Hormonal coil (IUS) vs Progestogen-only / Mini pill
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Overview
Rated 3.5
866 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1433 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
Benefits: What this contraceptive can help with
Adenomyosis
Endometriosis
Heavy periods
Menopause
Period pain
Period pain
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£From £0.22/day
Check out our latest reviews
Real life reviews from people like you
Hormonal coil (IUS) reviews
866 reviews
Used for 3 - 5 yr
35 years old
🇬🇧 UK
• 1 day ago
Having used the pill on and off for 20 years I was hesitant to use another hormonal contraception but I was so happy with kyleena - no noticeable mentsl or physical symptoms. Insertion is not pleasant but it's over in seconds.i experienced some period cramps in first few weeks but then periods became extremely light and pain free for the last 3-4 years. I would get this method again without hesitation.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 2 days ago
I had a terrible experience with Mirena. It started with severe cramping after insertion. The cramping continued for weeks. I got a UTI from it. Then the other symptoms started - severe depression, sneezing, severe sinus pain, insomnia. I experienced severe vaginal dryness and vulvodynia (shooting pain down there) which ultimately led me to showing up at my gp and begging for it to be removed.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 2 weeks ago
Periods stopped, no noticeable side effects other than toward the end of the 5 years when I had a few side effects (tender breasts, spots, mood swings) which I put down to hormonal change as the coil was coming to expiry date. Now I've had it replaced and I have no side effects. Stable mood, skin clear, no periods, no stomach/back/head pain.
Very positive mood
0 helpful
0 comments
Used for 3 - 5 yr
35 years old
🇬🇧 UK
• 1 day ago
Having used the pill on and off for 20 years I was hesitant to use another hormonal contraception but I was so happy with kyleena - no noticeable mentsl or physical symptoms. Insertion is not pleasant but it's over in seconds.i experienced some period cramps in first few weeks but then periods became extremely light and pain free for the last 3-4 years. I would get this method again without hesitation.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 2 days ago
I had a terrible experience with Mirena. It started with severe cramping after insertion. The cramping continued for weeks. I got a UTI from it. Then the other symptoms started - severe depression, sneezing, severe sinus pain, insomnia. I experienced severe vaginal dryness and vulvodynia (shooting pain down there) which ultimately led me to showing up at my gp and begging for it to be removed.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 2 weeks ago
Periods stopped, no noticeable side effects other than toward the end of the 5 years when I had a few side effects (tender breasts, spots, mood swings) which I put down to hormonal change as the coil was coming to expiry date. Now I've had it replaced and I have no side effects. Stable mood, skin clear, no periods, no stomach/back/head pain.
Very positive mood
0 helpful
0 comments
Progestogen-only / Mini pill reviews
1433 reviews
Used for 3 - 6 mo
17 years old
🇬🇧 UK
• 1 day ago
Genuinely hate this pill. I have always experienced acne but rarely on my body until now. My back chest and shoulders are covered. I have had bleeding about 2 times a month with no changes to the pain scale. I have gained a bit of weight. Where on the last pill I was on I had lost some. Which certainly effected my already down mood. Just is not working for me.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
39 years old
🇬🇧 UK
• 2 days ago
Using Sltnd for Endo rather than a contraceptive, this is my second month. First month I had breakthrough bleeding for 23 days but no period this month. Not had awful ovulation pain like before and my pain has reduced somewhat. Headaches are a bit of a pain as I am not a headachy person usually. Had a very stressful two months so not sure if my mood is stress or the pill. It has affected my sex drive but this can be affected alot by pain so we manage that anyway. So far I feel like it's helped with pain definitely need to give it longer. I don't take the placebo pills until month 3 so I take slynd constantly till month 3 as doctor recommended to do so.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
19 years old
🇬🇧 UK
• 4 days ago
It's my 4th month, and I hate it. I have anxiety and a depressive mood, and I am so irritated with everyone and everything constantly for no reason, and I don't want it to affect my loved ones because I know this is not who I am. My hair's thinning vigorously, and my period, which was 5 days long, has increased to 15 and counting! And it's not just 15 days of light spotting, it's a full-on heavy period which has left me so damm tired and dizzy all the time with all the iron loss. yes i missed one day of the pill which i know can create spotting but that was 2 months ago. i have been consistantly taking my pills since and its just getting worse and worse for me. i honestly dont want to continue but i have heard it gets better after a while of use. but from what i see its doing to my body and mental state i just dont think i can continue like this. I dont know what to do.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
17 years old
🇬🇧 UK
• 1 day ago
Genuinely hate this pill. I have always experienced acne but rarely on my body until now. My back chest and shoulders are covered. I have had bleeding about 2 times a month with no changes to the pain scale. I have gained a bit of weight. Where on the last pill I was on I had lost some. Which certainly effected my already down mood. Just is not working for me.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
39 years old
🇬🇧 UK
• 2 days ago
Using Sltnd for Endo rather than a contraceptive, this is my second month. First month I had breakthrough bleeding for 23 days but no period this month. Not had awful ovulation pain like before and my pain has reduced somewhat. Headaches are a bit of a pain as I am not a headachy person usually. Had a very stressful two months so not sure if my mood is stress or the pill. It has affected my sex drive but this can be affected alot by pain so we manage that anyway. So far I feel like it's helped with pain definitely need to give it longer. I don't take the placebo pills until month 3 so I take slynd constantly till month 3 as doctor recommended to do so.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
19 years old
🇬🇧 UK
• 4 days ago
It's my 4th month, and I hate it. I have anxiety and a depressive mood, and I am so irritated with everyone and everything constantly for no reason, and I don't want it to affect my loved ones because I know this is not who I am. My hair's thinning vigorously, and my period, which was 5 days long, has increased to 15 and counting! And it's not just 15 days of light spotting, it's a full-on heavy period which has left me so damm tired and dizzy all the time with all the iron loss. yes i missed one day of the pill which i know can create spotting but that was 2 months ago. i have been consistantly taking my pills since and its just getting worse and worse for me. i honestly dont want to continue but i have heard it gets better after a while of use. but from what i see its doing to my body and mental state i just dont think i can continue like this. I dont know what to do.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 1 week ago
I would have given this contraceptive 5 starts if it hadn’t caused me significant hair loss. It’s a shame because I didn’t experience any other negative side effects. I am lucky to have had thick hair to begin with, but after a few months of use and noticeable shedding I have ended up with nearly half the hair I started with.
