Implant vs Copper coil (IUD)
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Overview
Rated 2.8
617 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.5
608 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
617 reviews
Used for 1 - 3 mo
26 years old
🇬🇧 UK
• 2 weeks ago
Really easy insertion process, nothing to be worried about as a local anesthetic is used. Luckily so far I haven't had a single bleed on this (touch wood) although I had this fitted 2 months postpartum and my periods hadn't properly come back yet. I kept forgetting to take my pill and so I love the implant so far as it's automated contraception that requires no effort for 3 years! Perfect for a busy mama!!!
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 2 weeks ago
can be such hell sometimes my mood is literally allover the place all the time (i do also have PMDD) i also have baby fever all the time i just want a baby so bad have wanted to come off it a few times just so i could be a mother but the weight it’s on and off sometimes ill gain it sometimes ill lose it i’ve also gained stretch marks but its effective does the job and doesn’t interfere with my day to day life all the time
Very negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 3 weeks ago
At first stopped my periods for 1 year but after periods came back much lighter but at random times. Now periods are more regular and still light rather than random spotting. Recently the doctor found a cyst in my ovary they think was caused by the implant.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
26 years old
🇬🇧 UK
• 2 weeks ago
Really easy insertion process, nothing to be worried about as a local anesthetic is used. Luckily so far I haven't had a single bleed on this (touch wood) although I had this fitted 2 months postpartum and my periods hadn't properly come back yet. I kept forgetting to take my pill and so I love the implant so far as it's automated contraception that requires no effort for 3 years! Perfect for a busy mama!!!
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 2 weeks ago
can be such hell sometimes my mood is literally allover the place all the time (i do also have PMDD) i also have baby fever all the time i just want a baby so bad have wanted to come off it a few times just so i could be a mother but the weight it’s on and off sometimes ill gain it sometimes ill lose it i’ve also gained stretch marks but its effective does the job and doesn’t interfere with my day to day life all the time
Very negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 3 weeks ago
At first stopped my periods for 1 year but after periods came back much lighter but at random times. Now periods are more regular and still light rather than random spotting. Recently the doctor found a cyst in my ovary they think was caused by the implant.
Decreased sex drive
0 helpful
0 comments
Copper coil (IUD) reviews
608 reviews
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 2 days ago
As the copper IUD gets so much negative press I wanted to post my genuine positive experience. Initially I was apprehensive to get the coil after hearing so much fear mongering, and so many users saying they had major cramping (perhaps some did), but this wasn't the case for me. I experienced the worst period cramps that I have ever had within the first 7-10 days post-insertion, but it was manageable with ibuprofen + heating pad. Once I got through those initial days it practically subsided (apart from the slight numbness around my cervix from the procedure which healed around the month marker so I recommend taking any kind of sex slowly to avoid worsening it). Between days 10 and my first period I had occasional mild cramps here and there, but after that first period the cramps completely subsided. Fast forward to month 6 I can confidently say that the cramps only occur at normal times of the month (just before or the first days of your period) just slightly more painful but not unbearable. When it came to bleeding side-effects in the first 3 months I never got any spotting between periods and my period came on time but was heavier than usual (more bleeding but the same number of days as without an IUD). However after that 3 month marker I remember the bleeding becoming lighter, to the point now where it is similar if not the same as the amount pre-IUD. In conclusion the IUD has worked great for me, and I barely even notice it now. If you can do visit a sexual health clinic over a GP surgery, as they seem to be more experienced. Please don't let peoples bad experiences put you off, I strongly believe that for 99% of IUD users the bad experiences are based upon people noticing the fine details with their body that perhaps was there before but now that they have the IUD they become a 'worrier'. That every little cramp means something bad. I say that if you have an issue, go and see a professional who's qualified and not ask the internet.
Very positive mood
0 helpful
1 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 6 days ago
I’ve had no issues since having it put in January 2022. Having it placed was uncomfortable but not painful (I was 22 and not had any children). I was done with the side effects of hormonal contraception and I’m glad I made the switch.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I experienced cramps after having the copper coil fitted, which was to be expected. I was told it could take three months to calm down. After three months I was still experiencing cramps which were much worse than usual so I decided to have it removed.
