Patch vs Hormonal coil (IUS)
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Overview
Rated 3.4
111 reviews
Weekly
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.5
829 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
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 Hormonal coil (IUS) review
Check out our latest reviews
Real life reviews from people like you
Patch reviews
111 reviews
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 5 days ago
I would highly recommend using the patch if you want a form of contraception that can easily fit around your life. Doctors will be very quick to try and prescribe the pill or the coil and will rarely mention the patch. The patch makes it easier to absorb hormones instead of digesting them like you do with the pill. It’s great not having a luteal phase which makes me feel really low anymore. My mood is stable and my skin has improved a lot. The only negative side effects I would say I’ve experienced is more difficulty in my vagina lubricating itself and water retention making me feel like I’m more bloated/ added on weight. However the latter could be due to other factors and I’ve found that I can manage it with exercising more.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 1 month ago
Been using the patch for 1 month now. The first 2 weeks weren’t great, I was having intense mood swings and irritability which was not like myself. I also experienced headaches during the first 2 weeks which now seem to be a lot better. By the third week things started to settle and my moods became better and less intense. On the patch free week I experienced bleeding and stomach pain (similar to a normal period) I’ve also noticed my skin has gotten worse as I very rarely get spots but have had quite a few breakouts since beginning the patch. I haven’t noticed any weight gain but slight breast enlargement. Overall, I would recommend the patch due to quite a lot of the side effects being temporary and as someone who struggles with contraception this has been the best one so far.
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 3 - 6 mo
35 years old
🇬🇧 UK
• 24th Apr 25
I went back on the patch a few months ago as it's probably my most preferred form of contraception (I'm often not on any and am reluctant to use anything but needs must). I actually have fallen pregnant on the patch in the past and have a 5 year old son to show for it but so far this time round it seems to be doing the job. Pros: It's so easy to use, changing once a week is so much easier than trying to remember a pill each day. I usually use the whole pack back to back so appreciate less frequent periods. It stays put with no issue at all. Cons: My moods have been awful, to the point I feel quite depressed some of the time, I'm crying a lot and not coping with challenges very well as I normally would. My periods are generally heavier, I have a couple of days of constantly leaking through tampons in a very short space of time. I'm getting headaches quite regularly which won't shift with painkillers. Also feel nauseous quite often. This month have started breakthrough bleeding after just a couple of weeks since last patch free week. Overall, not loving it at the moment. However I've had such bad experiences with other forms of contraception that I still think this is the best of a bad bunch. Really rate the convenience of it. No noticeable difference to weight or skin thankfully.
Somewhat negative mood
1 helpful
0 comments
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 5 days ago
I would highly recommend using the patch if you want a form of contraception that can easily fit around your life. Doctors will be very quick to try and prescribe the pill or the coil and will rarely mention the patch. The patch makes it easier to absorb hormones instead of digesting them like you do with the pill. It’s great not having a luteal phase which makes me feel really low anymore. My mood is stable and my skin has improved a lot. The only negative side effects I would say I’ve experienced is more difficulty in my vagina lubricating itself and water retention making me feel like I’m more bloated/ added on weight. However the latter could be due to other factors and I’ve found that I can manage it with exercising more.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 1 month ago
Been using the patch for 1 month now. The first 2 weeks weren’t great, I was having intense mood swings and irritability which was not like myself. I also experienced headaches during the first 2 weeks which now seem to be a lot better. By the third week things started to settle and my moods became better and less intense. On the patch free week I experienced bleeding and stomach pain (similar to a normal period) I’ve also noticed my skin has gotten worse as I very rarely get spots but have had quite a few breakouts since beginning the patch. I haven’t noticed any weight gain but slight breast enlargement. Overall, I would recommend the patch due to quite a lot of the side effects being temporary and as someone who struggles with contraception this has been the best one so far.
