Hormonal coil (IUS) vs Patch

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Hormonal coil (IUS)

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Patch

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Overview

Rated 3.5

885 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.4

128 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen


Patch ingredients

Main hormones in Patch

progestogen

oestrogen

What Lowdown reviewers say

43% no impact on mood

46% stopped periods

47% no impact

59% no impact

54% no impact on skin

Cycle return

33% don’t know impact

35% no impact on mood

34% lighter periods

48% no impact

48% no impact

50% no impact on skin

Cycle return

38% don’t know impact

Benefits: What this contraceptive can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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Check out our latest reviews

Real life reviews from people like you

Hormonal coil (IUS) reviews

885 reviews

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

Mirena coil  

Such a hideous experience for me I went to the doctors to get it taken out ASAP. Had severe mental health dip and felt suicidal which was really unlike me. The pain on inspiration was absolutely awful (removal was easy and painless).

Read more

Very negative mood

3 more effects

0 helpful

0 comments

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

Jaydess coil  

Random cramps throughout the day, they suddenly stop and start again a few days later. Period almost completely gone, but random spotting through ovulation and calculated period days (on clue app). Very bad breast tenderness during ovulation and periods


Worse skin

1 more effect

0 helpful

0 comments

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

Mirena coil  

I’ve had the mirena in for almost 2 years and it’s been working great as a contraception and minimal side effects (very light periods).


Top side effects not reported

0 helpful

0 comments

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

Mirena coil  

Such a hideous experience for me I went to the doctors to get it taken out ASAP. Had severe mental health dip and felt suicidal which was really unlike me. The pain on inspiration was absolutely awful (removal was easy and painless).


Very negative mood

3 more effects

0 helpful

0 comments

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

Jaydess coil  

Random cramps throughout the day, they suddenly stop and start again a few days later. Period almost completely gone, but random spotting through ovulation and calculated period days (on clue app). Very bad breast tenderness during ovulation and periods


Worse skin

1 more effect

0 helpful

0 comments

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

Mirena coil  

I’ve had the mirena in for almost 2 years and it’s been working great as a contraception and minimal side effects (very light periods).


Top side effects not reported

0 helpful

0 comments


Patch reviews

128 reviews

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

I initially really liked this contraception - Evra patch - I used it before we planned for our daughter with no issues with side effects, and because I liked it so much, it was the contraception of choice after I gave birth. However, post pregnancy the patch was not good. I was on the patch for almost a year post baby before switching to the implant, and the reason I was on it for a year was simply because I really wanted this contraception to work for me despite not liking the side effects. I love the premise behind the patch. It is so simple to use and I liked that it was on the skin and you applied it yourself, as opposed to something inside your body that you have to book an appointment for a procedure to get it fitted, such as the implant, for example. The reason I changed to the implant from the patch was because I really struggled with irritation at the patch site. I don't know if it was a reaction to the hormones or the glue used to adhere the patch to the skin - possibly the latter - but the irritation was horrendous. The patch would be incredibly itchy and it was unbearable. It would leave me with burn-like marks that would still be there three weeks later, despite rotating the patch site every single week. I used to have to resist the urge to scratch the patch off. Many times I did scratch it off and with it, took a layer of skin off due to irritation. I'd be left with exposed, damaged skin at the site patch which would then scab over as the skin healed. I am usually quite a steady mood person and the patch really affected my mood which was hard. I'd get very down and anxious a couple of days after my patch change day and that would last a day or two. It was similar to the feeling you get before your period, then your period arrives and you're thinking, "Okay so that explains why I was feeling that way - it was my period!" But instead of getting that down/anxious feeling once a month, I'd get it every single week. It was draining not just for me, but also for my partner too. When I placed an order for the patch, I'd get a prescription for 3 months worth of patches but because of the irritation I explained above, I was actually scratching the patch off before my patch change day which reduced my stock of patches earlier than planned. This meant I was putting in more prescription requests than the suggested amount. Scratching the patch off obviously put me at risk of falling pregnant, which didn't happen to me, and even though, I immediately replaced the patch I'd scratched off, it did make me question the effectiveness of the patch. When I spoke to the doctor about scratching the patch off before the change day she couldn't really explain whether that would reduce the effectiveness of the patch or not because I'd replaced it immediately. I am so disappointed that this contraception has not worked for me, but it was really affecting my skin and my mood. The way it affected my skin was intense itching all over my body. It was so bad that I'd scratch until my skin bled. That started about 8 or 9 months into using the patch and I put up with it until I got to 12 months, so for the last 3-4 months of using the patch, I was going stir crazy with the itchiness and skin irritation all over my legs, my feet and my arms. It was debilitating and it was something totally new in my life - I have never had any skin issues before. I initially thought it was my washing powder (I'd not changed the brand) or low iron as I'd developed low iron after I gave birth, but since stopping the patch and changing to the implant, within a month of having the implant, my skin is well on its way to going back to normal - everything is healing. All I can say is, this is my experience of using the EVRA patch. I hope this helps someone reading this but do your research before you decide if it is the right contraception for you. Just because I had all the side effects listed above does not necessarily mean that you will. I didn't have most of these on my first stint of using the patch. I only really had low mood but no skin irritation. It was only after pregnancy and birth that I noticed the side effects second time around.


