The Lowdown, a Vira Health company

Birth control implant vs Sterilization

Birth control implant

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Sterilization

Want to switch birth control?

Overview

Rated 3.2

82 reviews

Every 5 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

Birth control implant ingredients

Main hormones in Birth control implant

Sterilization ingredients

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

What Lowdown reviewers say

Mood

28% no impact on mood

Bleeds

52% spotting

Sex drive

35% lost sex drive

Weight

46% gained weight

Skin

32% worse skin

Cycle return

46% 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

Period pain

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

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Want to switch birth control?

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Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Birth control implant reviews

82 reviews

Birth control implant  
Used for 3 - 5 yr
22 years old
🇺🇸 US
  •  15th Jul 26

Nexplanon implant  

I always had heavy and irregular periods before starting Nexplanon (except for when I was on the pill). In my first three years, I had moderate flow irregular bleeding and took the pill to help regulate (did not work). I then got Nexplanon reinserted after 3 years, at which point I lost my period altogether for almost 2 years, and now only have light (but irregular) spotting. I believe my mood is more consistent without a regular cycle. It is possible that my sex drive went down, but I was not sexually active before starting, so it might not have decreased. I did not gain weight like I did on the pill, and I do not feel as puffy from water retention. I found the insertion to be very easy. Removal was more uncomfortable because of how they pry it out, but it was not bad. I like the piece of mind of having it always in and being able to touch it to check.

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Somewhat positive mood

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
31 years old
🇺🇸 US
  •  30th Jun 26

Nexplanon implant  

Overall very satisfied with it as a way of avoiding periods. In the beginning there was a lot of spotting, and then period right after, then spotting again, but once that was over it's all good. I have not had a period in 3 months, but when I do get one, they last for at least a week (my normal period is 4 days). But as a contraceptive it is kind of useless, as I have 0% sex drive. None existent. To the point where sex is a chore, which is not healthy for any relationship. Acne is also quite alot worse, despite using retinol and salsylic acid, I get a lot of blackheads and big yellow pimples. Probably going to get it removed soon, because of the two negatives.


Worse skin

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  3rd May 26

Nexplanon implant  

H


Very positive mood

3 more effects

0 helpful

0 comments

Birth control implant  
Used for 3 - 5 yr
22 years old
🇺🇸 US
  •  15th Jul 26

Nexplanon implant  

I always had heavy and irregular periods before starting Nexplanon (except for when I was on the pill). In my first three years, I had moderate flow irregular bleeding and took the pill to help regulate (did not work). I then got Nexplanon reinserted after 3 years, at which point I lost my period altogether for almost 2 years, and now only have light (but irregular) spotting. I believe my mood is more consistent without a regular cycle. It is possible that my sex drive went down, but I was not sexually active before starting, so it might not have decreased. I did not gain weight like I did on the pill, and I do not feel as puffy from water retention. I found the insertion to be very easy. Removal was more uncomfortable because of how they pry it out, but it was not bad. I like the piece of mind of having it always in and being able to touch it to check.


Somewhat positive mood

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
31 years old
🇺🇸 US
  •  30th Jun 26

Nexplanon implant  

Overall very satisfied with it as a way of avoiding periods. In the beginning there was a lot of spotting, and then period right after, then spotting again, but once that was over it's all good. I have not had a period in 3 months, but when I do get one, they last for at least a week (my normal period is 4 days). But as a contraceptive it is kind of useless, as I have 0% sex drive. None existent. To the point where sex is a chore, which is not healthy for any relationship. Acne is also quite alot worse, despite using retinol and salsylic acid, I get a lot of blackheads and big yellow pimples. Probably going to get it removed soon, because of the two negatives.


Worse skin

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  3rd May 26

Nexplanon implant  

H


Very positive mood

3 more effects

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 Birth control implant with other birth control

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