Contraception Reviews

Birth control implant vs Vasectomy

Birth control implant

Want to switch birth control?

Vasectomy

Want to switch birth control?

Overview

Rated 3.2

71 reviews

Every 3 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

Birth control implant ingredients

Main hormones in Birth control implant

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

28% no impact on mood

Bleeds

56% spotting

Sex drive

32% lost sex drive

Weight

47% gained weight

Skin

31% no impact on skin

Cycle return

46% 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

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

71 reviews

Birth control implant  
Used for 5 - 8 yr
34 years old
🇺🇸 US
  •  2 weeks ago

Nexplanon implant  

I got on the birth control on the same day I had a surgical abortion due to abnormal ultrasound 14 weeks into pregnancy in 2019. My body was going through a lot of hormonal changes as expected. Severe bleeding for several weeks occurred yet once my body adjusted to the birth control, I have not had any issues. Lighter regular periods with no side effects or unexpected pregnancies. I kept the first implant 5 years to the date of insertion and had a new one inserted in 2024. No heavy bleeding, side effects, or changes occurred. Highly recommended for those who wish to avoid pregnancy until the time is right and do not want the responsibility of taking the pill daily. Give patience to the implant as it may be slightly overwhelming at first but rest assured I have had absolutely no problems, pains, or poor side effects!

Read more

Improved skin

1 more effect

0 helpful

0 comments

Birth control implant  
Used for 8+ yr
34 years old
🇺🇸 US
  •  3 weeks ago

Nexplanon implant  

Horrible side effects and depression/anxiety


Very negative mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 3 - 5 yr
28 years old
🇺🇸 US
  •  27th Sep 25

Nexplanon implant  

It did its job effectively but the side effects were awful and only got worse with time. I have excessive hair growth on my chin, lip, chest, and stomach which I have to shave daily/every other day. Never had this issue before. I also gained 30lbs over the 4 years I was on it. I will say, my cycle went back to normal very quickly after removal (removed a little under 3 weeks ago and im currently ovulating) so very good news given that we're trying to concieve. I would have just stuck with the pill though if I had known how bad it would be and that I'd have a lapse in health insurance during my time having it so getting it removed at an affordable rate was not an option.


Somewhat negative mood

2 more effects

1 helpful

0 comments

Birth control implant  
Used for 5 - 8 yr
34 years old
🇺🇸 US
  •  2 weeks ago

Nexplanon implant  

I got on the birth control on the same day I had a surgical abortion due to abnormal ultrasound 14 weeks into pregnancy in 2019. My body was going through a lot of hormonal changes as expected. Severe bleeding for several weeks occurred yet once my body adjusted to the birth control, I have not had any issues. Lighter regular periods with no side effects or unexpected pregnancies. I kept the first implant 5 years to the date of insertion and had a new one inserted in 2024. No heavy bleeding, side effects, or changes occurred. Highly recommended for those who wish to avoid pregnancy until the time is right and do not want the responsibility of taking the pill daily. Give patience to the implant as it may be slightly overwhelming at first but rest assured I have had absolutely no problems, pains, or poor side effects!


Improved skin

1 more effect

0 helpful

0 comments

Birth control implant  
Used for 8+ yr
34 years old
🇺🇸 US
  •  3 weeks ago

Nexplanon implant  

Horrible side effects and depression/anxiety


Very negative mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 3 - 5 yr
28 years old
🇺🇸 US
  •  27th Sep 25

Nexplanon implant  

It did its job effectively but the side effects were awful and only got worse with time. I have excessive hair growth on my chin, lip, chest, and stomach which I have to shave daily/every other day. Never had this issue before. I also gained 30lbs over the 4 years I was on it. I will say, my cycle went back to normal very quickly after removal (removed a little under 3 weeks ago and im currently ovulating) so very good news given that we're trying to concieve. I would have just stuck with the pill though if I had known how bad it would be and that I'd have a lapse in health insurance during my time having it so getting it removed at an affordable rate was not an option.


Somewhat negative mood

2 more effects

1 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 Birth control implant with other birth control

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