Very negative mood

0 helpful

1 comments

Patch  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

Patch was a pretty good option. Used it for about a year. No problems mood wise, body and skin stayed the same. Initially got a rash from the glue but my skin got used to it after a month or so. Found it a bit annoying having the patch visible to other people. Took continuously to stop periods, and did breakthrough bleed every 3-4 months. Had to stop using in the end due to hormonal post nasal drip, which got realllyy annoying. Was gutted as it was otherwise so good.


Very positive mood

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I was really getting on with the patch, ive been on it since 2024 and was on it previously for a couple years. But the last few months ive been really suffering which the patch is definitely contributing to. The last few periods I have been experiencing migraines with aura, I've been getting a lot of brown bleeding, the fatigue is unbearable and I almost passed out. Since ive been experiencing these side effects the last few months, I noticed lumps in my breast around the same time and I have just been diagnosed with fibrocystic tissue disease, which the hormones in the patch is not helping. I also experience a lot of breakthrough bleeding and bleeding after sex since being on the patch. Although, my periods are a lot lighter but I still bleed for 7 days. The period pains have not been as severe as they would be off the patch. It has definitely helped my pcos and adenomyosis.


Worse skin

2 more effects

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

I initially really liked this contraception - Evra patch - I used it before we planned for our daughter with no issues with side effects, and because I liked it so much, it was the contraception of choice after I gave birth. However, post pregnancy the patch was not good. I was on the patch for almost a year post baby before switching to the implant, and the reason I was on it for a year was simply because I really wanted this contraception to work for me despite not liking the side effects. I love the premise behind the patch. It is so simple to use and I liked that it was on the skin and you applied it yourself, as opposed to something inside your body that you have to book an appointment for a procedure to get it fitted, such as the implant, for example. The reason I changed to the implant from the patch was because I really struggled with irritation at the patch site. I don't know if it was a reaction to the hormones or the glue used to adhere the patch to the skin - possibly the latter - but the irritation was horrendous. The patch would be incredibly itchy and it was unbearable. It would leave me with burn-like marks that would still be there three weeks later, despite rotating the patch site every single week. I used to have to resist the urge to scratch the patch off. Many times I did scratch it off and with it, took a layer of skin off due to irritation. I'd be left with exposed, damaged skin at the site patch which would then scab over as the skin healed. I am usually quite a steady mood person and the patch really affected my mood which was hard. I'd get very down and anxious a couple of days after my patch change day and that would last a day or two. It was similar to the feeling you get before your period, then your period arrives and you're thinking, "Okay so that explains why I was feeling that way - it was my period!" But instead of getting that down/anxious feeling once a month, I'd get it every single week. It was draining not just for me, but also for my partner too. When I placed an order for the patch, I'd get a prescription for 3 months worth of patches but because of the irritation I explained above, I was actually scratching the patch off before my patch change day which reduced my stock of patches earlier than planned. This meant I was putting in more prescription requests than the suggested amount. Scratching the patch off obviously put me at risk of falling pregnant, which didn't happen to me, and even though, I immediately replaced the patch I'd scratched off, it did make me question the effectiveness of the patch. When I spoke to the doctor about scratching the patch off before the change day she couldn't really explain whether that would reduce the effectiveness of the patch or not because I'd replaced it immediately. I am so disappointed that this contraception has not worked for me, but it was really affecting my skin and my mood. The way it affected my skin was intense itching all over my body. It was so bad that I'd scratch until my skin bled. That started about 8 or 9 months into using the patch and I put up with it until I got to 12 months, so for the last 3-4 months of using the patch, I was going stir crazy with the itchiness and skin irritation all over my legs, my feet and my arms. It was debilitating and it was something totally new in my life - I have never had any skin issues before. I initially thought it was my washing powder (I'd not changed the brand) or low iron as I'd developed low iron after I gave birth, but since stopping the patch and changing to the implant, within a month of having the implant, my skin is well on its way to going back to normal - everything is healing. All I can say is, this is my experience of using the EVRA patch. I hope this helps someone reading this but do your research before you decide if it is the right contraception for you. Just because I had all the side effects listed above does not necessarily mean that you will. I didn't have most of these on my first stint of using the patch. I only really had low mood but no skin irritation. It was only after pregnancy and birth that I noticed the side effects second time around.


