Hormonal coil (IUS) vs Vaginal ring

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Hormonal coil (IUS)

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Vaginal ring

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Overview

Rated 3.5

871 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.6

56 reviews

Every 3 weeks

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen


Vaginal ring ingredients

Main hormones in Vaginal ring

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

50% no impact on mood

52% lighter periods

45% lost sex drive

66% no impact

41% no impact on skin

Cycle return

47% in 1 month

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

871 reviews

Hormonal coil (IUS)  
Used for 3 - 6 mo
35 years old
🇬🇧 UK
  •  6 days ago

Benilexa coil  

I previously had the copper coil for 4 years because I wasn't keen on using a hormonal contraception but I wish I'd changed to benelixa sooner. I opted for a numbing injection during the procedure and hardly felt anything, it was great. Afterwards there was some very mild cramping and unfortunately I did get mild thrush within the week, however since then it's been amazing. Hardly any pain during periods and they are sooo much lighter. I used to bloat all the time but now I never do. I also lost about 4lbs and have stayed at that weight ever since. I had thinning hair previously and now have lots of new baby hairs coming in all over my head which I'm delighted about. Sex drive has decreased ever so slightly but not enough to be a problem. No changes to my skin or any other negative side effects. Really can't recommend it more, I'm delighted with not being in agony every month and I have much more energy since I'm only losing about a quarter of blood compared to before.

Read more

Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Kyleena coil  

I’ve had the kyleena iud for just over a year. Initially, I had more painful periods but that’s common for about 6 months as your body adjusts but this has since gone away. After about 6 months, I started to suffer with vaginal dryness. This was easily managed with lube during sex but after a year it really started to get bad. It was causing constant thrust (5 times in 3 months) which I had never been prone to before and the pain during sex can sometimes mean we have to stop or I’ll be okay for a bit but then after will be bleeding or have sort of friction burns. It’s coming out soon but it’s just a shame about the dryness as I loved it otherwise


Decreased sex drive

0 helpful

0 comments

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

Mirena coil  

My first year of the coil seemed to be okay. Took a while to get used to and on the grand scheme of things after about 3 months my period pretty much left.. but in the last year, I’ve been getting symptoms of anger, forgetfulness and generally feeling checked out. Going to speak to GP to find another option.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
35 years old
🇬🇧 UK
  •  6 days ago

Benilexa coil  

I previously had the copper coil for 4 years because I wasn't keen on using a hormonal contraception but I wish I'd changed to benelixa sooner. I opted for a numbing injection during the procedure and hardly felt anything, it was great. Afterwards there was some very mild cramping and unfortunately I did get mild thrush within the week, however since then it's been amazing. Hardly any pain during periods and they are sooo much lighter. I used to bloat all the time but now I never do. I also lost about 4lbs and have stayed at that weight ever since. I had thinning hair previously and now have lots of new baby hairs coming in all over my head which I'm delighted about. Sex drive has decreased ever so slightly but not enough to be a problem. No changes to my skin or any other negative side effects. Really can't recommend it more, I'm delighted with not being in agony every month and I have much more energy since I'm only losing about a quarter of blood compared to before.


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Kyleena coil  

I’ve had the kyleena iud for just over a year. Initially, I had more painful periods but that’s common for about 6 months as your body adjusts but this has since gone away. After about 6 months, I started to suffer with vaginal dryness. This was easily managed with lube during sex but after a year it really started to get bad. It was causing constant thrust (5 times in 3 months) which I had never been prone to before and the pain during sex can sometimes mean we have to stop or I’ll be okay for a bit but then after will be bleeding or have sort of friction burns. It’s coming out soon but it’s just a shame about the dryness as I loved it otherwise


Decreased sex drive

0 helpful

0 comments

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

Mirena coil  

My first year of the coil seemed to be okay. Took a while to get used to and on the grand scheme of things after about 3 months my period pretty much left.. but in the last year, I’ve been getting symptoms of anger, forgetfulness and generally feeling checked out. Going to speak to GP to find another option.


Somewhat negative mood

2 more effects

0 helpful

0 comments


Vaginal ring reviews

56 reviews

Vaginal ring  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  10th Nov 25

NuvaRing  

This has been one of the worst experiences of my life. It killed my mood completely, I never felt worse about myself and had worse mood swings. Low libido, feeling ugly, body pain... overall, never again.


