Combined pill vs Hormonal coil (IUS)
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Overview
Rated 2.8
2569 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.5
820 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Combined pill ingredients
Main hormones in Combined pill
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
Combined pill reviews
2569 reviews
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• today
My psychiatrist put me on Zoely in August of 2024, I had recently been diagnosed with PMDD (pre menstrual dysphoric disorder) and was at a point in my life where if I didn’t find a way to manage the symptoms I was at breaking point. I’d been misdiagnosed with bipolar, major depression, borderline personality disorder and had been on a rollercoaster of treatments from ages 13-30. So I was hesitant to trust this psychiatrist and go on another potentially damaging rollercoaster of meds. Alas, after 3 weeks I noticed dramatic changes to my moods, I was balanced! I felt in control, grounded and sane! Obviously my period stopped and my cycle was no longer existent but this medication saved my life, my relationship, my mental health and gave me back my life! The only negative side is my low to zero sex drive, that’s been tough but I’m navigating it now, my partner doesn’t feel desirable because I don’t want sex.. like ever but we are both just happy to have a peaceful life without the ups and down. It seems like a fair trade to me. So very grateful for this medication.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 6 days ago
This pill ruined my mental health, doctor told me it was the best option despite me telling her i was worried about the mental effects. I lost all confidence- felt disgusting all the time. Made my anxiety and overthinking 10 times worse, i was crying multiple times every day. It felt like i had no control over my emotions, i could go from happy to crying within seconds and this could be set off by anything at all. Would not recommend this to anyone, have an appointment to come off it this week.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
13 years old
🇬🇧 UK
• 6 days ago
overall made periods easier but changed my mood to be lower. it definitely improved things for me.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• today
My psychiatrist put me on Zoely in August of 2024, I had recently been diagnosed with PMDD (pre menstrual dysphoric disorder) and was at a point in my life where if I didn’t find a way to manage the symptoms I was at breaking point. I’d been misdiagnosed with bipolar, major depression, borderline personality disorder and had been on a rollercoaster of treatments from ages 13-30. So I was hesitant to trust this psychiatrist and go on another potentially damaging rollercoaster of meds. Alas, after 3 weeks I noticed dramatic changes to my moods, I was balanced! I felt in control, grounded and sane! Obviously my period stopped and my cycle was no longer existent but this medication saved my life, my relationship, my mental health and gave me back my life! The only negative side is my low to zero sex drive, that’s been tough but I’m navigating it now, my partner doesn’t feel desirable because I don’t want sex.. like ever but we are both just happy to have a peaceful life without the ups and down. It seems like a fair trade to me. So very grateful for this medication.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 6 days ago
This pill ruined my mental health, doctor told me it was the best option despite me telling her i was worried about the mental effects. I lost all confidence- felt disgusting all the time. Made my anxiety and overthinking 10 times worse, i was crying multiple times every day. It felt like i had no control over my emotions, i could go from happy to crying within seconds and this could be set off by anything at all. Would not recommend this to anyone, have an appointment to come off it this week.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
13 years old
🇬🇧 UK
• 6 days ago
overall made periods easier but changed my mood to be lower. it definitely improved things for me.
Very negative mood
2 more effects
0 helpful
0 comments
Hormonal coil (IUS) reviews
820 reviews
Used for 5 - 8 yr
38 years old
🇬🇧 UK
• 3 days ago
The threads disappeared on the first coil so had it changed early (wasn't great as they had to go digging about to find the threads). Had another put straight in at the time thinking it was a one off but the same happened with the second so I had it removed early as soon as I noticed them becoming shorter to avoid the first scenario again and switched to the implant. Great that my periods stopped on it and it's super low maintenance though.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
40 years old
🇬🇧 UK
• 5 days ago
Extremely painful insertion. Blood loss continuously for about 3 months, bleeding everyday. Then periods became irregular, passing clots the size of my palm. Periods worsened after merina, when ironically merina was prescribed for heavy periods. Dermatitis caused by merina after 2 months. Told that results with merina are variable, and to wait and see. Not good advice considering the health issues and extreme blood loss caused by merina so far.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 1 week ago
I mean as a contraceptive it works because I haven’t gotten pregnant. A positive my periods are extremely light and irregular, but as a distant irregular. But my skin has never been so worse in my life, I constantly have big deep spots on my chin. I used to have quite dry skin but now on the oily side.
