Patch vs Hormonal coil (IUS)

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Patch

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Hormonal coil (IUS)

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Overview

Rated 3.4

125 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

882 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Patch ingredients

Main hormones in Patch

progestogen

oestrogen


Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

What Lowdown reviewers say

35% no impact on mood

34% lighter periods

48% no impact

48% no impact

49% no impact on skin

Cycle return

36% don’t know impact

43% no impact on mood

46% stopped periods

47% no impact

59% no impact

54% no impact on skin

Cycle return

33% don’t know impact

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Add your Patch review

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Add your Hormonal coil (IUS) review

Check out our latest reviews

Real life reviews from people like you

Patch reviews

125 reviews

Patch  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I started using the Evra patch for my hormones. Before, I experienced frequent shifts in emotions within just a few minutes, including crying for no particular reason and then feeling fine 10 seconds later. I was advised to wear the patch continuously. Once I began, I found my symptoms were not too severe; they included back pain and cramps, some spotting, feeling nauseous but vomiting a few times a month during the first few months. I have now been on the patch continuously for six months, and I no longer experience any symptoms. My mood can sometimes drop randomly, but overall, I have no regrets about starting the patch.

Read more

Somewhat positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 8+ yr
28 years old
🇬🇧 UK
  •  21st Feb 26

Evra patch  

No side effects


Very positive mood

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  18th Feb 26

Evra patch  

noticed that the side effects were less or more intense depending on where i put the patch on my body. i used to have it on my arm and had intense nausea nonstop and after putting on my hip/ bum it stopped. also cystitis symptoms however i’m not sure if they are related


Very negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I started using the Evra patch for my hormones. Before, I experienced frequent shifts in emotions within just a few minutes, including crying for no particular reason and then feeling fine 10 seconds later. I was advised to wear the patch continuously. Once I began, I found my symptoms were not too severe; they included back pain and cramps, some spotting, feeling nauseous but vomiting a few times a month during the first few months. I have now been on the patch continuously for six months, and I no longer experience any symptoms. My mood can sometimes drop randomly, but overall, I have no regrets about starting the patch.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 8+ yr
28 years old
🇬🇧 UK
  •  21st Feb 26

Evra patch  

No side effects


Very positive mood

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  18th Feb 26

Evra patch  

noticed that the side effects were less or more intense depending on where i put the patch on my body. i used to have it on my arm and had intense nausea nonstop and after putting on my hip/ bum it stopped. also cystitis symptoms however i’m not sure if they are related


Very negative mood

1 more effect

0 helpful

0 comments


Hormonal coil (IUS) reviews

882 reviews

Hormonal coil (IUS)  
Used for 5 - 8 yr
27 years old
🇬🇧 UK
  •  today

Jaydess coil  

I'm on my second Jaydess (been using it for almost 6 years now), before I was on the pill (estrogen+progesterone combination) for about 6 years. Insertion is no fun for me, other than that I can only recommend it. Compared to the pill I have much lighter periods, period pain has significantly decreased (I get a little abdominal discomfort+back pain a day before the start of my period, and that's it). Acne stayed about the same as on the pill. I get a little breast swelling/tenderness for about one week every cycle which I think has slightly increased compared to the pill but isn't so bad. Sex drive and mood stayed about the same, if anything, my mood has become more stable on Jaydess actually (but that could also be attributed to me growing up I guess). Overall I'm satisfied with it


Very positive mood

0 helpful

0 comments

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

Levosert coil  

I got the coil after having a failed mirena coil. Tried this one for almost 3yrs and didn't think I had alot of side effects, though reflecting on a time where I was not on contraception, I realised it had greatly impacted my moods and caused quite bad acne on my back, which I had never suffered with previous. I also would get debilitating cramps during my periods again which I never suffered with before. Only bonus was my very heavy periods were light, which made them way more manageable. I decided to get it taken out when my moods were having an adverse effect on my relationship and life.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Jaydess coil  

Insertion of the jaydess for me was incredibly painful and i had severe period cramps the days following insertion. Other than that for the first year i had no symptoms other than tender breasts and they had grown from C-DD (no complaints!) and often reccomended it to friends. However, after that i started getting regular thrush. It started off just coming before my period some months but now it is pretty much constant. Treatment only resolves symptoms for a short period and the its back! For this reason ive booked to have it taken out next week. Also the waitlist with my local clinic is so long ive been on it months and am no where near being seen so have had to go private unfortunately as the symptoms hae become unbearable :(


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
27 years old
🇬🇧 UK
  •  today

Jaydess coil  

I'm on my second Jaydess (been using it for almost 6 years now), before I was on the pill (estrogen+progesterone combination) for about 6 years. Insertion is no fun for me, other than that I can only recommend it. Compared to the pill I have much lighter periods, period pain has significantly decreased (I get a little abdominal discomfort+back pain a day before the start of my period, and that's it). Acne stayed about the same as on the pill. I get a little breast swelling/tenderness for about one week every cycle which I think has slightly increased compared to the pill but isn't so bad. Sex drive and mood stayed about the same, if anything, my mood has become more stable on Jaydess actually (but that could also be attributed to me growing up I guess). Overall I'm satisfied with it


