Progestogen-only / Mini pill vs Hormonal coil (IUS)
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Overview
Rated 2.7
1510 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.5
906 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
Hormonal coil (IUS) ingredients
Main hormones in Hormonal coil (IUS)
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
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
Progestogen-only / Mini pill reviews
1510 reviews
Used for 3 - 5 yr
37 years old
🇬🇧 UK
• 5 days ago
Would have been ok apart from the bile acid diarrhoea anytime I ate anything with fat in it! Thought I was lactose intolerant, stopped pill and suddenly I could eat dairy again! Weird, went on it again after having my son and the diarrhoea suddenly came back doctors said it couldn’t be the pill but I’m not on it now and after 3 weeks no more diarrhoea. Bit of an odd coincidence if it’s not the pill
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
37 years old
🇬🇧 UK
• 5 days ago
Vaginal atrophy, painful sex, painful urination, extreme constipation, right sided abdominal pain that felt like being stabbed (caused by constipation), dizziness from low blood pressure, fainting, extreme anxiety, chest pain, high cortisol, insomnia, depression, crying a lot, depression, dry skin, thirst,
Very negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
37 years old
🇬🇧 UK
• 5 days ago
Vaginal atrophy, vulvar pain, painful sex zero libido, constipation so bad I went to a&e, caused horrible right sided abdominal pain, very dry skin, extreme anxiety, chest pain, insomnia, depression, low blood pressure, dizziness and fainting, over all sucked, took a few months before side effects hit
Very negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
37 years old
🇬🇧 UK
• 5 days ago
Would have been ok apart from the bile acid diarrhoea anytime I ate anything with fat in it! Thought I was lactose intolerant, stopped pill and suddenly I could eat dairy again! Weird, went on it again after having my son and the diarrhoea suddenly came back doctors said it couldn’t be the pill but I’m not on it now and after 3 weeks no more diarrhoea. Bit of an odd coincidence if it’s not the pill
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
37 years old
🇬🇧 UK
• 5 days ago
Vaginal atrophy, painful sex, painful urination, extreme constipation, right sided abdominal pain that felt like being stabbed (caused by constipation), dizziness from low blood pressure, fainting, extreme anxiety, chest pain, high cortisol, insomnia, depression, crying a lot, depression, dry skin, thirst,
Very negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
37 years old
🇬🇧 UK
• 5 days ago
Vaginal atrophy, vulvar pain, painful sex zero libido, constipation so bad I went to a&e, caused horrible right sided abdominal pain, very dry skin, extreme anxiety, chest pain, insomnia, depression, low blood pressure, dizziness and fainting, over all sucked, took a few months before side effects hit
Very negative mood
2 more effects
0 helpful
0 comments
Hormonal coil (IUS) reviews
906 reviews
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 3 days ago
This coil gave me really dreadful mood swings from ovulation time through to the start of my period. I felt really low and anxious, irritable with family, almost irrational about certain things, constantly crying, and passively suicidal. This persisted for around 8 months including months where I didn't have anything difficult/stressful going on personally. It clearly correlated with my cycle, and within a week of having it removed I felt like myself again. I know the hormonal coils work really well for some people - I have lots of friends who use them with no issues. But for whatever reason I am generally quite sensitive to medications and really noticed an effect from this coil. I've gone back to the copper coil which does make periods heavier, but I will take that over the mood destabilisation
Very negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 1 month ago
for me it works great, but i have a feeling my sex drive changed plus also the intensity of my orgasm. But you know I cannot tell for sure that the coil is the causing this..