Worse skin
0 helpful
0 comments
Used for 5 - 8 yr
38 years old
🇬🇧 UK
• 3 days ago
The threads disappeared on the first coil so had it changed early (wasn't great as they had to go digging about to find the threads). Had another put straight in at the time thinking it was a one off but the same happened with the second so I had it removed early as soon as I noticed them becoming shorter to avoid the first scenario again and switched to the implant. Great that my periods stopped on it and it's super low maintenance though.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
40 years old
🇬🇧 UK
• 5 days ago
Extremely painful insertion. Blood loss continuously for about 3 months, bleeding everyday. Then periods became irregular, passing clots the size of my palm. Periods worsened after merina, when ironically merina was prescribed for heavy periods. Dermatitis caused by merina after 2 months. Told that results with merina are variable, and to wait and see. Not good advice considering the health issues and extreme blood loss caused by merina so far.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 1 week ago
I mean as a contraceptive it works because I haven’t gotten pregnant. A positive my periods are extremely light and irregular, but as a distant irregular. But my skin has never been so worse in my life, I constantly have big deep spots on my chin. I used to have quite dry skin but now on the oily side.
Worse skin
0 helpful
0 comments
Used for 12 - 18 mo
32 years old
🇬🇧 UK
• 2 weeks ago
The mirena coil stopped my periods and worked as a contraceptive, however it stimulated hair growth on my face which was not there before. As a result I have required many courses of laser. I do not have PCOS and have had testing, however I think the hormones in the mirena coil started the changes that are now continuing despite having the coil since removed. The coil was also extremely painful to have inserted.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
33 years old
🇬🇧 UK
• 2 weeks ago
Had the Mirena Coil in for around 9 months and it's made my periods so much lighter but a bit more irregular. It was really painful upon insertion and I'm still getting stabby cramps around when I should be having my period. Overall, I think it's worth it because my periods are so much lighter.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
34 years old
🇬🇧 UK
• 3 weeks ago
I had three Mirenas over the course of about 9 years. The first two were perfect, with no side effects and stopping my periods. For me the insertions and removals were fine. Maybe a 3 out of 10 pain wise and some mild cramps afterwards. Unfortunately I know that's not everyone's experience. After about 3.5 years of each Mirena, I got lots of breakthrough bleeding and my GP decided to change it early to prevent this. Unfortunately my third Mirena gave me unpredictable bleeding for months, which was affecting my life as I was always worried I'd bleed through clothes or during sex. I also kept getting recurrent thrush, which I'd not experienced before. For me another negative was that the strings always seemed to be really prominent and my boyfriend could feel them during sex. Overall a mixed experience - after years of hassle-free birth control I eventually changed to the POP due to the unpredictable bleeding I was getting with Mirena.
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇬🇧 UK
• 1 month ago
I found that when I got it inserted I had a light, almost discharge like period for 3 months and then once that finally went, I started having irregular periods and and someone whose always had regular periods this was infuriating. The reason I went on was for period pain and I found the pills, both mini and progesterone only, made my mood drop in terms of I was always angry and anxious and my general body image went on a downward spiral. I had no issues with the mirena up until about 3 months ago when all of this started happening again. I’m hoping this will help for others in my situation
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 21st Mar 25
Never having to worry about condoms is such a great plus. I had a lot of pain in the first six months and three 11+ day periods. Afterwards, my periods have stopped totally and I only get the occasional cramp, akin to an ovulation cramp. My libido has decreased slightly and my breast have gotten bigger. Overall it’s been a great help in my sex life
Decreased sex drive
0 helpful
0 comments
Used for 12 - 18 mo
28 years old
🇬🇧 UK
• 15th Mar 25
At first all the skin problems I got from it scarred me. But I first started Jaydesss becuse of extremely painfull periods. This absolutely helped, I mostly lost my period which I thought I will never be lucky enough to experience in my life. The skin problems got a bit less annoying and extreme after I lost my periods. But at first I had really painfull pimples all over me - my face, chest, back, especially back on y neck and under my hair - on my head (i never had that before ever). Later I only experienced a few shoulder and face pimples. Since my period is gone, my back pain and cramps are gone completely. I am so happy and I feel like I no longer have to fight a battle with my body every month. I am a happier person, I feel mentally healthier. Before that I was scarred what the month will bring with body pain and how I will hide blood stain that was everywhere, ruining my clothes, bedsheets, even towels. There was so much blood and now there is none and I feel lucky :)
Worse skin
0 helpful
0 comments
Used for 5 - 8 yr
33 years old
🇬🇧 UK
• 11th Mar 25
Got on really well for first few years but after year 5 the side effects seem to have become more frequent/worse.
Somewhat negative mood
1 more effect
0 helpful
0 comments

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