Vaginal ring vs Hormonal coil (IUS)
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Overview
Rated 3.7
53 reviews
Every 3 weeks
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.5
841 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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Check out our latest reviews
Real life reviews from people like you
Vaginal ring reviews
53 reviews
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 8+ yr
50 years old
🇬🇧 UK
• 15th Apr 25
I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.
Somewhat positive mood
1 more effect
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 8+ yr
50 years old
🇬🇧 UK
• 15th Apr 25
I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Hormonal coil (IUS) reviews
841 reviews
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 4 days ago
I had it put in at the end of January. Insertion wasn't fun and did hurt but no worse than the period cramps I used to get. Did spend the afternoon in bed. First few months were ok, some period pain but less than before and lighter periods. But as a few more months have passed I've been getting more migraines again. Also my body hair is more noticeable. My mood is mostly stable except now when I'm ovulating or period about to start, I get very irrational and angry. My last period was heavier than I would have had before the coil but hoping that was just a blip. Have also been spotting constantly the last 2-3 months.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 2 weeks ago
Year 1 was a lot of hormonal changes, strong random cramps and spotting (i had to get the position adjusted slightly about 8 months in), but the effect on my periods was almost immediate. Regular lighter periods with reduced cramps(outside of above) that no longer impacted my life negatively. It's a game changer. Once that all settled down, I was abel to start tracking my periods and moods and for the first time in my life knew when something was "outside the norm" and could get things checked out as they came. The positive impact outweighs the negative by far in my opinion. Peace of mind and regular light periods is absolutely worth it for someone who's emotions and hormones and periods have always affected negatively (before jaydess I'd pms what felt like 3 out of 4 weeks, cramp so hard id pass out and bled through so many clothes)
Somewhat positive mood
1 more effect
0 helpful
1 comments
Used for 3 - 6 mo
38 years old
🇬🇧 UK
• 3 weeks ago
I got the coil fitted to control heavy periods with contraception as a bonus. I’m aware I might be still in the settling down phase, this is my experience so far. Fitting was uncomfortable but I’ve had 3 vaginal birth so nothing touches that! Cramps for a few days but settled down. So far I have been bleeding most of the time since having it fitted, not heavy, light, but constant and irregular patterns. Very annoying. Low self esteem and low mood. Weight gain, despite being more physically active and eating healthily. Increase in headaches and migraines. Generally unimpressed at the lack of connection with healthcare professionals and Mirena coil users. So many women reporting poor experience yet doctors aren’t relaying this information. Will be having it removed. I choose control over my body over convenience.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 4 days ago
I had it put in at the end of January. Insertion wasn't fun and did hurt but no worse than the period cramps I used to get. Did spend the afternoon in bed. First few months were ok, some period pain but less than before and lighter periods. But as a few more months have passed I've been getting more migraines again. Also my body hair is more noticeable. My mood is mostly stable except now when I'm ovulating or period about to start, I get very irrational and angry. My last period was heavier than I would have had before the coil but hoping that was just a blip. Have also been spotting constantly the last 2-3 months.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 2 weeks ago
Year 1 was a lot of hormonal changes, strong random cramps and spotting (i had to get the position adjusted slightly about 8 months in), but the effect on my periods was almost immediate. Regular lighter periods with reduced cramps(outside of above) that no longer impacted my life negatively. It's a game changer. Once that all settled down, I was abel to start tracking my periods and moods and for the first time in my life knew when something was "outside the norm" and could get things checked out as they came. The positive impact outweighs the negative by far in my opinion. Peace of mind and regular light periods is absolutely worth it for someone who's emotions and hormones and periods have always affected negatively (before jaydess I'd pms what felt like 3 out of 4 weeks, cramp so hard id pass out and bled through so many clothes)
Somewhat positive mood
1 more effect
0 helpful
1 comments
Used for 3 - 6 mo
38 years old
🇬🇧 UK
• 3 weeks ago
I got the coil fitted to control heavy periods with contraception as a bonus. I’m aware I might be still in the settling down phase, this is my experience so far. Fitting was uncomfortable but I’ve had 3 vaginal birth so nothing touches that! Cramps for a few days but settled down. So far I have been bleeding most of the time since having it fitted, not heavy, light, but constant and irregular patterns. Very annoying. Low self esteem and low mood. Weight gain, despite being more physically active and eating healthily. Increase in headaches and migraines. Generally unimpressed at the lack of connection with healthcare professionals and Mirena coil users. So many women reporting poor experience yet doctors aren’t relaying this information. Will be having it removed. I choose control over my body over convenience.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
43 years old
🇬🇧 UK
• 28th Jun 25
First 6 months is an adjustment period so I had plenty of headache and feeling sick but after a while my body used to it and I am fine. 100% contraception effectiveness and no heavy period.
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 21st Jun 25
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
• 18th Jun 25
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
• 18th Jun 25
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
• 12th Jun 25
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
• 6th Jun 25
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
• 3rd Jun 25
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

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