Contraception Reviews

Vasectomy vs Hormonal IUD

Vasectomy

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Hormonal IUD

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Overview

Rated 5.0

1 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 3.7

60 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

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.

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

What Lowdown reviewers say

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

Mood

43% no impact on mood

Bleeds

43% stopped periods

Sex drive

43% no impact

Weight

50% no impact

Skin

42% no impact on skin

Cycle return

50% in 1 month

Benefits: What this birth control can help with

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

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Check out our latest reviews

Real life reviews from people like you

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.

Read more

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


Hormonal IUD reviews

60 reviews

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

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 1 - 3 mo
15 years old
🇺🇸 US
  •  2 days ago

Mirena IUD  

So far I've had this for about a month and some change and I love it! Made my period significantly less painful this time around ❤️


Decreased sex drive

0 helpful

0 comments

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

Mirena IUD  

Honestly, the Mirena in my opinion isn’t bad at all. I have increased migraines but with OTC pain meds like Tylenol or ibuprofen, it helps a lot! I highly recommend this IUD just for the fact that it did lighten my period and lessen the cramps BUT I will add, it’s been continuous spotting since I’ve gotten it which isn’t a huge deal, just very annoying. Then I don’t know about yall, but the sweating…and over heating is crazy. This 4th of July I had to be taken by ambulance to the ER because I overheated so bad I passed out for over two hours, completely unresponsive BUT good vitals. I’m a very healthy 23 year old so that was completely unusual for me, I live in the Midwest so the heat can be a killer but it’s never EVER made me pass out or even dizzy, let alone unresponsive. So following with that, I wouldn’t say it’s a bad IUD, minus all the inconveniences. I haven’t gotten pregnant at least! Oh and to add, my sex drive is annoying my partner, he threatened to give me an ice bath last night to be exact😅


Increased sex drive

1 more effect

0 helpful

0 comments

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

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 1 - 3 mo
15 years old
🇺🇸 US
  •  2 days ago

Mirena IUD  

So far I've had this for about a month and some change and I love it! Made my period significantly less painful this time around ❤️


Decreased sex drive

0 helpful

0 comments

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

Mirena IUD  

Honestly, the Mirena in my opinion isn’t bad at all. I have increased migraines but with OTC pain meds like Tylenol or ibuprofen, it helps a lot! I highly recommend this IUD just for the fact that it did lighten my period and lessen the cramps BUT I will add, it’s been continuous spotting since I’ve gotten it which isn’t a huge deal, just very annoying. Then I don’t know about yall, but the sweating…and over heating is crazy. This 4th of July I had to be taken by ambulance to the ER because I overheated so bad I passed out for over two hours, completely unresponsive BUT good vitals. I’m a very healthy 23 year old so that was completely unusual for me, I live in the Midwest so the heat can be a killer but it’s never EVER made me pass out or even dizzy, let alone unresponsive. So following with that, I wouldn’t say it’s a bad IUD, minus all the inconveniences. I haven’t gotten pregnant at least! Oh and to add, my sex drive is annoying my partner, he threatened to give me an ice bath last night to be exact😅


Increased sex drive

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
25 years old
🇺🇸 US
  •  3 weeks ago

Mirena IUD  

I have been on the marina for almost a year and every time I get my period I am in severe pain….. when I’m driving I have to pull over on the side of the road to spit up and hold my stomach. Today it was so bad. I had to call in early. I throw up most times…… moral of the story I’m getting it taken out


Top side effects not reported

0 helpful

0 comments

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

Skyla IUD  

I got the IUD put in and since then I have experienced intense nausea and frequent headaches.


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
23 years old
🇺🇸 US
  •  1 month ago

Kyleena IUD  

I’ve only been on it for going on 3 weeks now. The first week was cramping and low back pain. Week 2 was nausea and hunger pains. I’m starting week 3 now and I’m working with my hunger, tiredness, and possibly some mood swings. So far I really like it. I don’t feel it, it doesn’t hurt or nothing.


Improved skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
22 years old
🇺🇸 US
  •  19th May 25

Mirena IUD  

This is a test!


Very positive mood

3 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
31 years old
🇺🇸 US
  •  29th Apr 25

Mirena IUD  

Best decision ever made!


Top side effects not reported

10 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  28th Apr 25

Kyleena IUD  

I got the Kyleena prescribed off-label to me after suffering from ridiculously heavy periods in my teens. I used to bleed 200mls+ on some periods and even Tranexamic acid didn’t help. This IUD has been an absolute life-saver and my periods are so much lighter. I will admit I have experienced some side effects - I used to have clear skin 95% of the time, however since the IUD I permanently have 1 or 2 pimples around my jawline which can be quite annoying. My periods are often very long now (7-11 days) despite being light which also gets frustrating. Those are the two main side effects I’ve experienced, but overall it’s been a positive experience.


Worse skin

10 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  28th Apr 25

Kyleena IUD  

I got the Kyleena prescribed off-label for my heavy menstrual bleeding. I used to bleed sometimes over 200ml per period, even Tranexamic acid didn’t help. This IUD has been a life saver - my periods are so much lighter. Overall it’s been a positive experience. I won’t pretend it doesn’t have other side effects though. My periods are now way longer than they used to be (7-11 days) although not heavy at all. I also had clear skin 95% of the time prior to the IUD but now I permanently have one or two pimples around my jawline which can be pretty annoying.


Worse skin

11 helpful

0 comments

Birth control alternatives and comparisons

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