 3 - 5 yr
23 years old
🇬🇧 UK
  •  16th Oct 25

Noristerat injection  

It's a good injection for me, I have been using it for longest time since I was 16 years started to use it. Who recommended it? Clinic nurse.


Decreased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

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