Vaginal ring vs Hormonal coil (IUS)
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£From £0.41/day
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Overview
Rated 3.7
54 reviews
Every 3 weeks
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.5
852 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Vaginal ring ingredients
Main hormones in Vaginal ring
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
Vaginal ring reviews
54 reviews
Used for 6 - 12 mo
22 years old
🇬🇧 UK
• 3rd Aug 25
I suffer with PMDD, making my periods a very awful time for me due to how depressed I feel. I was on the combined pill before, but found this was worsening my emotions and making me feel horrendous. The ring was an idea my GP suggested, thinking that because the ring is a gradual release, that stays in your body for the duration you don’t wish to bleed, it would affect me less. This is absolutely what’s happened and I’m much happier on the ring. I’ve never had any problems with feeling it, I’ve noticed a few reviews stating they bleed through when taking it back to back and from my experience this is the case with most contraception. I wouldn’t recommend if you want to take back to back as you do bleed through.
Very positive mood
0 helpful
0 comments
Used for 3 - 5 yr
34 years old
🇬🇧 UK
• 17th Jun 25
I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 13th May 25
The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
22 years old
🇬🇧 UK
• 3rd Aug 25
I suffer with PMDD, making my periods a very awful time for me due to how depressed I feel. I was on the combined pill before, but found this was worsening my emotions and making me feel horrendous. The ring was an idea my GP suggested, thinking that because the ring is a gradual release, that stays in your body for the duration you don’t wish to bleed, it would affect me less. This is absolutely what’s happened and I’m much happier on the ring. I’ve never had any problems with feeling it, I’ve noticed a few reviews stating they bleed through when taking it back to back and from my experience this is the case with most contraception. I wouldn’t recommend if you want to take back to back as you do bleed through.
Very positive mood
0 helpful
0 comments
Used for 3 - 5 yr
34 years old
🇬🇧 UK
• 17th Jun 25
I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 13th May 25
The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Hormonal coil (IUS) reviews
852 reviews
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 2 days ago
Have only had the coil for 2 months (although feels like much longer) so will give it a bit more of a chance, I also acknowledge that everyone reacts differently and my side effects seem to be less common, however in my experience and at this point in time, the negative side effects FAR outweigh the positives. My GP talked me into trying Mirena for managing my PCOS and the excruciating pain I would experience on occasion from burst ovarian cysts, as well as the birth control aspect. I’ve gone from an abnormally long (but fairly painless) cycle to an even longer one, bleeding and in moderate-severe pain almost daily. If my stomach doesn’t hurt, my head will be, or both. I’m not joking when I say I look pregnant from abdominal swelling on top of it all.
Worse skin
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
63 years old
🇬🇧 UK
• 3 days ago
It was a very positive as i was having irregular heavy periods And personally I had a much better libido When in the past, bloods tested low in testerol levels of 7.5 i II wish this had been aware of of this before bow, i thought there was something not quite right as apparently 12 or above is the better level of testerol for women
Very positive mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I've had the Mirena coil for about 10 months now, my doctor recommended it to stop uterine polyps from reappearing. Prior to the coil I had very heavy, extremely painful periods and pretty bad iron deficiency, but now my periods are super light and not painful at all!! The insertion was painful but not worse that the period cramps I used to get before; I spotted for 3 months straight but after that I started having semi-regular periods. I noticed that I had much more energy (probably because my iron levels were back to normal), my libido increased and I lost weight. I am really really happy with the coil.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 2 days ago
Have only had the coil for 2 months (although feels like much longer) so will give it a bit more of a chance, I also acknowledge that everyone reacts differently and my side effects seem to be less common, however in my experience and at this point in time, the negative side effects FAR outweigh the positives. My GP talked me into trying Mirena for managing my PCOS and the excruciating pain I would experience on occasion from burst ovarian cysts, as well as the birth control aspect. I’ve gone from an abnormally long (but fairly painless) cycle to an even longer one, bleeding and in moderate-severe pain almost daily. If my stomach doesn’t hurt, my head will be, or both. I’m not joking when I say I look pregnant from abdominal swelling on top of it all.