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 2 days ago
As the copper IUD gets so much negative press I wanted to post my genuine positive experience. Initially I was apprehensive to get the coil after hearing so much fear mongering, and so many users saying they had major cramping (perhaps some did), but this wasn't the case for me. I experienced the worst period cramps that I have ever had within the first 7-10 days post-insertion, but it was manageable with ibuprofen + heating pad. Once I got through those initial days it practically subsided (apart from the slight numbness around my cervix from the procedure which healed around the month marker so I recommend taking any kind of sex slowly to avoid worsening it). Between days 10 and my first period I had occasional mild cramps here and there, but after that first period the cramps completely subsided. Fast forward to month 6 I can confidently say that the cramps only occur at normal times of the month (just before or the first days of your period) just slightly more painful but not unbearable. When it came to bleeding side-effects in the first 3 months I never got any spotting between periods and my period came on time but was heavier than usual (more bleeding but the same number of days as without an IUD). However after that 3 month marker I remember the bleeding becoming lighter, to the point now where it is similar if not the same as the amount pre-IUD. In conclusion the IUD has worked great for me, and I barely even notice it now. If you can do visit a sexual health clinic over a GP surgery, as they seem to be more experienced. Please don't let peoples bad experiences put you off, I strongly believe that for 99% of IUD users the bad experiences are based upon people noticing the fine details with their body that perhaps was there before but now that they have the IUD they become a 'worrier'. That every little cramp means something bad. I say that if you have an issue, go and see a professional who's qualified and not ask the internet.
Very positive mood
0 helpful
1 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 6 days ago
I’ve had no issues since having it put in January 2022. Having it placed was uncomfortable but not painful (I was 22 and not had any children). I was done with the side effects of hormonal contraception and I’m glad I made the switch.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I experienced cramps after having the copper coil fitted, which was to be expected. I was told it could take three months to calm down. After three months I was still experiencing cramps which were much worse than usual so I decided to have it removed.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
31 years old
🇬🇧 UK
• 3 weeks ago
I am a new user to the copper coil but am happy with how its going. I naturally have heavy periods (day 2 i would go through 4 pads extra absorbant in the day) but I'm in a place where i wanted to allow my body to heal after over 10 years of progesterone contraception ( implanon-mirena- copper coil). I feel this is a good balance for allowing my body to live in its natural state while also protecting from conception.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
40 years old
🇬🇧 UK
• 1 month ago
More painful periods with extremes like waves of cramps accompanied by sweating, nausea and dizziness
Very negative mood
0 helpful
0 comments
Used for 5 - 8 yr
27 years old
🇬🇧 UK
• 20th Sep 25
My experience with the copper IUD happened over an 8 year period. Had my first copper IUD for 5 years, ages 19-24, was perfect, periods were heavier for around 3 months but went back to normal. No pregnancies, no pain, literally was a miracle contraception for me. Lost my IUD card so was not sure if I had a 5 or 10 year coil, clinic is impossible to get in touch with, so I thought I would get it replaced just in case. After replacing it I had horrible cramping, periods so heavy I would see stars, pain not only after sex, but after masturbating no longer than 2 mins. 6 months into my second IUD I went for scans and check ups as the pain was not getting better, everything seemed to be in place. Went to the clinic for a consultation and they advised get rid of it or go for the Kyleena. Got the Kyleena IUD which was amazing until I fell pregnant after having it for a mere 11 months. Terminated the pregnancy and went back to the copper IUD. I had three copper IUDs (YES 3 separate insertions) due to two of them moving out of place. All 3 of them gave me insane amounts of pain, WAY worse than the 2nd IUD, I’d get cramps going to pass a bowel movement or even overeating. Got this last one scanned and checked out due to the pain that was not subsiding, everything was in place, decided to leave it in despite the pain for another 3 months as I just really wanted it to be like the first one. After 3 months I was so depressed from how much pain I was in, I got it removed and now I am pain free. Giving this three stars because my first IUD was the best and I wish I could go back to it, the other 4 were seriously having an impact on my life and mental wellbeing, I spent a whole session with my therapist talking about my traumatic experience with this bloody thing. Please note I am an anomaly, but if you have it and the pain is not subsiding, do not hesitate to get it removed, some people’s bodies (such as mine) just reject it for whatever reason.
