Implant vs Copper coil (IUD)
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Overview
Rated 2.8
590 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.5
573 reviews
5 - 10 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Implant ingredients
Main hormones in Implant
progestogen
Copper coil (IUD) ingredients
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Heavy periods
Ovulation pain
Period pain
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
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Check out our latest reviews
Real life reviews from people like you
Implant reviews
590 reviews
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 3 weeks ago
50/50 experience overall. My skin improved to the point where it is clear aside from the occasional hormonal spot. Definitely would recommend if you’re like me and always forget to take the pill daily. I don’t get periods but when I do I bleed for about 2-3 weeks heavily. I have noticed some weight gain but nothing to be worried about. My boobs have grown 2 whole cup sizes. No mood changes as far as I’m aware. The implant insertion process was quick and painless so nothing to worry about there.
Improved skin
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 9th Nov 24
Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Nov 24
Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 3 weeks ago
50/50 experience overall. My skin improved to the point where it is clear aside from the occasional hormonal spot. Definitely would recommend if you’re like me and always forget to take the pill daily. I don’t get periods but when I do I bleed for about 2-3 weeks heavily. I have noticed some weight gain but nothing to be worried about. My boobs have grown 2 whole cup sizes. No mood changes as far as I’m aware. The implant insertion process was quick and painless so nothing to worry about there.
Improved skin
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 9th Nov 24
Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Nov 24
Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different
Somewhat negative mood
2 more effects
0 helpful
0 comments
Copper coil (IUD) reviews
573 reviews
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 3 weeks ago
On the whole the coil has been a good method of contraception. It was a little painful when getting fitted but cramps only lasted a few hours after. Mine was meant to last 10 years but I had to get it removed early as I was in a lot of pain and my period had gotten a lot heavier. I managed to get an ultrasound which showed my coil had slipped down and was no longer a reliable method of contraception.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 3 weeks ago
Getting the Gynefix fitted was surprisingly painful but probably could have been less painful if I took some painkillers before the appointment. My first couple of periods with the coil were bloodier than usual but they quickly normalised. I had absolutely no side effects or symptoms with the Gynefix for 5 years, it was simply brilliant. Although I did experience a few chemical pregnancies and ended up doubling up with condoms for the final 18 months of having the coil. I was particularly concerned about the removal process but surprisingly it didn’t hurt too much at all. In conclusion I would absolutely recommend the Gynefix as a fantastic pain-free, hormone free contraception method.
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 13th Nov 24
My 3rd coil now. 1st lasted years. Second one fell out and I didn’t realise so accidentally got pregnant. 3rd has extra long strings so hopefully that won’t happen again. Never had much pain during insertion or removal or any added pain any other time just slightly heavier periods. Overall have always been happy with the copper coil just need to be better at checking the strings after each period. Feel happier and have a higher sex drive while it’s in.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 3 weeks ago
On the whole the coil has been a good method of contraception. It was a little painful when getting fitted but cramps only lasted a few hours after. Mine was meant to last 10 years but I had to get it removed early as I was in a lot of pain and my period had gotten a lot heavier. I managed to get an ultrasound which showed my coil had slipped down and was no longer a reliable method of contraception.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 3 weeks ago
Getting the Gynefix fitted was surprisingly painful but probably could have been less painful if I took some painkillers before the appointment. My first couple of periods with the coil were bloodier than usual but they quickly normalised. I had absolutely no side effects or symptoms with the Gynefix for 5 years, it was simply brilliant. Although I did experience a few chemical pregnancies and ended up doubling up with condoms for the final 18 months of having the coil. I was particularly concerned about the removal process but surprisingly it didn’t hurt too much at all. In conclusion I would absolutely recommend the Gynefix as a fantastic pain-free, hormone free contraception method.
