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

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Hormonal coil (IUS)

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Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.5

763 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1293 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

46% no impact

59% no impact

53% no impact on skin

Cycle return

31% don’t know impact

32% somewhat negative

43% stopped periods

50% lost sex drive

44% no impact

47% 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

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

763 reviews

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

Mirena coil  

My experience with Mirena wasn’t fully bad. I started using Mirena back in 2022. The insertion wasn’t all that bad because my doctor didn’t use the Pozzi clamp (or tenaculum). I had 3 insertions already so I’ve gotten to realize that the worst part is the pozzi clamp. The first 2-3 months, my body adjusted to the IUD and therefore I had cramps here and there but nothing more than usual period cramping. The bleeding started to elongate though. Prior to Mirena, I had Kyleena and Jaydess and my main issue with those. was the constant spotting. It was always around my period but it lasted 10-20 days. With the Mirena it stayed at about 10 days every month. So I was fine with it. Other side effects I noticed but didn’t bother me were more body hair, my breast got smaller and most of my pms symptoms were gone. After about 1.5 Years, the bleeding started to get worse (25 days a month, I was lucky if I even got a week free). So that’s when I decided to change. My overall experience wasn’t bad, I just wished the spotting wasn’t there. I will now be switching to gynefix (copper IUD without arms).

Read more

Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  17th Jun 24

Mirena coil  

I’ve been using this method for 11 months now upon recommendation of a nurse as I suffer from heavy periods, and the mini pill gives me more trouble than it’s worth. I’ve had cramps before, but nothing like I have experienced with the Mirena coil. I am currently waiting on a hospital appointment for surgery to get it removed as it has gone missing. I was told it was so rare to experience this that it shouldn’t even be of any concern to me, and yet here we are! I have been waiting a month just to be seen to be told it’s missing, always listen to your body ladies!


Somewhat negative mood

1 more effect

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
42 years old
🇬🇧 UK
  •  12th Jun 24

Kyleena coil  

When first inserted 3 months ago the cramps lasted for about 2-3 weeks inconsistently and occasionally get random ones between cycles, I still get occasional spotting for 1-2 days and periods now last longer than before (originally 3-4 days, now about 4-6 days, sometimes they stop then start again over two weeks). The most frustrating thing is not being able to predict when your period will start, they are getting lighter, but I had hoped they would stop. Also a note on insertion, I know this is all recommended beforehand but make sure you take the pain killers, only local anaesthetic is applied which seemed like it made no difference. You will likely have cramps for at least two weeks or longer whilst it settles down.


Decreased sex drive

0 helpful

0 comments

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

Mirena coil  

My experience with Mirena wasn’t fully bad. I started using Mirena back in 2022. The insertion wasn’t all that bad because my doctor didn’t use the Pozzi clamp (or tenaculum). I had 3 insertions already so I’ve gotten to realize that the worst part is the pozzi clamp. The first 2-3 months, my body adjusted to the IUD and therefore I had cramps here and there but nothing more than usual period cramping. The bleeding started to elongate though. Prior to Mirena, I had Kyleena and Jaydess and my main issue with those. was the constant spotting. It was always around my period but it lasted 10-20 days. With the Mirena it stayed at about 10 days every month. So I was fine with it. Other side effects I noticed but didn’t bother me were more body hair, my breast got smaller and most of my pms symptoms were gone. After about 1.5 Years, the bleeding started to get worse (25 days a month, I was lucky if I even got a week free). So that’s when I decided to change. My overall experience wasn’t bad, I just wished the spotting wasn’t there. I will now be switching to gynefix (copper IUD without arms).


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  17th Jun 24

Mirena coil  

I’ve been using this method for 11 months now upon recommendation of a nurse as I suffer from heavy periods, and the mini pill gives me more trouble than it’s worth. I’ve had cramps before, but nothing like I have experienced with the Mirena coil. I am currently waiting on a hospital appointment for surgery to get it removed as it has gone missing. I was told it was so rare to experience this that it shouldn’t even be of any concern to me, and yet here we are! I have been waiting a month just to be seen to be told it’s missing, always listen to your body ladies!


Somewhat negative mood

1 more effect

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
42 years old
🇬🇧 UK
  •  12th Jun 24

Kyleena coil  

When first inserted 3 months ago the cramps lasted for about 2-3 weeks inconsistently and occasionally get random ones between cycles, I still get occasional spotting for 1-2 days and periods now last longer than before (originally 3-4 days, now about 4-6 days, sometimes they stop then start again over two weeks). The most frustrating thing is not being able to predict when your period will start, they are getting lighter, but I had hoped they would stop. Also a note on insertion, I know this is all recommended beforehand but make sure you take the pain killers, only local anaesthetic is applied which seemed like it made no difference. You will likely have cramps for at least two weeks or longer whilst it settles down.


Decreased sex drive

0 helpful

0 comments


Progestogen-only / Mini pill reviews

1293 reviews

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

Slynd pill  

I was put on Slynd to control heavy bleeding caused by perimenopause and blood thinners , I am so happy that my periods are much lighter. I am able to leave the house without concern of bleeding through my clothes. I do get frequent headaches and feel bloated, but I was told that the bloating should subside after a few months. overall, very happy with this birth control pill!