Very negative mood

0 helpful

1 comments

Patch  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

Patch was a pretty good option. Used it for about a year. No problems mood wise, body and skin stayed the same. Initially got a rash from the glue but my skin got used to it after a month or so. Found it a bit annoying having the patch visible to other people. Took continuously to stop periods, and did breakthrough bleed every 3-4 months. Had to stop using in the end due to hormonal post nasal drip, which got realllyy annoying. Was gutted as it was otherwise so good.


Very positive mood

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I was really getting on with the patch, ive been on it since 2024 and was on it previously for a couple years. But the last few months ive been really suffering which the patch is definitely contributing to. The last few periods I have been experiencing migraines with aura, I've been getting a lot of brown bleeding, the fatigue is unbearable and I almost passed out. Since ive been experiencing these side effects the last few months, I noticed lumps in my breast around the same time and I have just been diagnosed with fibrocystic tissue disease, which the hormones in the patch is not helping. I also experience a lot of breakthrough bleeding and bleeding after sex since being on the patch. Although, my periods are a lot lighter but I still bleed for 7 days. The period pains have not been as severe as they would be off the patch. It has definitely helped my pcos and adenomyosis.


Worse skin

2 more effects

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  1 month ago

Evra patch  

I started using the Evra patch for my hormones. Before, I experienced frequent shifts in emotions within just a few minutes, including crying for no particular reason and then feeling fine 10 seconds later. I was advised to wear the patch continuously. Once I began, I found my symptoms were not too severe; they included back pain and cramps, some spotting, feeling nauseous but vomiting a few times a month during the first few months. I have now been on the patch continuously for six months, and I no longer experience any symptoms. My mood can sometimes drop randomly, but overall, I have no regrets about starting the patch.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 8+ yr
28 years old
🇬🇧 UK
  •  21st Feb 26

Evra patch  

No side effects


Very positive mood

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  18th Feb 26

Evra patch  

noticed that the side effects were less or more intense depending on where i put the patch on my body. i used to have it on my arm and had intense nausea nonstop and after putting on my hip/ bum it stopped. also cystitis symptoms however i’m not sure if they are related


Very negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  15th Feb 26

Evra patch  

Started taking the Evra patch to help regulating my hormones and to help with bad health anxiety. The 3rd day I had it on resulted in me taking the patch off straight away due to immense nausea, panic, shaking and complete loss of appetite. 3 months later my hormones have been worse than ever with random crying and anxiety increasing throughout my cycle.


Very negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  28th Jan 26

Evra patch  

Overall good birth control. I do get random cramps throughout the day ever since I started it and my skin is irritated and itchy where I place my patch.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  2nd Jan 26

Evra patch  

Overall good, so far effective. But my periods are a lot heavier and a lot more painful. Tender breasts for at least half of the month and random cramps throughout the month even when I’m not on my period.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  8th Dec 25

Evra patch  

I got pregnant twice in 3 months…


Lost weight

0 helpful

0 comments

Contraceptive alternatives and comparisons

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