Top side effects not reported
1 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 7th Sep 25
I really had high hopes that the copper coil would work for me, as in theory it sounds great! However, after a long wait and several appointments later. I finally got the copper coil inserted. However… two weeks later, the coil had to be removed, as it had moved down from my uterus into my cervical canal. Which can happen and is apparently rare! I was just unlucky. Due to me never being pregnant or giving birth (according to the GP) insertion procedure without anaesthetic was super difficult and quite uncomfortable for me. Luckily the GP didn’t push and force her way through my cervix and stopped the procedure after struggling for a while. The GP then referred me to my local sexual health clinic, to have the procedure done there instead. As apparently they have more facilities available and can apply anaesthetic to your cervix, in these types of situations. When I finally had the procedure done, it was a positive experience, thanks to the anaesthetic!!! It did hurt a little. The pain felt like a sharp period cramp that came and went! I wouldn’t recommend the coil personally, as in my experience it was a faff to get done and then only to have it removed two weeks later! Also, with how easily the coil moved! And the procedure being slightly painful, even with anaesthetic. All of the above is not ideal!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
27 years old
🇬🇧 UK
• 6th Sep 25
Insertion was incredibly painful. Was like a really bad first day of period that I had to take off work sick and take lots of painkillers for. Lasted about 24 hours then settled. Unfortunately cramps continued as coil had not settled properly and one of the arms got stuck in uterus wall so I had to have it removed. due to pain of initial insertion I did not want another one back in. HOWEVER SINCE GIVING BIRTH I had another coil fitted at 10 weeks post partum and could not feel a thing! I have the progesterone coil now and have not experienced any negative side effects, other than light bleeding for about 2 weeks after insertion.
Worse skin
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 3rd Sep 25
I have previously been on the implant, the combined pill and the mini pill for many years and having to come off each for different reasons. I decided to go with the copper coil as coming off hormonal birth control it had felt so good to have my natural cycle back, but I’m not yet ready to have kids. Insertion: I went for a ten year one. The woman was lovely and talked me through the whole thing. It was painful - I won’t sugarcoat that - but it lasted only a few seconds. I had cramping and some bleeding for the next few days (had to use pads not tampons), but nothing too bad. After: I was really happy with my decision and most of the time forgot it was even there. It hasn’t affected sex at all. I will be really honest that my first period (and to a lesser extent my second) were really painful - much worse than normal and they do last a day or so longer. However now I’m 3/4 months in and they’ve returned back to normal on pain levels (just slightly longer as mentioned). I am back to ovulating normally (as I wasn’t when I was on hormonal contraception) and am feeling really happy with my decision to get the copper coil! It was very much worth the initial pain and a few painful periods for me. I like that I can now decide to just take it out if/when I want to have kids.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 28th Aug 25
I got the copper IUD after 4 years of different hormonal pills as wanted to stop being on hormones. The fitting procedure went well, the doctor was reassuring and I had local anaesthetic so it was only a little uncomfortable. However the cramps afterwards were horrific - I was on the floor in tears with how much pain I was in. Painkillers and heat pads did nothing. This lasted a couple days then thing started to settle down until the cramps turned into a stabbing pain. Returned to the doctors, they initially said my symptoms were normal then checked my vitals before diagnosing me with a pelvic infection or Pelvic Inflammatory Disease (PID). I was on 2 antibiotics for a fortnight. The pain lingered but gradually got better after a month. I have just finished my second period off the pill. My period returned after 35 days of stopping the pill which was my old usual cycle. My period isn’t any longer than it used to be but I’d say it’s a bit heavier and more painful but definitely manageable. My moods have been so much better and predictable. My skin has gotten slightly worse as expected coming off the combined pill which helped my skin, but flare ups match up to my period so I don’t mind. I got the 10 year IUD but I don’t think I’d get another due to the worry of getting another infection but I am happy with it at last.
Top side effects not reported
0 helpful
0 comments

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