Hormonal coil (IUS) vs Progestogen-only / Mini pill

Need help choosing? Speak to a doctor
Hormonal coil (IUS)

Add your Hormonal coil (IUS) review

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.5

879 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1468 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen


Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

progestogen

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

32% somewhat negative

43% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

39% don’t know impact

Benefits: What this contraceptive can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Period pain

Try it now

Add your Hormonal coil (IUS) review

Try it now

£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Hormonal coil (IUS) reviews

879 reviews

Hormonal coil (IUS)  
Used for 5 - 8 yr
33 years old
🇬🇧 UK
  •  1 week ago

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!

Read more

Very positive mood

0 helpful

0 comments

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

Mirena coil  

I'm hypermobile, and over time it has made my symptoms a lot worse despite my levels of exercise to strengthen. I'm now in pain regularly and sometimes struggle to sleep because of it. I've also started having migraines with aura and frequent headaches. Getting it taken out next week. It did however reduce my heavy bleeding to infrequent spotting, but I bled for 9 months straight after having it inserted.


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  1 week ago

Kyleena coil  

Had kyleena fitted on recommendation from my doctor due to severe painful heavy periods, I have adenomyosis and suspected endo. Insertion was uncomfortable but not excruciating, the cramp lasted a couple of seconds and I was fine. Bleeding started within hours and didn't stop for the duration of use, I was having excruciating pain every day to the point I couldn't walk, feel my legs and awful tail bone pain. I booked an appointment a month later and my doctor said I didn't look well and removed it without me even having to ask. I wish it had worked for me but it just didn't. The removal was fine and gave instant relief.


Very negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
33 years old
🇬🇧 UK
  •  1 week ago

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
42 years old
🇬🇧 UK
  •  1 week ago

Mirena coil  

I'm hypermobile, and over time it has made my symptoms a lot worse despite my levels of exercise to strengthen. I'm now in pain regularly and sometimes struggle to sleep because of it. I've also started having migraines with aura and frequent headaches. Getting it taken out next week. It did however reduce my heavy bleeding to infrequent spotting, but I bled for 9 months straight after having it inserted.


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  1 week ago

Kyleena coil  

Had kyleena fitted on recommendation from my doctor due to severe painful heavy periods, I have adenomyosis and suspected endo. Insertion was uncomfortable but not excruciating, the cramp lasted a couple of seconds and I was fine. Bleeding started within hours and didn't stop for the duration of use, I was having excruciating pain every day to the point I couldn't walk, feel my legs and awful tail bone pain. I booked an appointment a month later and my doctor said I didn't look well and removed it without me even having to ask. I wish it had worked for me but it just didn't. The removal was fine and gave instant relief.


Very negative mood

1 more effect

0 helpful

0 comments


Progestogen-only / Mini pill reviews

1468 reviews

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I wanted birth control to calm down or stop my painful periods. I was put on denestrogel as my gp wasn't comfordable putting me on oestrogen due to migranes. the first two weeks were great, then i started getting cramping but no bleeding. all that i saw was brown discharge for another week before i started bleeding. i didnt stop bleeding for the three months I was on it. completely ruined my sex drive as I was bleeding all the time and all of my underwear got ruined. I couldnt use a pad or tampon as the bleed wasn't heavy enough. it really started to affect my mood that i stopped taking it halfway through my third month on it because i was getting so distressed was really dissapointing as I saw so many good reviews on it and loved that it had a 12 hr forgetfulness window.


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  2 days ago

Slynd pill  

Gave Slynd a go as I struggled with headaches and migraines with Cerazette and Cerelle. Slynd has been good in terms of not increasing any headaches which has made a change, however have suffered with breakthrough bleeding constantly since beginning it 5 months ago. It always happens between day 7-day 12 of the pill, never on the placebo pills, which is rather irritating. During this time I am normally hormonal as well, as if leading to my period, so can be very irritable. All in all, an ok pill but just hasn't worked out for me.


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  2 days ago

Norgeston pill  

Its regulated my periods, made them lighter and helps with PMDD I still ovulate most months on norgeston but thats normal apparently, Im not too worried about it, i have noticed my boobs have gone up a cup size or two but compared to desogestorel its been amazing, i had a period for 5 weeks on desogestorel then i was off for 1 and back on for 5 etc now im every 28 days like clockwork


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I wanted birth control to calm down or stop my painful periods. I was put on denestrogel as my gp wasn't comfordable putting me on oestrogen due to migranes. the first two weeks were great, then i started getting cramping but no bleeding. all that i saw was brown discharge for another week before i started bleeding. i didnt stop bleeding for the three months I was on it. completely ruined my sex drive as I was bleeding all the time and all of my underwear got ruined. I couldnt use a pad or tampon as the bleed wasn't heavy enough. it really started to affect my mood that i stopped taking it halfway through my third month on it because i was getting so distressed was really dissapointing as I saw so many good reviews on it and loved that it had a 12 hr forgetfulness window.


