Contraception Reviews

Hormonal IUD vs Sterilization

Hormonal IUD

Want to switch birth control?

Sterilization

Want to switch birth control?

Overview

Rated 3.7

62 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

44% stopped periods

Sex drive

44% no impact

Weight

48% no impact

Skin

42% 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

Try it now

Want to switch birth control?

Try it now

Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

62 reviews

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  1 day ago

Mirena IUD  

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.

Read more

Somewhat positive mood

2 more effects

0 helpful

1 comments

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

So far i’m loving mine! The spotting for the first month has been very annoying but nothing horrible. Cramping went away in four days, only negative so far is i’ve had a lower heat tolerance and (i’m blonde) my leg hair has gotten DARK. I have been consistently loosing weight since starting and plus, in my opinion, my sex drive is way up. My partner is on testosterone therapy so i’m finally able to keep up with him and we love it! I highly recommend so far!


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Kyleena IUD  

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain


Very negative mood

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  1 day ago

Mirena IUD  

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.


Somewhat positive mood

2 more effects

0 helpful

1 comments

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

So far i’m loving mine! The spotting for the first month has been very annoying but nothing horrible. Cramping went away in four days, only negative so far is i’ve had a lower heat tolerance and (i’m blonde) my leg hair has gotten DARK. I have been consistently loosing weight since starting and plus, in my opinion, my sex drive is way up. My partner is on testosterone therapy so i’m finally able to keep up with him and we love it! I highly recommend so far!


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Kyleena IUD  

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain


Very negative mood

0 helpful

0 comments


Sterilization reviews

3 reviews

Sterilization  
Used for 8+ yr
38 years old
🇺🇸 US
  •  13th Apr 25

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
  •  13th Apr 25

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

Don’t keep it on the DL.Put it on the LD.

Slide into our DMs

hello@thelowdown.com

Sitemap

©The Lowdown 2025