Implant vs Hormonal coil (IUS)

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Implant

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Hormonal coil (IUS)

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Overview

Rated 2.8

603 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

836 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Implant ingredients

Main hormones in Implant

progestogen


Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

What Lowdown reviewers say

37% somewhat negative

49% irregular periods

50% lost sex drive

40% gained weight

56% no impact on skin

Cycle return

31% in 1 month

43% no impact on mood

47% stopped periods

48% no impact

59% no impact

53% no impact on skin

Cycle return

32% don’t know impact

Benefits: What this contraceptive can help with

Heavy periods

Ovulation pain

Period pain

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Check out our latest reviews

Real life reviews from people like you

Implant reviews

603 reviews

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account

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Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  7th May 25

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  7th May 25

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments


Hormonal coil (IUS) reviews

836 reviews

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

Mirena coil  

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

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

Mirena coil  

Had the coil for just over a year and bled daily (although only light). Only had a few days a month not bleeding


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Generally the Mirena has been great. Only noticed most of the side effects after 4 years having it in - and they’re still very manageable.


Decreased sex drive

1 more effect

0 helpful

0 comments

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

Mirena coil  

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

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

Mirena coil  

Had the coil for just over a year and bled daily (although only light). Only had a few days a month not bleeding


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Generally the Mirena has been great. Only noticed most of the side effects after 4 years having it in - and they’re still very manageable.


Decreased sex drive

1 more effect

0 helpful

0 comments

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

Kyleena coil  

So I’ve had the kyleena put in just over 2 years ago. For the first 18 months it was great, there was no side effects and my periods were getting lighter and less painful! After that, I started noticing quite a bit of hair loss during showers and brushing, visibly making my hair look thinner. I’ve always had thick hair so this was quite upsetting and I put it down to the stress I had during college. Now I’m in a new job that I’m loving, the hair loss hasn’t subsided. It’s still falling a lot everyday so I’m deciding to get the kyleena removed in a months time. I’ve been to the GP and got bloods done in which everything came back fine. So hopefully once I’ve the kyleena removed my hair will slowly start growing back :(


Very positive mood

3 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  3 weeks ago

Benilexa coil  

Not 100% sure what to think yet. Enjoying not having to worry about administrating my contraception as it’s in there and working. However I am having unpredictable spotting, some emotional mood swings and often being bloated.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
30 years old
🇬🇧 UK
  •  3 weeks ago

Kyleena coil  

Overall this was a good option for me. The insertion was painful but momentary, and was nice not to have to worry about taking pills. The spotting occurred more at the end of the coil’s lifespan (I’m having it taken out this week after 5 years). I did notice vaginal dryness (most noticeable when aroused, needing lube etc). Ultimately I am coming off this contraception because of this. I have vaginismus and the dryness hinders my ability to get/feel aroused. I know this is because of the coil because I have felt the effects wear off as the coil gets to the end of its lifespan (in the last 6 months of my 5 year stint)


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  3 weeks ago

Mirena coil  

I had the worst time on Mirena. I had a bad experience from day one at insertion - I found the whole experience so much more painful than I imagined that it would be - no one really prepares you for this. From the first day I started experiencing cramps and everyone said that they would ease up within no time however they did not. Month after month I experienced endless painful cramps and times where I would be doubled over in two on dates with my boyfriend - never have I had anything like that. As a girl, we very much always shut up and put up and I always felt like I could just push through it but there were times when it was really bad and I almost got it out, but you’d forget about it the next day as it’s such a good feeling to not have to Take a pill etc and it is very convenient. But it’s also crazy I actually had it in for as long as I did. I have never really had that bad periods and my bleeding was longer, the cramping much more intense and honestly just a whole lot worse than it was when I was off it. I didn’t really notice anything kind of sexually or from a weight or ski. perspective but I know that the cramping and the bleeding was enough for me to never touch this thing again. The Doctors kept telling me to hold out and just wait to see if it would change and it just never did. I would really recommend if you are having these symptoms any time past two months they are not going to get better and you’ll just continue to suffer. At the eight month mark I went and got it out and honestly it was the best thing I ever did. As soon as it was out, I felt like I could actually breathe again and havent suffered another cramp like it ever since (thank god!). I have gone back onto the mini pill now which I’m much more happy with - it does have some side-effects but nothing like that cramping!


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  3 weeks ago

Levosert coil  

I had this inserted and I was the worst pain ive ever experienced i kept telling the doctor to stop immediately after I blacked out from the pain kept being sick and it just got worser as the day went on I end up in ane with the same day and had it emergency removed. Never again will I have this would not recommend at all .


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

I feel like myself, which I cannot say for other forms of BC I’ve used. The weight gain may have more to do with some lifestyle changes, but I enjoy the way my body look regardless. I was able to collaborate with my doctor to find suppositories to help with the dryness during sex and that in turn has helped with my libido. I cannot imagine using another form of birth control.


Improved skin

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
29 years old
🇬🇧 UK
  •  1 month ago

Kyleena coil  

I had a Kyleena coil inserted, after 6 months I was still having week long breakthrough bleeds between periods. I had the coil checked and it was in position, no problems according to the doctor. A month later I was pregnant, with the coil still in the correct place. Unfortunately the Kyleena coil didn't work to protect me from pregnancy, caused me to have breakthrough bleeds and have recurrent episodes of thrush.


Top side effects not reported

0 helpful

0 comments

Contraceptive alternatives and comparisons

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