Implant vs Copper coil (IUD)
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Overview
Rated 2.8
634 reviews
Every 5 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.5
617 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
634 reviews
Used for 5 - 8 yr
30 years old
🇬🇧 UK
• 2 weeks ago
I was on it for coming up to 8 years overall obviously great to not get pregnant and I was on contraception before where I had an accident so it was really easy and really quick to not have to think about this. It did really impact my moods and I eventually ended up having PMDD because of the severe mood swings. I would also bleed twice a month instead of just a once And it caused a really bad loss of libido and federal dryness. But these are all things that would probably happen if I was pregnant anyway.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 3 weeks ago
My mood was completely changed on this contraception about 2 weeks in. I started getting really angry at everything/everyone very fast, I had a short temper, I felt sad all the time and like everyone was against me. Overall I felt I was going crazy and could not control my emotions at all. Also I had a constant heavy period for 3 months
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 16th Apr 26
Used for 5 years so far. No complaints really. I didnt feel much change to myself till recently. This has been mood swings and irritability but ive been on it 5 years and this only just started. Never fell pregnant. Little to no periods. Would recommend
Top side effects not reported
0 helpful
0 comments
Used for 5 - 8 yr
30 years old
🇬🇧 UK
• 2 weeks ago
I was on it for coming up to 8 years overall obviously great to not get pregnant and I was on contraception before where I had an accident so it was really easy and really quick to not have to think about this. It did really impact my moods and I eventually ended up having PMDD because of the severe mood swings. I would also bleed twice a month instead of just a once And it caused a really bad loss of libido and federal dryness. But these are all things that would probably happen if I was pregnant anyway.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 3 weeks ago
My mood was completely changed on this contraception about 2 weeks in. I started getting really angry at everything/everyone very fast, I had a short temper, I felt sad all the time and like everyone was against me. Overall I felt I was going crazy and could not control my emotions at all. Also I had a constant heavy period for 3 months
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 16th Apr 26
Used for 5 years so far. No complaints really. I didnt feel much change to myself till recently. This has been mood swings and irritability but ive been on it 5 years and this only just started. Never fell pregnant. Little to no periods. Would recommend
Top side effects not reported
0 helpful
0 comments
Copper coil (IUD) reviews
617 reviews
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 2 days ago
Before having the copper coil, I’d tried all other forms of contraceptives. I got to a point where I felt, even though the copper coil would cause more heavier and painful periods, it was non hormonal so thought it was my old option (hormones really don’t suit me) The insertion was pretty bad I won’t lie but when it’s done it’s done! I never could feel my threads and my periods went from 5 days to 10 days. I went from being someone with light periods to unbelievably heavy; to the point I was wearing period knickers with two overlapped night pads for two of the days. The nurses said after 6 months my body would adjust and the bleeding would settle down. They started me on TXA as my ferretin and iron became low. To cut a long story short the bleeding never settled and I was still having ten day long periods. It was a horrible 12 months as I felt the majority of the time I was on a period and doing daily tasks or working proved very very hard some days. I became anaemic and would spend a lot of money on supplements alongside the prescribed iron. The anaemic led to a lower moon, zero sex drive, ravinous appetite and tiredness. I know they say research shows a small percentage gain weight on it and I was one of them. But they always like to say it’s others things like lifestyle. For me I was certain it was the coil due to the anaemia it causes. I’m 155cm and weigh 8 stone 3. I’ve always been that weight and I go to the gym 3-5 days a week, probably twice a week since the coil. I gained a stone in that year.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
• 31st Mar 26
Brain fog ,Acne , weight gain , tender and painful breasts all the time as a result , extremely heavy periods, although it's non hormonal doesn't mean no side effects , be careful when considering " non hormonal contraception"
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 27th Mar 26
Very frustrated with the copper coil, if it didn't make my periods so heavy and painful I would continue as there has been no other issues you would likely see in a hormonal contraceptive. If you can manage 2 weeks every month in a lot of pain, then it's worth it for the other two when I'm fine and no mood changes
Very positive mood
0 helpful
0 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 2 days ago
