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

130 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

889 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

35% lighter periods

49% no impact

49% 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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Add your Hormonal coil (IUS) review

Check out our latest reviews

Real life reviews from people like you

Patch reviews

130 reviews

Patch  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  6 days ago

Evra patch  

I’ve not noticed many side effects other than weight gain / breast growth. Periods are extremely regular almost down to the hour of the day i’ll get it, lasts three days total and before birth control i would have had very bad cramps i’ve noticed they’ve minimised significantly. Now ive only some cramps on day two which is easily solved by Ibepopfen

Read more

Gained weight

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  3 weeks ago

Evra patch  

I’ve been on the patch for around 6 months, it’s causing periods every 2 weeks even though I’m using it correctly. The only positive is it’s easy to use and hasn’t caused weight gain.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  1 month 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
20 years old
🇬🇧 UK
  •  6 days ago

Evra patch  

I’ve not noticed many side effects other than weight gain / breast growth. Periods are extremely regular almost down to the hour of the day i’ll get it, lasts three days total and before birth control i would have had very bad cramps i’ve noticed they’ve minimised significantly. Now ive only some cramps on day two which is easily solved by Ibepopfen


Gained weight

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  3 weeks ago

Evra patch  

I’ve been on the patch for around 6 months, it’s causing periods every 2 weeks even though I’m using it correctly. The only positive is it’s easy to use and hasn’t caused weight gain.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  1 month 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


Hormonal coil (IUS) reviews

889 reviews

Hormonal coil (IUS)  
Used for 3 - 5 yr
33 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

I've had great success with a Mirena for treating jawline acne, after getting it to prep for going onto Roaccutane it actually cleared my acne up amazingly and now I just get the odd spot every month when I'm due on. I get irregular, yet light periods, and occasionally some spotting, and overall my period cramps have been lessened. My sex drive is not what it is when off hormonal contraception, but as I've been on hormonal contraception my whole adult life, bar a couple of years here and there, this hasn't been an issue overall. I have put weight on gradually, but I've also aged (now 34), so its more likely to be metabolic changes rather than a side effect. The only thing I would say is that the coil itself has moved twice, resulting in removal and replacement (I'm waiting for another removal, and will likely explore pill options again as its just too painful getting it replaced every 2 years!). It should last 8 years, but for whatever reason, maybe my anatomy, mine moves to be too low, and then the long process of getting it checked, ultrasounds, appt waiting times for removal, and everything else, means its not something I want to continue using at the moment. Overall though, it has been a really good method for me, and just because mine hasn't stayed where it should be, doesn't mean someone else won't have a good experience, its probably down to my anatomy only!


Improved skin

2 more effects

0 helpful

0 comments

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

Mirena coil  

I was very worried about trying this method as I’d not used hormonal contraception before but overall it has been positive. The insertion was quite painful but not unbearable. It took about a week for me to recover, with me having to stop exercise for that time and then slowly increase again. Bleeding has been the most annoying part as my periods are very irregular now (previously they were regular as clockwork) and I have light spotting for up to a week before each period. But it’s getting slightly better each month and I’m hoping I’ll be one of the lucky ones who eventually gets to little or no bleeding at all. I’ve suffered no other symptoms of note.


Top side effects not reported

0 helpful

1 comments

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

Mirena coil  

I've had the hormonal mirena for 14 months now to reduce endometriosis symptoms. My periods have reduced in length (used to be 3 weeks) and happen irregularly and the pain has settled during these. I have however noticed continuous weight gain since I went on it, despite very little changing in my diet and exercise. I've always stayed at a very stable weight and now my breast have nearly doubled in size and my weight in general continues to creep up. I have tried upping my exercise with no improvement in my weight. I'm the heaviest I've ever been, except for pregnancy. It's a huge price to pay for a reduction in endo symptoms. It's very frustrating.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
33 years old
🇬🇧 UK
  •  2 days ago

Mirena coil  

I've had great success with a Mirena for treating jawline acne, after getting it to prep for going onto Roaccutane it actually cleared my acne up amazingly and now I just get the odd spot every month when I'm due on. I get irregular, yet light periods, and occasionally some spotting, and overall my period cramps have been lessened. My sex drive is not what it is when off hormonal contraception, but as I've been on hormonal contraception my whole adult life, bar a couple of years here and there, this hasn't been an issue overall. I have put weight on gradually, but I've also aged (now 34), so its more likely to be metabolic changes rather than a side effect. The only thing I would say is that the coil itself has moved twice, resulting in removal and replacement (I'm waiting for another removal, and will likely explore pill options again as its just too painful getting it replaced every 2 years!). It should last 8 years, but for whatever reason, maybe my anatomy, mine moves to be too low, and then the long process of getting it checked, ultrasounds, appt waiting times for removal, and everything else, means its not something I want to continue using at the moment. Overall though, it has been a really good method for me, and just because mine hasn't stayed where it should be, doesn't mean someone else won't have a good experience, its probably down to my anatomy only!


Improved skin

2 more effects

0 helpful

0 comments

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

Mirena coil  

I was very worried about trying this method as I’d not used hormonal contraception before but overall it has been positive. The insertion was quite painful but not unbearable. It took about a week for me to recover, with me having to stop exercise for that time and then slowly increase again. Bleeding has been the most annoying part as my periods are very irregular now (previously they were regular as clockwork) and I have light spotting for up to a week before each period. But it’s getting slightly better each month and I’m hoping I’ll be one of the lucky ones who eventually gets to little or no bleeding at all. I’ve suffered no other symptoms of note.


Top side effects not reported

0 helpful

1 comments

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

Mirena coil  

I've had the hormonal mirena for 14 months now to reduce endometriosis symptoms. My periods have reduced in length (used to be 3 weeks) and happen irregularly and the pain has settled during these. I have however noticed continuous weight gain since I went on it, despite very little changing in my diet and exercise. I've always stayed at a very stable weight and now my breast have nearly doubled in size and my weight in general continues to creep up. I have tried upping my exercise with no improvement in my weight. I'm the heaviest I've ever been, except for pregnancy. It's a huge price to pay for a reduction in endo symptoms. It's very frustrating.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Mirena coil  

The insertion process wasn’t pleasant and I found very painful however I will say it was very quick and the pain didn’t last. After leaving the doctors I felt fine apart from a little light headed but that was due to me stressing. The next day if I didn’t know if had it fitted I would be none the wiser as I felt normal and had no issues. Since then I have really liked not having to think about it, I had no periods at all but have started to get a day or so of spotting once a month at the 18 month mark and some light cramps. The only other negative to me is that it’s meant that I now always have to use lube for sex as it’s definitely affected dryness. The best overall contraception I have tried


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  1 month 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
  •  7th Apr 26

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
  •  31st Mar 26

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
  •  26th Mar 26

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

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