Somewhat positive mood
1 more effect
0 helpful
1 comments
Used for 5 - 8 yr
32 years old
🇬🇧 UK
• 1 month ago
Positive - first one for 5 years, protected against pregnancy, stopped periods after about 18 months so saved money on tampons. No significant side effects initially. Set and forget method was great. Negatives - I found the fitting incredibly painful. When I had it changed after 5 years the reinsertion was traumatic and I won't have it again. I suffered with mouth ulcers every month that got progressively worse over time. My mood wasn't bad but it was overall flattened. The new one never settled and I had problems with the threads travelling upwards, I found medical staff across the board (GP, clinic, hospital for ultrasound) very uninterested when I had issues after fitting which was difficult because I was frightened of possible consequences if it moved or they couldn't get the threads to remove it. I have honestly never had thrush so much in my life as I did when I was on kyleena. Noticed more and darker body hair over time.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 3 days ago
This coil gave me really dreadful mood swings from ovulation time through to the start of my period. I felt really low and anxious, irritable with family, almost irrational about certain things, constantly crying, and passively suicidal. This persisted for around 8 months including months where I didn't have anything difficult/stressful going on personally. It clearly correlated with my cycle, and within a week of having it removed I felt like myself again. I know the hormonal coils work really well for some people - I have lots of friends who use them with no issues. But for whatever reason I am generally quite sensitive to medications and really noticed an effect from this coil. I've gone back to the copper coil which does make periods heavier, but I will take that over the mood destabilisation
Very negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 1 month ago
for me it works great, but i have a feeling my sex drive changed plus also the intensity of my orgasm. But you know I cannot tell for sure that the coil is the causing this..
Somewhat positive mood
1 more effect
0 helpful
1 comments
Used for 5 - 8 yr
32 years old
🇬🇧 UK
• 1 month ago
Positive - first one for 5 years, protected against pregnancy, stopped periods after about 18 months so saved money on tampons. No significant side effects initially. Set and forget method was great. Negatives - I found the fitting incredibly painful. When I had it changed after 5 years the reinsertion was traumatic and I won't have it again. I suffered with mouth ulcers every month that got progressively worse over time. My mood wasn't bad but it was overall flattened. The new one never settled and I had problems with the threads travelling upwards, I found medical staff across the board (GP, clinic, hospital for ultrasound) very uninterested when I had issues after fitting which was difficult because I was frightened of possible consequences if it moved or they couldn't get the threads to remove it. I have honestly never had thrush so much in my life as I did when I was on kyleena. Noticed more and darker body hair over time.
Somewhat negative mood
0 helpful
0 comments
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 30th Jul 26
Works well for me, was hoping would take away periods altogether but definitely made them lighter. Found fitting comfortable as just had some cramping. But I have quite a low cervix, so I could feel the strings and needed them trimmed.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 2nd Jul 26
Not pleasant to put in but completely stopped by periods after few months. Reassuring that no pregnancy, however absolutely 0 sex drive and this effects relationships.
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 2nd Jul 26
Initial 3 month settling in period is intense, lots of bleeding and emotional side effects plus insertion pain. After 3 months it settled and I thought I had found the holy grail, emotionally stable and no side effects. At 6 months I developed a large ovarian cyst which put me in agony and A&E, doctors said this was caused by the coil and had to remove it. Unfortunately I cant recommend, the search continues.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
• 29th Jun 26
No periods but developed acne. I also get cysts now regularly (never had before) that burst and hurt so bad that the first time it happened I went to the ER.
Worse skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 19th Jun 26
only had mirena coil fitted 3 weeks ago but so far it’s been good, i have had quite a lot of lower back pain but other than that i don’t feel any different
Lost weight
0 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 18th Jun 26
Prior to having the mirena coil I had the most horrific periods literally to the point of passing out. I can say I have had my coil in for nearly 6 years and not had a period since and now I feel like I have my life back! It has been one of the decisions I have ever made and also hardly had any hormonal side effects.
Very positive mood
2 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 17th Jun 26
I loved the mirena but over 3 different coils, shortly after insertion I would get kidney infections that didn’t respond to antibiotics. The link was only made on the third despite me asking the gyno about it. Such a shame because I loved it otherwise. Kidney infections mostly skipped the uti stage and went straight to them but bacteria wouldn’t grow in pee. If this sounds like you remove it!
Somewhat positive mood
1 more effect
0 helpful
0 comments

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