The Lowdown, a Vira Health company

Hormonal IUD vs Vasectomy

Hormonal IUD

Want to switch birth control?

Vasectomy

Want to switch birth control?

Overview

Rated 3.6

83 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 5.0

1 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

Vasectomy ingredients

Vasectomy is a surgical procedure to cut or seal the tubes that carry a man’s sperm. It prevents pregnancy by stopping sperm getting into a man’s semen which is then ejaculated during sexual intercourse.

What Lowdown reviewers say

Mood

41% no impact on mood

Bleeds

45% stopped periods

Sex drive

42% no impact

Weight

51% no impact

Skin

41% no impact on skin

Cycle return

50% in 1 month

Mood

100% no impact on mood

Bleeds

100% can't tell

Sex drive

100% no impact

Weight

100% no impact

Skin

100% no impact on skin

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

83 reviews

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

Liletta IUD  

im on month 2 of iud and I js hate the consistent spotting I want to have sex without getting stuff dirty likeeee

Read more

Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
26 years old
🇺🇸 US
  •  7th Aug 26

Kyleena IUD  

Wish doctors were honest about how Kyleena (and hormonal IUDs in general) cause acne breakouts in women. I asked doctors and they repeatedly assured me that since hormonal IUDs use a localized progestin, the hormone doesn't enter into the bloodstream and cause acne. But this is not true. I had never struggled with acne prior to my Kyleena insertion. I've now had my IUD for over 3 years, and ever since I have persistent hormonal acne on my chin. It's still a good birth control product, but please keep in mind that acne is a common side effect of the hormonal IUD, affecting between 14-30% of people who have one.


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  2nd Aug 26

Mirena IUD  

initial "spotting" turned out to be almost 10 days of light to medium bleeding but cramps and bleeding have become much lighter compared to my regular cycle


Somewhat negative mood

0 helpful

0 comments

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

Liletta IUD  

im on month 2 of iud and I js hate the consistent spotting I want to have sex without getting stuff dirty likeeee


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
26 years old
🇺🇸 US
  •  7th Aug 26

Kyleena IUD  

Wish doctors were honest about how Kyleena (and hormonal IUDs in general) cause acne breakouts in women. I asked doctors and they repeatedly assured me that since hormonal IUDs use a localized progestin, the hormone doesn't enter into the bloodstream and cause acne. But this is not true. I had never struggled with acne prior to my Kyleena insertion. I've now had my IUD for over 3 years, and ever since I have persistent hormonal acne on my chin. It's still a good birth control product, but please keep in mind that acne is a common side effect of the hormonal IUD, affecting between 14-30% of people who have one.


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  2nd Aug 26

Mirena IUD  

initial "spotting" turned out to be almost 10 days of light to medium bleeding but cramps and bleeding have become much lighter compared to my regular cycle


Somewhat negative mood

0 helpful

0 comments


Vasectomy reviews

1 reviews

Vasectomy  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  16th Oct 24

Vasectomy  

Essentially painless procedure. Had a few aches here and there. Haven't gotten anyone pregnant.


Top side effects not reported

0 helpful

0 comments

Vasectomy  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  16th Oct 24

Vasectomy  

Essentially painless procedure. Had a few aches here and there. Haven't gotten anyone pregnant.


Top side effects not reported

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 2026