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  2 days ago

Slynd pill  

Gave Slynd a go as I struggled with headaches and migraines with Cerazette and Cerelle. Slynd has been good in terms of not increasing any headaches which has made a change, however have suffered with breakthrough bleeding constantly since beginning it 5 months ago. It always happens between day 7-day 12 of the pill, never on the placebo pills, which is rather irritating. During this time I am normally hormonal as well, as if leading to my period, so can be very irritable. All in all, an ok pill but just hasn't worked out for me.


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  2 days ago

Norgeston pill  

Its regulated my periods, made them lighter and helps with PMDD I still ovulate most months on norgeston but thats normal apparently, Im not too worried about it, i have noticed my boobs have gone up a cup size or two but compared to desogestorel its been amazing, i had a period for 5 weeks on desogestorel then i was off for 1 and back on for 5 etc now im every 28 days like clockwork


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Zelleta pill  

gradually feel more down and down and my periods never stop i can bleed for 30 days then have a 3 day break and it’s back


Worse skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  2 weeks ago

Noriday pill  

Gave me extreme depression. I was on this pill so long that I didn’t even realise it was the pill giving me the depression, when coming off it I felt a weight lift off my shoulder. My thinning hair went away and my mood improved so drastically. It did make my boobs bigger which was the only good side effect but I’d rather be happy. Would recommend cerazette as an alternative to anyone who has mood issues and frequent bleeding on noriday


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel pill  

I’ve been using Desogestrel for over 6 months now it’s the first pill I tried as I didn’t like the fact that the combined pill affected your blood pressure. I struggled with heavy periods, cramping and always hated when my period came around as I had to use heavy flow tampons/towels continuously for 5-6 days. Since going on the pill I haven’t noticed any unusual side effects I take it in the evening at about 9pm I wouldn’t recommend it if you have spot prone skin as I didn’t originally I haven’t noticed a difference other than small breakouts before my period is due however I know it can make others worse if you already have spots. It hasn’t changed my weight at all however it does increase your appetite so as long as you keep on top of it stay active and eat healthy it shouldn’t affect you either. I’m very sexually active with my partner and so far we have had no pregnancy scares and we don’t use condoms. Overall the pill has made my periods much lighter I tend to either not bleed or bleed very little and I no longer have any cramping. It does cause breakthrough bleeding occasionally so if you want to stay regular I wouldn’t recommend this pill. I’m really happy with my decision to go on this form of contraception,


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  3 weeks ago

Zelleta pill  

The side effects I experienced on this pill were awful. I can’t take estrogen so have limited options. My mood dipped, and I had the worst breakouts of my life. Giant painful spots all over my chin which tanked my confidence, and I was bleeding almost constantly. Changed to Slynd after 3 months and can’t recommend that pill enough!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
28 years old
🇬🇧 UK
  •  3 weeks ago

Slynd pill  

This pill has been a game changer! I can’t tolerate estrogen, and I had previously been taking Zelleta which was causing near constant bleeding and my skin looked horrendous. I started taking Slynd in April 2025 and my periods are lighter than without contraception, and my skin has almost completely cleared up. I still get some spots around my period, but that was normal for me before contraception. I haven’t noticed any other side effects 9 months into taking it. My periods were irregular the first 3 months, but now are normal every 4-5 weeks.


Improved skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  1 month ago

Zelleta pill  

I used zelleta for 2 months within a few days of starting the pill my period started it lasted for 3 weeks with heavy bleeding then it stopped for 5 days the started again for 3 weeks and stopped for 3 days then started again for 3 weeks when I phoned the doctor they said it was normal when I told them I was using 1 to 2 pads in an 1 and a half they said it was normal I then stopped the pill in December my period started lasted 5 days and stopped now my next period is due to start. I would not recommend to anyone.


Very negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

Completely ruined my skin and gave me awful acne after already suffering with it for years. Also gave me horrible headaches and migraines. Would never recommend this to anyone.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Hormonal coil (IUS) with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them