Contraception Reviews

Hormonal IUD vs Sterilization

Hormonal IUD

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Sterilization

Want to switch birth control?

Overview

Rated 3.7

53 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

3 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

Sterilization ingredients

Plastic or titanium clamps or silicone ring may be used to block the fallopian tubes.

What Lowdown reviewers say

Mood

42% no impact on mood

Bleeds

47% stopped periods

Sex drive

45% no impact

Weight

49% no impact

Skin

40% no impact on skin

Cycle return

50% in 1 month

Mood

33% very positive

Bleeds

67% stopped periods

Sex drive

67% don’t know impact

Weight

33% lost weight

Skin

67% don’t know impact

Cycle return

Not enough data to say

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

There are no benefits that are recognised in scientific research or guidelines for this birth control

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Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

53 reviews

Hormonal IUD  
Used for 6 - 12 mo
31 years old
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

Best decision ever made!

Read more

Top side effects not reported

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label to me after suffering from ridiculously heavy periods in my teens. I used to bleed 200mls+ on some periods and even Tranexamic acid didn’t help. This IUD has been an absolute life-saver and my periods are so much lighter. I will admit I have experienced some side effects - I used to have clear skin 95% of the time, however since the IUD I permanently have 1 or 2 pimples around my jawline which can be quite annoying. My periods are often very long now (7-11 days) despite being light which also gets frustrating. Those are the two main side effects I’ve experienced, but overall it’s been a positive experience.


Worse skin

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label for my heavy menstrual bleeding. I used to bleed sometimes over 200ml per period, even Tranexamic acid didn’t help. This IUD has been a life saver - my periods are so much lighter. Overall it’s been a positive experience. I won’t pretend it doesn’t have other side effects though. My periods are now way longer than they used to be (7-11 days) although not heavy at all. I also had clear skin 95% of the time prior to the IUD but now I permanently have one or two pimples around my jawline which can be pretty annoying.


Worse skin

11 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
31 years old
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

Best decision ever made!


Top side effects not reported

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label to me after suffering from ridiculously heavy periods in my teens. I used to bleed 200mls+ on some periods and even Tranexamic acid didn’t help. This IUD has been an absolute life-saver and my periods are so much lighter. I will admit I have experienced some side effects - I used to have clear skin 95% of the time, however since the IUD I permanently have 1 or 2 pimples around my jawline which can be quite annoying. My periods are often very long now (7-11 days) despite being light which also gets frustrating. Those are the two main side effects I’ve experienced, but overall it’s been a positive experience.


Worse skin

10 helpful

0 comments

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

Kyleena IUD  

I got the Kyleena prescribed off-label for my heavy menstrual bleeding. I used to bleed sometimes over 200ml per period, even Tranexamic acid didn’t help. This IUD has been a life saver - my periods are so much lighter. Overall it’s been a positive experience. I won’t pretend it doesn’t have other side effects though. My periods are now way longer than they used to be (7-11 days) although not heavy at all. I also had clear skin 95% of the time prior to the IUD but now I permanently have one or two pimples around my jawline which can be pretty annoying.


Worse skin

11 helpful

0 comments


Sterilization reviews

3 reviews

Sterilization  
Used for 8+ yr
38 years old
🇺🇸 US
  •  1 month ago

Sterilization  

It’s just that my periods are all over and I hate having them anyway so I really hate how they are so irregular


Somewhat negative mood

1 helpful

0 comments

Sterilization  
Used for 18 mo - 3 yr
48 years old
🇺🇸 US
  •  3rd Apr 25

Sterilization  

Every one that I spoke with told me that they haven't been able to conceive after taking the Depro Vera shot! Even women that are half my age! Said that it made them sterile as well. I've been seeing commercials for law offices mentioning a certain kind of Cancer. But I've never heard of any pertaining to it making them sterile.


Gained weight

0 helpful

0 comments

Sterilization  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  5th Aug 24

Sterilization  

I am not deliberately using birth control. The survey needs to have a choice for “I am not using birth control.” I had a hysterectomy after developing dangerous cysts.


Very positive mood

2 more effects

0 helpful

0 comments

Sterilization  
Used for 8+ yr
38 years old
🇺🇸 US
  •  1 month ago

Sterilization  

It’s just that my periods are all over and I hate having them anyway so I really hate how they are so irregular


Somewhat negative mood

1 helpful

0 comments

Sterilization  
Used for 18 mo - 3 yr
48 years old
🇺🇸 US
  •  3rd Apr 25

Sterilization  

Every one that I spoke with told me that they haven't been able to conceive after taking the Depro Vera shot! Even women that are half my age! Said that it made them sterile as well. I've been seeing commercials for law offices mentioning a certain kind of Cancer. But I've never heard of any pertaining to it making them sterile.


Gained weight

0 helpful

0 comments

Sterilization  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  5th Aug 24

Sterilization  

I am not deliberately using birth control. The survey needs to have a choice for “I am not using birth control.” I had a hysterectomy after developing dangerous cysts.


Very positive mood

2 more effects

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Hormonal IUD with other birth control

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