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
837 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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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
• 1 month 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
• 6th May 25
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
• 1 month 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
• 6th May 25
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
837 reviews
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• today
Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
40 years old
🇬🇧 UK
• 2 days ago
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
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 2 days ago
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
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• today
Insertion was definitely a little more than just "uncomfortable', it was incredibly painful and emotionally felt very invasive. Took about a day or two to get over the cramps. Felt very faint the first night after having it inserted. Have had experience with SA before though and after telling the nurses they were incredibly supportive throughout the procedure. Side effects wise I got on pretty well for the first year. My periods did stop after a few months, which I found to be a bit strange as I like to track my cycle and I found this a bit strange at first, as I could feel my other symptoms of my cycle but felt a bit off kilter when I didn't have my usual period. Not having to worry about condoms or taking a pill everyday is great though. But after about a year of having the hormonal coil I've noticed my mood and mental health take a bit of a dip. I feel a bit like my emotions are just sitting a bit flatter, I'm a bit more irritable, I don't experience quite the same amount of joy as I used to. I do have a lot going on in life at the moment, but I can't help but notice day to day, even on good days, that I'm not as cheerful or reacting to things in the same way I used to. Emotionally not feeling like myself I don't feel is worth this,no I'm going to seek advice on whether to have this removed or not I think.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
40 years old
🇬🇧 UK
• 2 days ago
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
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 2 days ago
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
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 1 - 3 mo
27 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 3 weeks 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 month 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

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