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 13th Nov 24
My 3rd coil now. 1st lasted years. Second one fell out and I didn’t realise so accidentally got pregnant. 3rd has extra long strings so hopefully that won’t happen again. Never had much pain during insertion or removal or any added pain any other time just slightly heavier periods. Overall have always been happy with the copper coil just need to be better at checking the strings after each period. Feel happier and have a higher sex drive while it’s in.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 9th Nov 24
I switched to the copper IUD after 8 years with implants and always irregular bleeding with the implant. The fitting was a little uncomfortable as expected but definitely bearable with a paracetamol taken beforehand. My first two proper periods were heavy-ish but not unmanageable (I don't remember having particularly heavy or painful periods before using implants); I felt some lower back ache and cramping for a couple of days at the beginning of each period but again this wasn't too bad, and it was nice to recognise a normal cycle after losing this when using the implant. Over the next four periods my bleeding has got a bit lighter than the first two, and I only feel occasional cramps or back ache so I'm very happy with the IUD and would definitely recommend it.
Somewhat positive mood
1 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 4th Nov 24
I've had copper coil since february 2024 and I feel so good that my body can have a normal cycle again after years on a pill. The insertion itself wasn't nearly as bad as people say. Yes it was a sharp cramp but it only lasted around 30 seconds and I could still talk through it so it wasn't anything traumatising. I took 800 mg of ibuprofen beforehand and that's what the doctor advised as well, it definitely helped. On the day I had it done I felt a bit weak and my lower abdomen felt as if I did a great deal of ab exercise. Nothing a couple painkillers and hot water bottle couldn't solve. My periods did become much heavier and more painful but before I had a coil they were very light and I had no pain at all so it is probably just about the same as most women experience every month. For this reason I wouldn't recommend it to people who already have heavy and painful periods but for someone like me it is manageable. I definitely feel so much better with it than a pill, sex became way more enjoyable and I'm more in tune with my body. I had the procedure done at sexual health clinic so I would recommend it over a GP. Overall very good experience and If I don't get any side effects from it over the next 5 years I will definitely do it again.
Top side effects not reported
2 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 17th Oct 24
I originally came to the Lowdown in 2021 for advice on contraception. I trusted the reviews, albeit some weren’t positive, and went for the copper IUD. It’s been the best decision I’ve made re contraception. It allows me to have safe sex with my partner, without artificial hormones. I’m back in touch with my cycle which really helps, and my periods are really manageable. I have 3/4 day periods, with some cramps but mostly manageable. Whilst the procedure to get the coil is unpleasant, the pros definitely outweigh the cons.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 3rd Oct 24
Sadly the copper IUD didn’t work well for me. Felt like it made my PMS worse, also experience hair loss. So removed after a few months and swapped to mirena coil.
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 24th Sep 24
I had the copper coil put in a few months after my birth. I have tried to stick with it to settle down, but as time went on my period each month got heavier and more painful. I'm currently getting advice to get it removed and find a new contraceptive to lighten my period.
Increased sex drive
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 23rd Sep 24
I’ve had the copper coil for 3 years, and at first I was really happy (having swapped from the combined pill after getting migraines with aura). I liked being hormonal free, and my periods have been regular, I’ve been much more aware of my cycle than when on the combined pill. However, over the last year my periods have been getting increasingly longer, more painful and heavier (with 3-5 days of very light bleeding followed by 2-3 heavy days with significant cramps) so I’m going to try and swap to the hormonal coil. Insertion was painful but quick - and I found a sexual health clinic offered pain relief whereas a GP appointment did not.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 18th Sep 24
When getting the coil the pain wasn’t too bad. I had extreme cramping for 1 day about a week after getting the coil fitted. My periods were a lot heavier, the first period being the worst however these got better. Still very heavy. I also experienced a lot of cramping which I didn’t have before. The two worst side effects for me were that I constantly have Bacterial vaginosis which I’ve never had before. I’ve had it 6 times within the 3 months which resulted in me always being on antibiotics which also made me feel sick. The other bad side effect I’ve been experiencing is the low moods. 3/4 weeks of the month I feel so upset and angry. I know this method is non-hormonal but I didn’t experience these emotions before having the coil. I have PCOS so I’m uncertain if maybe this affects this too. I’m going to get it removed.
Very negative mood
1 more effect
0 helpful
0 comments
Women's health, reviewed.
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