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

120 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

876 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

37% no impact on mood

34% lighter periods

48% no impact

49% no impact

47% no impact on skin

Cycle return

37% 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

120 reviews

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

Evra patch  

Overall good, so far effective. But my periods are a lot heavier and a lot more painful. Tender breasts for at least half of the month and random cramps throughout the month even when I’m not on my period.

Read more

Somewhat negative mood

2 more effects

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  8th Dec 25

Evra patch  

I got pregnant twice in 3 months…


Lost weight

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  26th Nov 25

Evra patch  

The Evra patch has been a good choice for me so far, and it’s my first time on birth control! I would say the only downfall is around the edge of the patch gets dirty from adhesive, and that it’s nerve racking to swim a lot in fear it will come off! I went on vacation and was nervous but I used a tagaderm to keep it on when swimming!


Top side effects not reported

0 helpful

0 comments

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

Evra patch  

Overall good, so far effective. But my periods are a lot heavier and a lot more painful. Tender breasts for at least half of the month and random cramps throughout the month even when I’m not on my period.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  8th Dec 25

Evra patch  

I got pregnant twice in 3 months…


Lost weight

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  26th Nov 25

Evra patch  

The Evra patch has been a good choice for me so far, and it’s my first time on birth control! I would say the only downfall is around the edge of the patch gets dirty from adhesive, and that it’s nerve racking to swim a lot in fear it will come off! I went on vacation and was nervous but I used a tagaderm to keep it on when swimming!


Top side effects not reported

0 helpful

0 comments


Hormonal coil (IUS) reviews

876 reviews

Hormonal coil (IUS)  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  today

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

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
36 years old
🇬🇧 UK
  •  2 days ago

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

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  2 days ago

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

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  today

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

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
36 years old
🇬🇧 UK
  •  2 days ago

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

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  2 days ago

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

0 helpful

0 comments

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

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

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  3 days ago

Kyleena coil  

Was on the injection for over 6 years and was advised to change due to adenomyosis diagnosis. Injection gifted me no periods for 6 years and I’ve still not had any sine changing to coil. Insertion was painful but 6/10 initially. Hot water bottle and pills helped. Cramping did occur infrequently for 2-3 weeks post insertion. Breasts have definitely enlarged and far more tender to touch, feel heavier and unfortunately don’t fit my bra’s anymore. 1st world problems. No issues during intimacy or post either. Other than the cramps, no complaints!


Somewhat positive mood

0 helpful

0 comments

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

Benilexa coil  

I previously had the copper coil for 4 years because I wasn't keen on using a hormonal contraception but I wish I'd changed to benelixa sooner. I opted for a numbing injection during the procedure and hardly felt anything, it was great. Afterwards there was some very mild cramping and unfortunately I did get mild thrush within the week, however since then it's been amazing. Hardly any pain during periods and they are sooo much lighter. I used to bloat all the time but now I never do. I also lost about 4lbs and have stayed at that weight ever since. I had thinning hair previously and now have lots of new baby hairs coming in all over my head which I'm delighted about. Sex drive has decreased ever so slightly but not enough to be a problem. No changes to my skin or any other negative side effects. Really can't recommend it more, I'm delighted with not being in agony every month and I have much more energy since I'm only losing about a quarter of blood compared to before.


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  3 weeks ago

Kyleena coil  

I’ve had the kyleena iud for just over a year. Initially, I had more painful periods but that’s common for about 6 months as your body adjusts but this has since gone away. After about 6 months, I started to suffer with vaginal dryness. This was easily managed with lube during sex but after a year it really started to get bad. It was causing constant thrust (5 times in 3 months) which I had never been prone to before and the pain during sex can sometimes mean we have to stop or I’ll be okay for a bit but then after will be bleeding or have sort of friction burns. It’s coming out soon but it’s just a shame about the dryness as I loved it otherwise


Decreased sex drive

0 helpful

0 comments

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

Mirena coil  

My first year of the coil seemed to be okay. Took a while to get used to and on the grand scheme of things after about 3 months my period pretty much left.. but in the last year, I’ve been getting symptoms of anger, forgetfulness and generally feeling checked out. Going to speak to GP to find another option.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  6th Dec 25

Mirena coil  

Hard to tell if it’s improved but I definitely have breast tenderness


Improved skin

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
31 years old
🇬🇧 UK
  •  17th Nov 25

Kyleena coil  

Kyleena was recommended with mr having Adenomyosis due to wrongly being given the copper coil before and bleeding for months on end. Kyleena had irregular periods to begin, the only sidr effect for the first 4 months were severe coldnesd/flu like symptoms the day before my period for all 4 months. As my periods stopped, my sex drive and mental health crashed. I'm on month 9 and awaiting removal.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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