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

128 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

885 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

50% no impact on skin

Cycle return

38% 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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Check out our latest reviews

Real life reviews from people like you

Patch reviews

128 reviews

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

I initially really liked this contraception - Evra patch - I used it before we planned for our daughter with no issues with side effects, and because I liked it so much, it was the contraception of choice after I gave birth. However, post pregnancy the patch was not good. I was on the patch for almost a year post baby before switching to the implant, and the reason I was on it for a year was simply because I really wanted this contraception to work for me despite not liking the side effects. I love the premise behind the patch. It is so simple to use and I liked that it was on the skin and you applied it yourself, as opposed to something inside your body that you have to book an appointment for a procedure to get it fitted, such as the implant, for example. The reason I changed to the implant from the patch was because I really struggled with irritation at the patch site. I don't know if it was a reaction to the hormones or the glue used to adhere the patch to the skin - possibly the latter - but the irritation was horrendous. The patch would be incredibly itchy and it was unbearable. It would leave me with burn-like marks that would still be there three weeks later, despite rotating the patch site every single week. I used to have to resist the urge to scratch the patch off. Many times I did scratch it off and with it, took a layer of skin off due to irritation. I'd be left with exposed, damaged skin at the site patch which would then scab over as the skin healed. I am usually quite a steady mood person and the patch really affected my mood which was hard. I'd get very down and anxious a couple of days after my patch change day and that would last a day or two. It was similar to the feeling you get before your period, then your period arrives and you're thinking, "Okay so that explains why I was feeling that way - it was my period!" But instead of getting that down/anxious feeling once a month, I'd get it every single week. It was draining not just for me, but also for my partner too. When I placed an order for the patch, I'd get a prescription for 3 months worth of patches but because of the irritation I explained above, I was actually scratching the patch off before my patch change day which reduced my stock of patches earlier than planned. This meant I was putting in more prescription requests than the suggested amount. Scratching the patch off obviously put me at risk of falling pregnant, which didn't happen to me, and even though, I immediately replaced the patch I'd scratched off, it did make me question the effectiveness of the patch. When I spoke to the doctor about scratching the patch off before the change day she couldn't really explain whether that would reduce the effectiveness of the patch or not because I'd replaced it immediately. I am so disappointed that this contraception has not worked for me, but it was really affecting my skin and my mood. The way it affected my skin was intense itching all over my body. It was so bad that I'd scratch until my skin bled. That started about 8 or 9 months into using the patch and I put up with it until I got to 12 months, so for the last 3-4 months of using the patch, I was going stir crazy with the itchiness and skin irritation all over my legs, my feet and my arms. It was debilitating and it was something totally new in my life - I have never had any skin issues before. I initially thought it was my washing powder (I'd not changed the brand) or low iron as I'd developed low iron after I gave birth, but since stopping the patch and changing to the implant, within a month of having the implant, my skin is well on its way to going back to normal - everything is healing. All I can say is, this is my experience of using the EVRA patch. I hope this helps someone reading this but do your research before you decide if it is the right contraception for you. Just because I had all the side effects listed above does not necessarily mean that you will. I didn't have most of these on my first stint of using the patch. I only really had low mood but no skin irritation. It was only after pregnancy and birth that I noticed the side effects second time around.

Read more

Very negative mood

0 helpful

1 comments

Patch  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

Patch was a pretty good option. Used it for about a year. No problems mood wise, body and skin stayed the same. Initially got a rash from the glue but my skin got used to it after a month or so. Found it a bit annoying having the patch visible to other people. Took continuously to stop periods, and did breakthrough bleed every 3-4 months. Had to stop using in the end due to hormonal post nasal drip, which got realllyy annoying. Was gutted as it was otherwise so good.


Very positive mood

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I was really getting on with the patch, ive been on it since 2024 and was on it previously for a couple years. But the last few months ive been really suffering which the patch is definitely contributing to. The last few periods I have been experiencing migraines with aura, I've been getting a lot of brown bleeding, the fatigue is unbearable and I almost passed out. Since ive been experiencing these side effects the last few months, I noticed lumps in my breast around the same time and I have just been diagnosed with fibrocystic tissue disease, which the hormones in the patch is not helping. I also experience a lot of breakthrough bleeding and bleeding after sex since being on the patch. Although, my periods are a lot lighter but I still bleed for 7 days. The period pains have not been as severe as they would be off the patch. It has definitely helped my pcos and adenomyosis.