Very positive mood

0 helpful

0 comments

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

Levosert coil  

I got the coil after having a failed mirena coil. Tried this one for almost 3yrs and didn't think I had alot of side effects, though reflecting on a time where I was not on contraception, I realised it had greatly impacted my moods and caused quite bad acne on my back, which I had never suffered with previous. I also would get debilitating cramps during my periods again which I never suffered with before. Only bonus was my very heavy periods were light, which made them way more manageable. I decided to get it taken out when my moods were having an adverse effect on my relationship and life.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Jaydess coil  

Insertion of the jaydess for me was incredibly painful and i had severe period cramps the days following insertion. Other than that for the first year i had no symptoms other than tender breasts and they had grown from C-DD (no complaints!) and often reccomended it to friends. However, after that i started getting regular thrush. It started off just coming before my period some months but now it is pretty much constant. Treatment only resolves symptoms for a short period and the its back! For this reason ive booked to have it taken out next week. Also the waitlist with my local clinic is so long ive been on it months and am no where near being seen so have had to go private unfortunately as the symptoms hae become unbearable :(


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
33 years old
🇬🇧 UK
  •  17th Feb 26

Mirena coil  

After taking the pill for at least ten years I thought it was time to reconsider my options. Used the Lowdown to eventually choose the hormonal coil. Insertion was uncomfortable but nothing unbearable (for me, I know alot of people have had horrid experiences). My periods are very irregular (think maybe four a year and more spotting that bloody). My hormonal state throughout the month is more consistent, no major ups and downs than I used to get on the pill. I couldn't fault this as an option and also not having to remember to take the pill everyday was a huge bonus. Recent changes to the length of time for changing them meant I got an extra two years out of mine. Great long term option if you know you don't want to have children for a large chunk of time. Clicked some sweating and thrush as side effects, but can't be certain they're due to the coil or due to hitting mid-thirties, ha!


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
42 years old
🇬🇧 UK
  •  17th Feb 26

Mirena coil  

I'm hypermobile, and over time it has made my symptoms a lot worse despite my levels of exercise to strengthen. I'm now in pain regularly and sometimes struggle to sleep because of it. I've also started having migraines with aura and frequent headaches. Getting it taken out next week. It did however reduce my heavy bleeding to infrequent spotting, but I bled for 9 months straight after having it inserted.


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  16th Feb 26

Kyleena coil  

Had kyleena fitted on recommendation from my doctor due to severe painful heavy periods, I have adenomyosis and suspected endo. Insertion was uncomfortable but not excruciating, the cramp lasted a couple of seconds and I was fine. Bleeding started within hours and didn't stop for the duration of use, I was having excruciating pain every day to the point I couldn't walk, feel my legs and awful tail bone pain. I booked an appointment a month later and my doctor said I didn't look well and removed it without me even having to ask. I wish it had worked for me but it just didn't. The removal was fine and gave instant relief.


Very negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  15th Jan 26

Jaydess coil  

I had used the Mirena coil back to back post partum for 9 years very happily but my LEA meant I was only having withdrawal bleeds. After restoring bodyweight and menstruating naturally, I went back for Mirena but was given Jaydess. The insertion was more problematic and that she how I ended up with Jaydess over Mirena. I had irregular and more bleeding for the first 3 months but read the reviews on here to help me persevere. I was “angry” as on Mirena it was always so easy but then I wasn’t actually properly menstruating due to low energy availability (eating disorder) so I drew perhaps FALSE causation on Jaydess being wrong. I have very light but regular periods and my PME is definitely reduced. I’ve had it in a year and am very happy with it and my threads have stayed in place despite roughhousing which wasn’t always the case with the Mirena. I’m in no rush to have to it out even though I turn 50 this year.


Top side effects not reported

1 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
36 years old
🇬🇧 UK
  •  13th Jan 26

Levosert coil  

Had this for adenomyosis and the pain stopped for a while but its back again now so the side affects aren't worth it for me. Having it removed later today


Somewhat negative mood

2 more effects

1 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  13th Jan 26

Mirena coil  

I love my hormonal coil. I have had no side effects what-so-ever and my bleeding is regular but extremly light, only monthly spotting. I did have ongoing spotting for around the first 6 months but no issue at all since then and the spotting was worth it for the final result of minimal bleeding.


Top side effects not reported

1 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
40 years old
🇬🇧 UK
  •  12th Jan 26

Mirena coil  

Expressed concerns as not very tolerant to pop pills, was told it’s localised so wouldn’t be the same. Insertion caused intense one sided stabbing pain. This cramping then continued for the 6 weeks that I tolerated it, especially after eating. Bleeding and spotting was literally all day everyday. My moods worsened, anxiety went through the roof and I felt horrible! Didn’t have sex at all with it in! Asked to have it removed and gp ignored me. Arranged appointment with sexual health clinic, 4 week wait. You are at their mercy for removal, no control of your own body. Luckily an amazing nurse who could see the distress it was causing me. Instant relief once removed. Mood lifted and amazing not to be bleeding every single day. I couldn’t have waited out the 6 months, if I could I would have removed it myself.


Very negative mood

2 more effects

1 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

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