Contraception Reviews

Hormonal IUD vs Vasectomy

Hormonal IUD

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Vasectomy

Want to switch birth control?

Overview

Rated 3.6

80 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

40% no impact on mood

Bleeds

44% stopped periods

Sex drive

40% no impact

Weight

49% no impact

Skin

43% 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

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Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

80 reviews

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

Mirena IUD  

None just increased sex drive

Read more

Increased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
25 years old
🇺🇸 US
  •  11th Jun 26

Mirena IUD  

’m young (under 30) and yet desire is not there like it used to. I walk around with constant painful acne on my face no matter how many times I wash my face. I had it removed years ago and everything went back to normal. Then I got it again 3 years ago (still have it) and instantly remembered exactly why I got it removed in the first place.


Worse skin

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  15th Apr 26

Kyleena IUD  

I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.


Very negative mood

2 more effects

0 helpful

0 comments

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

Mirena IUD  

None just increased sex drive


Increased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
25 years old
🇺🇸 US
  •  11th Jun 26

Mirena IUD  

’m young (under 30) and yet desire is not there like it used to. I walk around with constant painful acne on my face no matter how many times I wash my face. I had it removed years ago and everything went back to normal. Then I got it again 3 years ago (still have it) and instantly remembered exactly why I got it removed in the first place.


Worse skin

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  15th Apr 26

Kyleena IUD  

I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.


Very negative mood

2 more effects

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

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