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
33 years old
🇬🇧 UK
  •  5 days ago

Noriday pill  

I got pregnant whilst using Noriday i was on Yasmin but because of migrains with aura i decided to change the docs put me on Noriday and i never had any problems what so ever appart from the fact i got pregnant lucky i still had regular periods so i knew straight away i was deverstated i felt let down by the pill and i couldnt trust it anymore sex hasnt been the same scince im now on the implant and ask men to use condoms cause im paranoid contrception will let me down again.


Top side effects not reported

0 helpful

0 comments

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

Desogestrel pill  

I have only been on this pill for around 2 months however my side effects have been so drastic in this time period. My mood is unstable and I have become more irritable and quick to be upset, as for periods they have been irregular and my cramps have been the same if not worse than before i started contraception.


Very negative mood

2 more effects

0 helpful

0 comments

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

Slynd pill  

I was put on Slynd to control heavy bleeding caused by perimenopause and blood thinners , I am so happy that my periods are much lighter. I am able to leave the house without concern of bleeding through my clothes. I do get frequent headaches and feel bloated, but I was told that the bloating should subside after a few months. overall, very happy with this birth control pill!


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
33 years old
🇬🇧 UK
  •  5 days ago

Noriday pill  

I got pregnant whilst using Noriday i was on Yasmin but because of migrains with aura i decided to change the docs put me on Noriday and i never had any problems what so ever appart from the fact i got pregnant lucky i still had regular periods so i knew straight away i was deverstated i felt let down by the pill and i couldnt trust it anymore sex hasnt been the same scince im now on the implant and ask men to use condoms cause im paranoid contrception will let me down again.


Top side effects not reported

0 helpful

0 comments

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

Desogestrel pill  

I have only been on this pill for around 2 months however my side effects have been so drastic in this time period. My mood is unstable and I have become more irritable and quick to be upset, as for periods they have been irregular and my cramps have been the same if not worse than before i started contraception.


Very negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

it’s really good, like that there’s no estrogen and doesn’t make me feel like i’m going crazy. only annoying thing is the loss of sex drive but that’s something i work through with my partner


Decreased sex drive

0 helpful

0 comments

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

Cerazette pill  

I had breakthrough bleeding every day for almost 6 months starting from the day after my first pill. Sometimes heavy like a period but mainly spotting but it never stopped. Eventually the nurse advised it’s probably not for me and told me to stop taking it. It gave me no other negative effects but I thought that was negative enough!


Top side effects not reported

0 helpful

0 comments

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

Norgeston pill  

I would bleed for 4-6 days every 14 days with cramps the whole “period”. I seemed to feel every emotion much more intensely and felt rather negative a lot more than usual. I was also very bloated a lot.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Cerazette pill  

Since beginning this pill I have been strictly observing my weight and other side effects. Other birth control methods were unsuitable for me as I experience migraines. So far, I have had minimal side effects and have not noticed any impact on my mood or weight. I have had some small spots appear on my chin, I feel my breasts have gotten a little bit bigger (but I have actually lost weight since starting cerazette). I have had irregular bleeding/periods as the hormones are settling into my system, which has been annoying for myself and for my partner but better than the alternative, which is the point in taking the pill anyway. So far I'm happy to have chosen Cerazette and hope this will continue.


Worse skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

This was my first time using a hormonal contraception method and was given this by my doctor to start with. I persevered for 3-4 months but experienced continuous medium break through bleeding that didn’t show any sign of stopping. At this point my sex drive had disappeared and I switched over to a combined pill which I now have a much better time with.


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

This is the first time I’ve tried the mini pill after using the combined pill since I was 15 (until 18), the hormonal coil (18-22) and then experiencing my adult body for around 3 months with no hormones. After this contraceptive break, I fell pregnant and had a really rough abortion. After this experience I was terrified of this happening again and noticed my weight had increased due to pregnancy and my moods were really up and down in the last 6-8 weeks. After speaking to a doctor I got given this pill due to optical migraines and high risk of stroke. It was fine for the first few weeks and got used to it very quick, however, I noticed an insane decrease in sex drive. I never think about sex now and it’s really hard to get in the mood, this had led to me getting too in my head during sex and ruining it for me, a constant cycle!! Recently I’ve also became really irritable and short tempered which is very out of character for me. *Really important note* that I’ve not seen in many reviews!! After a quarterly checkup with the nurse she told me this pill is one of the worst for weight gain!! Saying that basically no matter how much of a calorie deficit you’re in/how active you are, you’re going to gain some weigh. Wasn’t informed about this prior to prescription. For context I was 69kg prior to taking this pill and in 6 months I’ve gained 11kg without changing my diet and increasing my cardio and general exercise. Apart from this the pros are no periods, very minimal cramps. I’m leaving this (very long) review to help anyone else who’s using this or considering it, like other reviews say, it really depends on you and unfortunately you’ll never know how these things affect you until you try. To help some sisters out, I’m now considering the copper coil as I’m missing having periods (sounds crazy I know) and really want a non-hormonal option


Somewhat negative mood

3 more effects

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
51 years old
🇬🇧 UK
  •  24th Jun 24

Cerelle pill  

Overall it’s excellent and all positive, no periods at all and steady mood


Very positive mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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