Worse skin
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
63 years old
🇬🇧 UK
• 3 days ago
It was a very positive as i was having irregular heavy periods And personally I had a much better libido When in the past, bloods tested low in testerol levels of 7.5 i II wish this had been aware of of this before bow, i thought there was something not quite right as apparently 12 or above is the better level of testerol for women
Very positive mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I've had the Mirena coil for about 10 months now, my doctor recommended it to stop uterine polyps from reappearing. Prior to the coil I had very heavy, extremely painful periods and pretty bad iron deficiency, but now my periods are super light and not painful at all!! The insertion was painful but not worse that the period cramps I used to get before; I spotted for 3 months straight but after that I started having semi-regular periods. I noticed that I had much more energy (probably because my iron levels were back to normal), my libido increased and I lost weight. I am really really happy with the coil.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
52 years old
🇬🇧 UK
• 2 weeks ago
Awful experience having it fitted, very painful. I’m convinced it triggered vaginal atrophy (I was already menopausal)
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 2 weeks ago
Recurrent abdominal pain and pressure in my lower tummy. The only positive thing is that it has stopped heavy periods
Worse skin
1 more effect
0 helpful
1 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 1 month ago
I swapped to the coil as I started getting migraines on the combined pill and wanted a longer term solution GP advised to give the coil 6 months to settle in but during that time my skin has gradually got worse with bad acne, I still have periods which are lighter granted but lasting 8-9 days, much worse periods cramps than on combined and then for last 2 months spotting almost everyday and bad period like cramping. GP thought these symptoms suggested coil displacement but USS confirmed it was in situ and these must just be the side effects I personally get from mirena. The cramping and constant spotting and acne is affecting my sex life and general mood day to day so trying to get the coil removed and tempted to try the copper coil (although I went for the Mirena as I’d read you can get the symptoms I’m currently having on the copper but only time will tell!)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
33 years old
🇬🇧 UK
• 11th Aug 25
Had the Mirena coil for 4 years. Insertion wasn’t a fun experience but only cramped for a few days. A bit of spotting for first few months but reduced to nothing for the next 4 years. Very happy with it, only getting removed to get pregnant.
Somewhat positive mood
0 helpful
0 comments
Used for 6 - 12 mo
47 years old
🇬🇧 UK
• 10th Aug 25
I was told to take painkillers (paracetamol & ibuprofen) before the procedure which I did. For the procedure I had two lovely ladies who were supportive and talked me through all of the steps. I was offered pain relief including gas and air, so all of that was great. What I didn’t realise was the “bad period cramps” you are warned about were actually more like mild contractions, and having had a traumatic miscarriage a few years ago. The coil fitting unfortunately ended up triggering this trauma along with my anxiety, when I spoke to my GP they mentioned it was PTSD and that this can happen after a coil fitting. Afterwards the coil felt really uncomfortable for about 4 weeks where I could feel it inside me all the time and sometime it felt like it was scratching around in there! Also certain exercise & stretches were uncomfortable & often aggravated it leaving me in pain. My hormones were also all over the place on week 3 but that passed fairly quickly. I’ve had great support from the clinic and was referred to have an ultrasound to confirm it was in the correct place. On a more positive note I’ve only had one heavy bleed a week after it’d been fitted and no further bleeds and so far only spotting once. It’s now 11 months later and things have settled, so this is now working for me which is a relief.
Worse skin
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
26 years old
🇬🇧 UK
• 5th Aug 25
Had Mirena fitted to manage endometriosis after a laparoscopy. The period cramps felt worse than when I was on the contraceptive pill before the surgery. Also struggled with depression and low energy. Acne was about the same as before I started the contraceptive pill.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
23 years old
🇬🇧 UK
• 5th Aug 25
I really like the Mirena Coil, especially as the combined pill was my previous contraception which negatively affected my mood. I had a lot of spotting for the first month and now have the very occasional spotting, but it's great not having a period anymore.
Somewhat positive mood
1 more effect
0 helpful
0 comments

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