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

881 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.4

125 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

49% no impact on skin

Cycle return

36% 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

881 reviews

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

Levosert coil  

I got the coil after having a failed mirena coil. Tried this one for almost 3yrs and didn't think I had alot of side effects, though reflecting on a time where I was not on contraception, I realised it had greatly impacted my moods and caused quite bad acne on my back, which I had never suffered with previous. I also would get debilitating cramps during my periods again which I never suffered with before. Only bonus was my very heavy periods were light, which made them way more manageable. I decided to get it taken out when my moods were having an adverse effect on my relationship and life.

Read more

Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
21 years old
🇬🇧 UK
  •  1 month ago

Jaydess coil  

Insertion of the jaydess for me was incredibly painful and i had severe period cramps the days following insertion. Other than that for the first year i had no symptoms other than tender breasts and they had grown from C-DD (no complaints!) and often reccomended it to friends. However, after that i started getting regular thrush. It started off just coming before my period some months but now it is pretty much constant. Treatment only resolves symptoms for a short period and the its back! For this reason ive booked to have it taken out next week. Also the waitlist with my local clinic is so long ive been on it months and am no where near being seen so have had to go private unfortunately as the symptoms hae become unbearable :(


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
33 years old
🇬🇧 UK
  •  17th Feb 26

Mirena coil  

After taking the pill for at least ten years I thought it was time to reconsider my options. Used the Lowdown to eventually choose the hormonal coil. Insertion was uncomfortable but nothing unbearable (for me, I know alot of people have had horrid experiences). My periods are very irregular (think maybe four a year and more spotting that bloody). My hormonal state throughout the month is more consistent, no major ups and downs than I used to get on the pill. I couldn't fault this as an option and also not having to remember to take the pill everyday was a huge bonus. Recent changes to the length of time for changing them meant I got an extra two years out of mine. Great long term option if you know you don't want to have children for a large chunk of time. Clicked some sweating and thrush as side effects, but can't be certain they're due to the coil or due to hitting mid-thirties, ha!


Very positive mood

0 helpful

0 comments

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

Levosert coil  

I got the coil after having a failed mirena coil. Tried this one for almost 3yrs and didn't think I had alot of side effects, though reflecting on a time where I was not on contraception, I realised it had greatly impacted my moods and caused quite bad acne on my back, which I had never suffered with previous. I also would get debilitating cramps during my periods again which I never suffered with before. Only bonus was my very heavy periods were light, which made them way more manageable. I decided to get it taken out when my moods were having an adverse effect on my relationship and life.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
21 years old
🇬🇧 UK
  •  1 month ago

Jaydess coil  

Insertion of the jaydess for me was incredibly painful and i had severe period cramps the days following insertion. Other than that for the first year i had no symptoms other than tender breasts and they had grown from C-DD (no complaints!) and often reccomended it to friends. However, after that i started getting regular thrush. It started off just coming before my period some months but now it is pretty much constant. Treatment only resolves symptoms for a short period and the its back! For this reason ive booked to have it taken out next week. Also the waitlist with my local clinic is so long ive been on it months and am no where near being seen so have had to go private unfortunately as the symptoms hae become unbearable :(


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
33 years old
🇬🇧 UK
  •  17th Feb 26

Mirena coil  

After taking the pill for at least ten years I thought it was time to reconsider my options. Used the Lowdown to eventually choose the hormonal coil. Insertion was uncomfortable but nothing unbearable (for me, I know alot of people have had horrid experiences). My periods are very irregular (think maybe four a year and more spotting that bloody). My hormonal state throughout the month is more consistent, no major ups and downs than I used to get on the pill. I couldn't fault this as an option and also not having to remember to take the pill everyday was a huge bonus. Recent changes to the length of time for changing them meant I got an extra two years out of mine. Great long term option if you know you don't want to have children for a large chunk of time. Clicked some sweating and thrush as side effects, but can't be certain they're due to the coil or due to hitting mid-thirties, ha!


Very positive mood

0 helpful

0 comments


Patch reviews

125 reviews

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

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 6 - 12 mo
20 years old
🇬🇧 UK
  •  2 weeks 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
  •  1 month ago

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

Patch  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  26th Nov 25

Evra patch  

The Evra patch has been a good choice for me so far, and it’s my first time on birth control! I would say the only downfall is around the edge of the patch gets dirty from adhesive, and that it’s nerve racking to swim a lot in fear it will come off! I went on vacation and was nervous but I used a tagaderm to keep it on when swimming!


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  9th Nov 25

Evra patch  

The patch made me feel extremely unwell. I had nausea, heavy headed feeling, headaches, tiredness, sweating and soreness where the patch was placed. I ended up removing it before 24 hours was up because I couldn't sleep and felt so out of sorts.


Top side effects not reported

0 helpful

1 comments

Patch  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  25th Oct 25

Evra patch  

Went on the patch having been on the implant previously. On the implant I had lots of spotting which thankfully went away on the patch. However I have definitely noticed a distinct rise in anxiety since being on the patch over the last year - enough to stop me wanting to go to things like the theatre or going on tours without getting sweaty. I also think it's killed my sex drive so I'm going to go off it and seek alternative contraception. Its a shame because I do find it convenient and have felt very protected on it. My period increased its flow a lot during the period week and I also got bad headaches around that week which I wasn't used to. Sad to have to change but dont like the quality of life.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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