Hormonal coil (IUS) vs Vaginal ring
Need help choosing? Speak to a doctor
Add your Hormonal coil (IUS) review
£From £0.41/day
Overview
Rated 3.5
838 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.7
53 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
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
Try it now
Add your Hormonal coil (IUS) review
Try it now
£From £0.41/day
Check out our latest reviews
Real life reviews from people like you
Hormonal coil (IUS) reviews
838 reviews
Used for 5 - 8 yr
43 years old
🇬🇧 UK
• 6 days ago
First 6 months is an adjustment period so I had plenty of headache and feeling sick but after a while my body used to it and I am fine. 100% contraception effectiveness and no heavy period.
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 2 weeks ago
Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
40 years old
🇬🇧 UK
• 3 weeks ago
So far I love the mirena coil! Insertion was definitely painful (not just “uncomfortable”!), but the pain was very brief. I had cramps for a couple of days, and then light bleeding/spotting for about a month. However since then I’ve had no periods, and don’t even know it’s there. I get a few more spots now but that’s from rarely getting any when I was on the pill, it’s not a lot. My weight has stayed exactly the same. I was terrified of getting it fitted but am so glad I did, if it continues like this then I will take 30 seconds of pain for 8 years of not having to think about contraception, no periods and no side effects!
Worse skin
0 helpful
0 comments
Used for 5 - 8 yr
43 years old
🇬🇧 UK
• 6 days ago
First 6 months is an adjustment period so I had plenty of headache and feeling sick but after a while my body used to it and I am fine. 100% contraception effectiveness and no heavy period.
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 2 weeks ago
Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
40 years old
🇬🇧 UK
• 3 weeks ago
So far I love the mirena coil! Insertion was definitely painful (not just “uncomfortable”!), but the pain was very brief. I had cramps for a couple of days, and then light bleeding/spotting for about a month. However since then I’ve had no periods, and don’t even know it’s there. I get a few more spots now but that’s from rarely getting any when I was on the pill, it’s not a lot. My weight has stayed exactly the same. I was terrified of getting it fitted but am so glad I did, if it continues like this then I will take 30 seconds of pain for 8 years of not having to think about contraception, no periods and no side effects!
Worse skin
0 helpful
0 comments
Vaginal ring reviews
53 reviews
Used for 3 - 5 yr
34 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 13th May 25
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
Used for 8+ yr
50 years old
🇬🇧 UK
• 15th Apr 25
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
Used for 3 - 5 yr
34 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 13th May 25
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
Used for 8+ yr
50 years old
🇬🇧 UK
• 15th Apr 25
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
Used for 12 - 18 mo
31 years old
🇬🇧 UK
• 22nd Jan 25
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
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 29th Nov 24
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
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 29th Aug 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 8th Jul 24
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
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 15th May 24
Love the Nuvaring. Hardly have to think about changing it. I can get the odd bit of breakthrough bleeding if I don't take my 7 day break. Overall, I'm a big fan!
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 18th Nov 23
Things started out really well. No side effects and I didn't take ring breaks so no periods. My skin got less greasy so I got fewer spots, and I had 3 months blissfully free of painful period diarrhoea. Sadly after 3 months I started to get breakthrough bleeding every day and minor versions of my old period symptoms like back pain, cramps, and digestive upsets started to flare up. I tried removing my ring but that just made it worse and within 4 hours I was having a bad time on the loo and put a new ring in just to make it stop. The new ring helped, but now I feel kind of trapped having a constant mini period all the time with no alternative since the only pill that worked for me in the past has been discontinued, and progesterone only contraceptives have never agreed with me, so nothing else seems as convenient as the ring. All in all, bit of a mixed bag.
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 7th Oct 23
Switched to the vaginal ring after using the pill. When first trying it I could feel some pressure in my lower abdomen but this feeling passed after 1 day and havent had it again since using it. The first 2 periods I had were shorter but heavier than usual but after each period (basically the break week) each period got lighter and my 3rd period was lighter than my usual. Apart from that no other side effects - the above ones I experienced I would say linked to my body adjusting to a new contraception (similar to the pill where they tell you the first 3 months you may experience some side effects). I dont feel as moody as when I was on the pill and the great thing is I dont need to remember to take something everyday so the peace of mind is an additional benefit.
Somewhat positive mood
0 helpful
0 comments

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
Slide into our DMs
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