Contraception Reviews

Hormonal IUD vs Combination birth control pill

Hormonal IUD

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Combination birth control pill

Want to switch birth control?

Overview

Rated 3.5

74 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.3

136 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin


Combination pill ingredients

Main hormones in Combination pill

estrogen

What Lowdown reviewers say

Mood

38% no impact on mood

Bleeds

45% stopped periods

Sex drive

41% no impact

Weight

47% no impact

Skin

43% no impact on skin

Cycle return

50% in 1 month

Mood

28% no impact on mood

Bleeds

32% lighter periods

Sex drive

38% lost sex drive

Weight

43% no impact

Skin

40% improved skin

Cycle return

35% in 1 month

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

74 reviews

Hormonal IUD  
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
  •  2 days ago

Mirena IUD  

Side affects can change as time passes. I noticed more side effects the longer I was on it.

Read more

Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  6 days ago

Mirena IUD  

I love mirena


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
27 years old
🇺🇸 US
  •  2 weeks ago

Kyleena IUD  

Better than copper IUD. Similar in side effects to birth control ring except less effect on sex drive.


Increased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
  •  2 days ago

Mirena IUD  

Side affects can change as time passes. I noticed more side effects the longer I was on it.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  6 days ago

Mirena IUD  

I love mirena


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
27 years old
🇺🇸 US
  •  2 weeks ago

Kyleena IUD  

Better than copper IUD. Similar in side effects to birth control ring except less effect on sex drive.


Increased sex drive

0 helpful

0 comments


Combination birth control pill reviews

136 reviews

Combination birth control pill  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

The loss of sex drive and vaginal dryness is affecting my relationship


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
15 years old
🇺🇸 US
  •  1 month ago

Nikki birth control pill  

The head aches are not to bad but the font go away with meds


Very positive mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  5th Jan 26

Loryna birth control pill  

This birth control has been GAME CHANGER for me. My periods are almost non-existent, seriously, so light I barely notice! My cramps are also almost NEVER there when my period comes. Before, I would have crippling pain and a heavy, inconsistent period. In the first month or two of taking the pill, I did notice a frequent occurrence of headaches, but nothing major or unbearable. Also, no weight gain!! I used to occasionally have acne, but that seems completely gone now too. I do feel my mood has improved considerably as well. Endlessly grateful for this pill, I hope it works for many others when they try it!


Very positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

The loss of sex drive and vaginal dryness is affecting my relationship


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
15 years old
🇺🇸 US
  •  1 month ago

Nikki birth control pill  

The head aches are not to bad but the font go away with meds


Very positive mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  5th Jan 26

Loryna birth control pill  

This birth control has been GAME CHANGER for me. My periods are almost non-existent, seriously, so light I barely notice! My cramps are also almost NEVER there when my period comes. Before, I would have crippling pain and a heavy, inconsistent period. In the first month or two of taking the pill, I did notice a frequent occurrence of headaches, but nothing major or unbearable. Also, no weight gain!! I used to occasionally have acne, but that seems completely gone now too. I do feel my mood has improved considerably as well. Endlessly grateful for this pill, I hope it works for many others when they try it!


Very positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
28 years old
🇺🇸 US
  •  28th Dec 25

Junel Fe 1.5/30 birth control pill  

I got on this birth control because I was having mood swings and was feeling irritable and not like myself on the birth control pill I was on before. This one helped my mood a lot and my periods have been short and light on it (bleeding for 2-3 days and spotting for 1-2 days).


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
16 years old
🇺🇸 US
  •  18th Dec 25

Yaz birth control pill  

good for me


Improved skin

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  11th Dec 25

Combination birth control pill  

Discharge throws off my mood and for sex..


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
19 years old
🇺🇸 US
  •  17th Nov 25

Vienva birth control pill  

I really like it! I take it daily and bae no bad side effects, and actually feel my mood has improved


Very positive mood

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  5th Nov 25

Junel 21 1/20 birth control pill  

I started taking this pill post partial hysterectomy for worsening PMDD symptoms. Within week 1 I totally lost my libido (I generally have a super high drive and have sex daily with my partner). I have had a couple of headaches as well since starting which is not a frequent thing for me. After the first few days I felt bloated as well. I do not have to worry about pregnancy since having a partial hysterectomy, however the other side effects are uncomfortable enough I do not want to continue this pill.


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
25 years old
🇺🇸 US
  •  30th Oct 25

Junel Fe 1.5/30 birth control pill  

It was fine, but not the best. I noticed feeling increasingly agitated often and it made my cramps a lot worse when I had a pill period. Overall wasn't a bad med, but not my favorite. Main symptom that made me get off it was really bad hot flashes everyday.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
27 years old
🇺🇸 US
  •  21st Oct 25

Junel Fe 1/20 birth control pill  

It’s worked and been totally fine.


Top side effects not reported

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Hormonal IUD with other birth control

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