Top side effects not reported
1 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇬🇧 UK
• 1 week ago
6 - 12 months 15/04/2025 - currently in my third week of me 7th month of the pill. I’ve just had a period after 3 weeks of not bleeding (having pretty much spotting all of the time/constantly bleeding) I feel like we’re finally getting back on track. The period was however thicker and more like ‘old’ blood than usual with a day of normal bleeding. I’ve been quite emotional recently and I’m pretty sure my breast have gotten slightly bigger while being on the pill but I haven’t gone up a bra size. I did put on some weight but I think I’m finally dropping it slowly but it feels slow going. 30/04/2025 - So I had that last period and have been and and off since. I think I’ve only had a couple of days on not bleeding at all or spotting. Today it seems that there is nothing. My boobs definitely feel larger but still not up a bra size. I had an awful breakout last week on my chest and back but my face seems ok/if not better than usual. 12/05/2025 - I’ve just had THE WORST under the skin spots on my chest. Like really really bad to the point I’m going to scar. However, I did just have a period but it lasted 3 days at most. I did feel super strange before it and in pain but not my usual period cramps. More like a full body sensation of pain which wasn’t excruciating but still not pleasant. Otherwise, I’ve been fine on it. I think I had nearly 2 weeks of no bleeding or spotting at all before this small period? 22/05/2025 - I’ve actually been feeling fine recently. I think I only had about 13 days between my last bleed and the small bleed/period that I’ve just had but there was no blood/spotting in between again which was nice. 01/07/2025 - I’ve still been bleeding really regularly. I’m noticing weight gain now that I can’t shift and I’m sweating so much more than usual. I’m at the point where I’m considering going to the GP and telling them I’m coming off of the pill I’m really not having a great time. 17/07/2025 - I’m about month 9 now of starting the pill. I’ve gone from bleeding about every 2 weeks to now having bled for nearly 3 now which is great. I did take a pregnancy test even though pregnancy would be a miracle (we use condoms as well because I definitely don’t want to be pregnant) It was negative. I’ve changed eating habits and have been exercising regularly and my weight is still creeping up. If it doesn’t start to come down soon I’ll be chatting to the GP about it. My mood is also really low. I’ve said this before but the spots on my face are definitely better than they were pre-pill but other body acne/spots are definitely worse. 15/08/2025 - So I still haven’t really had a period. I had a couple of days of cramps and old blood in mucus at the start of this week but nothing I’d really describe as a period. (definitely not pregnant). The issue I’m having is the increased sweating. It’s unbearable. My sister says that she has suffered the same since starting the pill. I’ve never in my life sweat this much. 4/11/25 - Yes it’s been over a year since being on the pill now. I’ve still not had a period since June so I guess it’s decided that it's not happening anymore (not pregnant) Breast tenderness is still here as well.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 2 weeks ago
Im loosing so much hair since I started taking slynd, my first couple of months I was constantly dizzy. My sexy drive is very low. Im constantly bleeding, im considering stopping it.
Decreased sex drive
0 helpful
1 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 2 weeks ago
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 3 weeks ago
I have been on this pill just over a month and the side effects have been horrendous. I have felt suicidal and utterly depressed everyday, I feel as though I am completely not myself. I have insomnia and wake in the night with intense anxiety and my hands are shaking. I have had bleeding for the past week, extreme hunger, weight gain and feeling so angry I could punch someone. Would NOT recommend this at all, it's dangerous for women. Going to stop taking today as I can't keep feeling like this.
Very negative mood
3 more effects
1 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 1 month ago
I have been using the pill for around 6 months and I keep getting irregular bleeding whilst taking the pill. I take my pill everyday but somehow seem to bleed anyway it’s not spotting as people say it’s heavier like a normal period. It changed my mood within seconds and keeps giving me my Period every 2-3 weeks.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 1 month ago
After years of being on no contraception I decided to give the Mini Pill another go. It worked for me several years ago but began impacting my mental health so I stopped. This time round I have been more in tune with my body. The first 3-5 days I had itchy nipples. I’ve gained 4kg in a month and my diet hasn’t changed. I have had a headache and neck pain since day one, if I didn’t keep on top of pain relief it would come back. I already have acne prone skin which has took years to get under control and within the first week I developed cystic acne. I’ve felt myself snapping at others in my house over silly things and also felt unable to make decisions. They say to give it 3 months to settle into your system but it’s a no go for me. I cannot deal with the daily head and neck pain, acne and mood issues - so back to condoms we go.
Somewhat negative mood
3 more effects
0 helpful
0 comments
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