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 3 - 6 mo
35 years old
🇬🇧 UK
• 24th Apr 25
I went back on the patch a few months ago as it's probably my most preferred form of contraception (I'm often not on any and am reluctant to use anything but needs must). I actually have fallen pregnant on the patch in the past and have a 5 year old son to show for it but so far this time round it seems to be doing the job. Pros: It's so easy to use, changing once a week is so much easier than trying to remember a pill each day. I usually use the whole pack back to back so appreciate less frequent periods. It stays put with no issue at all. Cons: My moods have been awful, to the point I feel quite depressed some of the time, I'm crying a lot and not coping with challenges very well as I normally would. My periods are generally heavier, I have a couple of days of constantly leaking through tampons in a very short space of time. I'm getting headaches quite regularly which won't shift with painkillers. Also feel nauseous quite often. This month have started breakthrough bleeding after just a couple of weeks since last patch free week. Overall, not loving it at the moment. However I've had such bad experiences with other forms of contraception that I still think this is the best of a bad bunch. Really rate the convenience of it. No noticeable difference to weight or skin thankfully.
Somewhat negative mood
1 helpful
0 comments
Hormonal coil (IUS) reviews
829 reviews
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 1 day ago
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
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 1 day ago
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
Used for 6 - 12 mo
29 years old
🇬🇧 UK
• 2 days ago
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
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 1 day ago
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
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 1 day ago
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
Used for 6 - 12 mo
29 years old
🇬🇧 UK
• 2 days ago
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
Used for 6 - 12 mo
40 years old
🇬🇧 UK
• 2 weeks ago
I've not had any significant side effects...so far. But the one thing I don't like is that I struggle to track my period. I don't bleed it bleed very little. Some periods are just spotting. In theory this is great, but the rest of my body is still experiencing a cycle and without the bleeding it can be hard to track. I still try to, but I'm about ready to give up. If you are like me and spent 10 years on the pill, this can feel a bit jarring. I'm on a hormonal rollercoaster that is normal but I'm not really use to it. My cramping is normal compared to before I had coil. I've had acne rosacea crop up and after a year of it I strongly thing it's linked to hormones but not sure how much the coil plays a part (though I did NOT have this before coil, I am also 40 and may be perimenopauseal). Insertion recovery was totally fine. Very little discomfort. However I was undergoing a minor gyno procedure at the same time and as a result got a general! Highly recommend should it be available. Won't lie, not sure I would have the coil again after this one....I'm still not sold in all honesty. It just emotionally felt evasive as a method of BC.
Worse skin
0 helpful
0 comments
Used for 12 - 18 mo
25 years old
🇬🇧 UK
• 3 weeks ago
Overall my periods were regular but once I got the coil I had very irregular periods and extra cramping. I also have frequent dizzy spells and headaches since it has been inserted. And I've seen an increase in spots and body hair since starting with the coil
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 3 weeks ago
Struggled to fit the Mirena & so fitted the Kyleena instead - potentially leading to an insufficient amount of progesterone as i continued to have irregular bleeding. After about 12 months this settled down and month on month this has lessened and my cycle continued. However, I experienced consistent cramping like I'd never had before and from 15 months onwards severe & debilitating pain about a week before my period. This is why I had it removed.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
41 years old
🇬🇧 UK
• 1 month ago
I experienced irregular periods, major mood swings and no sex drive at all. Would not recommend this at all.
Very negative mood
2 more effects
1 helpful
1 comments
Used for 8+ yr
36 years old
🇬🇧 UK
• 1 month ago
Insertion isn't pleasant, but once it's in place, there's nothing to do for years! I had my first Mirena coil over 8 years ago and haven't had a period since insertion, only very occasional spotting (maybe once every 3-6months). I know some women like to track their cycle, but I never think about it and prefer it that way! Would recommend.
Top side effects not reported
1 helpful
0 comments
Used for 5 - 8 yr
27 years old
🇬🇧 UK
• 1 month ago
Loved this until I got BV then no treatment would fix it until I got IUS removed
Top side effects not reported
2 helpful
0 comments
Used for 5 - 8 yr
38 years old
🇬🇧 UK
• 28th Apr 25
The threads disappeared on the first coil so had it changed early (wasn't great as they had to go digging about to find the threads). Had another put straight in at the time thinking it was a one off but the same happened with the second so I had it removed early as soon as I noticed them becoming shorter to avoid the first scenario again and switched to the implant. Great that my periods stopped on it and it's super low maintenance though.
Top side effects not reported
1 helpful
0 comments

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