Worse skin

2 more effects

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

I initially really liked this contraception - Evra patch - I used it before we planned for our daughter with no issues with side effects, and because I liked it so much, it was the contraception of choice after I gave birth. However, post pregnancy the patch was not good. I was on the patch for almost a year post baby before switching to the implant, and the reason I was on it for a year was simply because I really wanted this contraception to work for me despite not liking the side effects. I love the premise behind the patch. It is so simple to use and I liked that it was on the skin and you applied it yourself, as opposed to something inside your body that you have to book an appointment for a procedure to get it fitted, such as the implant, for example. The reason I changed to the implant from the patch was because I really struggled with irritation at the patch site. I don't know if it was a reaction to the hormones or the glue used to adhere the patch to the skin - possibly the latter - but the irritation was horrendous. The patch would be incredibly itchy and it was unbearable. It would leave me with burn-like marks that would still be there three weeks later, despite rotating the patch site every single week. I used to have to resist the urge to scratch the patch off. Many times I did scratch it off and with it, took a layer of skin off due to irritation. I'd be left with exposed, damaged skin at the site patch which would then scab over as the skin healed. I am usually quite a steady mood person and the patch really affected my mood which was hard. I'd get very down and anxious a couple of days after my patch change day and that would last a day or two. It was similar to the feeling you get before your period, then your period arrives and you're thinking, "Okay so that explains why I was feeling that way - it was my period!" But instead of getting that down/anxious feeling once a month, I'd get it every single week. It was draining not just for me, but also for my partner too. When I placed an order for the patch, I'd get a prescription for 3 months worth of patches but because of the irritation I explained above, I was actually scratching the patch off before my patch change day which reduced my stock of patches earlier than planned. This meant I was putting in more prescription requests than the suggested amount. Scratching the patch off obviously put me at risk of falling pregnant, which didn't happen to me, and even though, I immediately replaced the patch I'd scratched off, it did make me question the effectiveness of the patch. When I spoke to the doctor about scratching the patch off before the change day she couldn't really explain whether that would reduce the effectiveness of the patch or not because I'd replaced it immediately. I am so disappointed that this contraception has not worked for me, but it was really affecting my skin and my mood. The way it affected my skin was intense itching all over my body. It was so bad that I'd scratch until my skin bled. That started about 8 or 9 months into using the patch and I put up with it until I got to 12 months, so for the last 3-4 months of using the patch, I was going stir crazy with the itchiness and skin irritation all over my legs, my feet and my arms. It was debilitating and it was something totally new in my life - I have never had any skin issues before. I initially thought it was my washing powder (I'd not changed the brand) or low iron as I'd developed low iron after I gave birth, but since stopping the patch and changing to the implant, within a month of having the implant, my skin is well on its way to going back to normal - everything is healing. All I can say is, this is my experience of using the EVRA patch. I hope this helps someone reading this but do your research before you decide if it is the right contraception for you. Just because I had all the side effects listed above does not necessarily mean that you will. I didn't have most of these on my first stint of using the patch. I only really had low mood but no skin irritation. It was only after pregnancy and birth that I noticed the side effects second time around.


Very negative mood

0 helpful

1 comments

Patch  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  2 days ago

Evra patch  

Patch was a pretty good option. Used it for about a year. No problems mood wise, body and skin stayed the same. Initially got a rash from the glue but my skin got used to it after a month or so. Found it a bit annoying having the patch visible to other people. Took continuously to stop periods, and did breakthrough bleed every 3-4 months. Had to stop using in the end due to hormonal post nasal drip, which got realllyy annoying. Was gutted as it was otherwise so good.


Very positive mood

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I was really getting on with the patch, ive been on it since 2024 and was on it previously for a couple years. But the last few months ive been really suffering which the patch is definitely contributing to. The last few periods I have been experiencing migraines with aura, I've been getting a lot of brown bleeding, the fatigue is unbearable and I almost passed out. Since ive been experiencing these side effects the last few months, I noticed lumps in my breast around the same time and I have just been diagnosed with fibrocystic tissue disease, which the hormones in the patch is not helping. I also experience a lot of breakthrough bleeding and bleeding after sex since being on the patch. Although, my periods are a lot lighter but I still bleed for 7 days. The period pains have not been as severe as they would be off the patch. It has definitely helped my pcos and adenomyosis.


Worse skin

2 more effects

0 helpful

0 comments


Hormonal coil (IUS) reviews

885 reviews

Hormonal coil (IUS)  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

Such a hideous experience for me I went to the doctors to get it taken out ASAP. Had severe mental health dip and felt suicidal which was really unlike me. The pain on inspiration was absolutely awful (removal was easy and painless).


Very negative mood

3 more effects

0 helpful

0 comments

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

Jaydess coil  

Random cramps throughout the day, they suddenly stop and start again a few days later. Period almost completely gone, but random spotting through ovulation and calculated period days (on clue app). Very bad breast tenderness during ovulation and periods


Worse skin

1 more effect

0 helpful

0 comments

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

Mirena coil  

I’ve had the mirena in for almost 2 years and it’s been working great as a contraception and minimal side effects (very light periods).


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

Such a hideous experience for me I went to the doctors to get it taken out ASAP. Had severe mental health dip and felt suicidal which was really unlike me. The pain on inspiration was absolutely awful (removal was easy and painless).


Very negative mood

3 more effects

0 helpful

0 comments

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

Jaydess coil  

Random cramps throughout the day, they suddenly stop and start again a few days later. Period almost completely gone, but random spotting through ovulation and calculated period days (on clue app). Very bad breast tenderness during ovulation and periods


Worse skin

1 more effect

0 helpful

0 comments

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

Mirena coil  

I’ve had the mirena in for almost 2 years and it’s been working great as a contraception and minimal side effects (very light periods).


Top side effects not reported

0 helpful

0 comments

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

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
  •  10th Mar 26

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
  •  26th Feb 26

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

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