Very negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  26th Oct 25

NuvaRing  

I had a terrible reaction to this unfortunately, despite my optimism. Main symptoms were intense nausea that caused me to not eat for several days, insane anxiety with some panic attacks (especially as I slept) and some depressive thoughts. I took sick days from work believing it was the flu. I thought there is no way birth control could cause these side effects. After a call with my GP, we suspected it could be the ring. I tried to stick with it but on only day 14, awake at 5am due to recurrent panic attacks, I took it out. The next days were perfect. I ate all the food I could and was so grateful for a restful night's sleep. The difference in how I feel is night and day. I understand that this reaction is probably rare but this is what happened to me.


Very negative mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  3rd Aug 25

SyreniRing  

I suffer with PMDD, making my periods a very awful time for me due to how depressed I feel. I was on the combined pill before, but found this was worsening my emotions and making me feel horrendous. The ring was an idea my GP suggested, thinking that because the ring is a gradual release, that stays in your body for the duration you don’t wish to bleed, it would affect me less. This is absolutely what’s happened and I’m much happier on the ring. I’ve never had any problems with feeling it, I’ve noticed a few reviews stating they bleed through when taking it back to back and from my experience this is the case with most contraception. I wouldn’t recommend if you want to take back to back as you do bleed through.


Very positive mood

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  10th Nov 25

NuvaRing  

This has been one of the worst experiences of my life. It killed my mood completely, I never felt worse about myself and had worse mood swings. Low libido, feeling ugly, body pain... overall, never again.


Very negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  26th Oct 25

NuvaRing  

I had a terrible reaction to this unfortunately, despite my optimism. Main symptoms were intense nausea that caused me to not eat for several days, insane anxiety with some panic attacks (especially as I slept) and some depressive thoughts. I took sick days from work believing it was the flu. I thought there is no way birth control could cause these side effects. After a call with my GP, we suspected it could be the ring. I tried to stick with it but on only day 14, awake at 5am due to recurrent panic attacks, I took it out. The next days were perfect. I ate all the food I could and was so grateful for a restful night's sleep. The difference in how I feel is night and day. I understand that this reaction is probably rare but this is what happened to me.


Very negative mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  3rd Aug 25

SyreniRing  

I suffer with PMDD, making my periods a very awful time for me due to how depressed I feel. I was on the combined pill before, but found this was worsening my emotions and making me feel horrendous. The ring was an idea my GP suggested, thinking that because the ring is a gradual release, that stays in your body for the duration you don’t wish to bleed, it would affect me less. This is absolutely what’s happened and I’m much happier on the ring. I’ve never had any problems with feeling it, I’ve noticed a few reviews stating they bleed through when taking it back to back and from my experience this is the case with most contraception. I wouldn’t recommend if you want to take back to back as you do bleed through.


Very positive mood

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  17th Jun 25

SyreniRing  

I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.


Very positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  13th May 25

NuvaRing  

The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  15th Apr 25

NuvaRing  

I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  22nd Jan 25

NuvaRing  

NuvaRing greatly affected my mood, at one point I thought I had depression and got prescribed antidepressants by incompetent doctors. The second I stopped using NuvaRing (based on INTERNET RECOMMENDATIONS), all my mental problems went away


Very negative mood

1 more effect

1 helpful

0 comments

Vaginal ring  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  29th Nov 24

NuvaRing  

I used the NuvaRing/Syreni ring for over a year without any apparent issues until I began experiencing severe stomach cramps. The pain was so intense that it often woke me up at night, leaving me unable to move or sleep for hours. Despite multiple doctor appointments, my concerns were repeatedly dismissed, and I was left feeling anxious and on edge, uncertain about the cause of my pain. Frustrated with the lack of answers, I decided to take matters into my own hands and removed the ring myself. Remarkably, after five months of excruciating cramps, they stopped immediately upon removal of the ring. It's been five weeks now, and I remain cramp-free. While I cannot say with absolute certainty that the vaginal ring was the cause, the timing feels far too coincidental to ignore.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  29th Aug 24

NuvaRing  

No side effects at all but the ring kept falling out so i always felt it while standing up


Increased sex drive

0 helpful

0 comments

Vaginal ring  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  8th Jul 24

NuvaRing  

I really loved using the ring, compared to the pill the side effects were minimal and absolutely no bother in remembering it. Unfortunately my doctor just made me come off it as my blood pressure has steadily gone up over 3 years of using it. I did experience loss of sex drive, and vaginal dryness which led to thrush infections. But no changes in mood or skin!


Decreased sex drive

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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