Before having the copper coil, I’d tried all other forms of contraceptives. I got to a point where I felt, even though the copper coil would cause more heavier and painful periods, it was non hormonal so thought it was my old option (hormones really don’t suit me) The insertion was pretty bad I won’t lie but when it’s done it’s done! I never could feel my threads and my periods went from 5 days to 10 days. I went from being someone with light periods to unbelievably heavy; to the point I was wearing period knickers with two overlapped night pads for two of the days. The nurses said after 6 months my body would adjust and the bleeding would settle down. They started me on TXA as my ferretin and iron became low. To cut a long story short the bleeding never settled and I was still having ten day long periods. It was a horrible 12 months as I felt the majority of the time I was on a period and doing daily tasks or working proved very very hard some days. I became anaemic and would spend a lot of money on supplements alongside the prescribed iron. The anaemic led to a lower moon, zero sex drive, ravinous appetite and tiredness. I know they say research shows a small percentage gain weight on it and I was one of them. But they always like to say it’s others things like lifestyle. For me I was certain it was the coil due to the anaemia it causes. I’m 155cm and weigh 8 stone 3. I’ve always been that weight and I go to the gym 3-5 days a week, probably twice a week since the coil. I gained a stone in that year.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
• 31st Mar 26
Brain fog ,Acne , weight gain , tender and painful breasts all the time as a result , extremely heavy periods, although it's non hormonal doesn't mean no side effects , be careful when considering " non hormonal contraception"
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 27th Mar 26
Very frustrated with the copper coil, if it didn't make my periods so heavy and painful I would continue as there has been no other issues you would likely see in a hormonal contraceptive. If you can manage 2 weeks every month in a lot of pain, then it's worth it for the other two when I'm fine and no mood changes
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 26th Mar 26
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
40 years old
🇬🇧 UK
• 26th Jan 26
The only down fall is low iron this has caused debilitating fatigue, so be prepare to have to maybe take iron supplements
Very positive mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
23 years old
🇬🇧 UK
• 15th Jan 26
I got the Kyleena coil fitted in Jan 2025 - just for reference I am a 5"3 23yr old without ever given birth - the insertion was very uncomfortable but not the worst ever, I did it with my sexual health clinic as I find they are more patient and kind rather than a quick GP / hosp appointment. My 11 months with the coil were overall great, except extreme contraction like pain and very occasional periods that would either last hours or a day. I didn't bleed every month but would get the odd few days of a period, quite unpredictable. I got a scan in July time just to make sure it was in the right place due to the amount of pain I was getting, and was all fine. In November 2025 I suddenly got excruciating pain and was told the coil has moved (perhaps explains the contraction pain throughout the year, I presume my body was rejecting it). Thankfully I pushed for another scan otherwise I would've kept having unprotected sex lol. Despite all the above, I am getting another one fitted because it is a trusty bit of contraception - just be aware if you experience a lot of pain in the lower tummy, to get it checked out!!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 11th Jan 26
I may have only had mine for 6 weeks but am currently very happy with my decision. Decided to get it to prevent a potential pregnancy as the morning after pill was potentially not going to be effective for where I was in my cycle. The insertion was uncomfortable as expected but the nurses were phenomenal, i was given a lidocaine gel and they talked me through every step. Had 24hrs of quite hefty cramps and light bleeding post insertion and it triggered my period early a few days later which was longer and heavier than my usual, but since then things have got back to normal in terms of my cycle length and symptoms I usually experience throughout and my next period came on time. Yes it’s heavier, a bit longer and the cramps are sometimes tough, but with a good regimen of painkillers, hot water bottles and being kinder to myself, i would take that over the risk of pregnancy any day. My partner doesn’t feel the strings when we have sex either. Will update in a few months 😊
Top side effects not reported
1 helpful
0 comments
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 21st Dec 25
Changed from mini-pill after 16 years as I wanted to know my body without hormones and start to understand my cycle better. No issues with the copper IUD. My periods are a bit heavier but they are more predictable and regular. I do have more cramps but they are manageable. Insertion was fine, just uncomfortable. I was surprised how quickly the cramping started after though. I was in quite a bit of pain for an about a week as it settled in.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 3rd Nov 25
I genuinely love my copper coil (IUD) that lasts 10 years, and I wanted to write this review as I used to hear horror stories about it and it almost put me off, but I didn't experience this and I want to reassure others that may be considering this. I got my copper coil in March 2023 after an unwanted pregnancy as a last resort. No hormonal contraception worked for me and I often experienced negative side effects, so I felt my last attempt was the copper coil. What a GREAT choice! Yes, the insertion is uncomfortable, but I asked for cervical numbing cream and it was mildly uncomfortable for two minutes. Definitely bearable with numbing cream. Since then, my periods are still regular a little bit heavier. and I do get a few more cramps. Very easily managed with a menstrual cup and painkillers. I love not having to think about my contraception, and I don't need to think about getting it replaced for TEN years. What a dream! It's a life saver for those of us that struggle with hormonal contraceptives.
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 21st Oct 25
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
1 helpful
1 comments
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