Combined pill vs Sterilisation (Female / tubal occlusion)

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Combined pill

£From £0.16/day

Sterilisation (Female / tubal occlusion)

Add your Sterilisation (Female / tubal occlusion) review

Overview

Rated 2.8

2492 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 4.4

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

Sterilisation (Female / tubal occlusion) ingredients

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

What Lowdown reviewers say

32% somewhat negative

48% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

57% no impact on mood

57% no change

43% no impact

71% no impact

100% no impact on skin

Cycle return

Not enough data to say

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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

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£From £0.16/day

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Add your Sterilisation (Female / tubal occlusion) review

Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2492 reviews

Combined pill  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  5 days ago

Gedarel 20/150 pill  

I started using contraception again to help manage my PMS, particularly the mood swings a week before my period. At the time, I was also struggling with severe anxiety, which made PMS even harder to cope with each month. I hoped contraception would help regulate my hormones and provide some relief. Initially, I was prescribed Rigividon, but it didn’t work for me. A week before my period, I had intense emotional spikes, irritability, increased appetite, cramps, and breast tenderness. While I could just about manage it most of the time, I worried about how difficult it might get during stressful periods. My nurse suggested switching to Gederal. Since switching to Gederal, my experience has been much better. My periods are lighter, and my PMS symptoms have improved significantly. I feel much more emotionally stable in the week before my period. However, I tried skipping the 7-pill free days to avoid the break, but by the third packet, I felt PMS symptoms building up again, including mood swings. I have had a small amount of reoccurring dermatitis on my nose and chin since starting the pill. Overall, Gederal has been a much better fit for me compared to both Rigividon and my experience without contraception. It’s made a noticeable difference in managing my PMS and emotional well-being.

Read more

Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

Brevinor pill  

I’ve been on a couple of pills in the past which have been fine other than the odd side effect. But I’ve changed over due to those small side effects getting worse such as the main one being water retention in the arms. Brevinor, this is by far the worst pill I’ve tried. The first 3 days were terrible. I felt faint, tired & dizzy. My boobs were so sore for the first 21 days when I was taking this pill. Swollen and sore, even putting my bra on. I have gone back to my GP and they have prescribed rigevidon….judging by the reviews on here I will not be taking it or any other pills. I will be starting to track my cycle naturally in the new year whilst using barrier methods such as condoms.


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Ambelina pill  

My experience of this pill was very positive, only reason I do not use it joe is because my pharmacist switched to a different brand (same hormones)


Top side effects not reported

2 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  5 days ago

Gedarel 20/150 pill  

I started using contraception again to help manage my PMS, particularly the mood swings a week before my period. At the time, I was also struggling with severe anxiety, which made PMS even harder to cope with each month. I hoped contraception would help regulate my hormones and provide some relief. Initially, I was prescribed Rigividon, but it didn’t work for me. A week before my period, I had intense emotional spikes, irritability, increased appetite, cramps, and breast tenderness. While I could just about manage it most of the time, I worried about how difficult it might get during stressful periods. My nurse suggested switching to Gederal. Since switching to Gederal, my experience has been much better. My periods are lighter, and my PMS symptoms have improved significantly. I feel much more emotionally stable in the week before my period. However, I tried skipping the 7-pill free days to avoid the break, but by the third packet, I felt PMS symptoms building up again, including mood swings. I have had a small amount of reoccurring dermatitis on my nose and chin since starting the pill. Overall, Gederal has been a much better fit for me compared to both Rigividon and my experience without contraception. It’s made a noticeable difference in managing my PMS and emotional well-being.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

Brevinor pill  

I’ve been on a couple of pills in the past which have been fine other than the odd side effect. But I’ve changed over due to those small side effects getting worse such as the main one being water retention in the arms. Brevinor, this is by far the worst pill I’ve tried. The first 3 days were terrible. I felt faint, tired & dizzy. My boobs were so sore for the first 21 days when I was taking this pill. Swollen and sore, even putting my bra on. I have gone back to my GP and they have prescribed rigevidon….judging by the reviews on here I will not be taking it or any other pills. I will be starting to track my cycle naturally in the new year whilst using barrier methods such as condoms.


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Ambelina pill  

My experience of this pill was very positive, only reason I do not use it joe is because my pharmacist switched to a different brand (same hormones)


Top side effects not reported

2 helpful

0 comments


Sterilisation (Female / tubal occlusion) reviews

7 reviews

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  26th May 24

Sterilisation (Female / tubal occlusion)  

Feel much better not having extra hormones circulating through my body and not worrying about contraception.


Very positive mood

1 more effect

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  25th Mar 24

Sterilisation (Female / tubal occlusion)  

eryew4yhwesgs


Decreased sex drive

1 more effect

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  30th Jul 23

Sterilisation (Female / tubal occlusion)  

This procedure saved my life! I was sterilised earlier this year aged 36, I suffer from Tokophobia (fear of pregnancy) and don’t want children so this surgery was the perfect solution. I opted to have both tubes removed completely to reduce any risk of recanalisation in the future. I feel so much happier in myself and no longer experience panic attacks related to sex/pregnancy scares so I’m actually able to relax and enjoy myself 😅 I had to go private because of my age and where I live but it was definitely worth the money. There is a Childfree friendly doctors list on Reddit, I found the link on a Childfree Facebook group. Definitely recommend sterilisation!


Very positive mood

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  26th May 24

Sterilisation (Female / tubal occlusion)  

Feel much better not having extra hormones circulating through my body and not worrying about contraception.


Very positive mood

1 more effect

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  25th Mar 24

Sterilisation (Female / tubal occlusion)  

eryew4yhwesgs


Decreased sex drive

1 more effect

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  30th Jul 23

Sterilisation (Female / tubal occlusion)  

This procedure saved my life! I was sterilised earlier this year aged 36, I suffer from Tokophobia (fear of pregnancy) and don’t want children so this surgery was the perfect solution. I opted to have both tubes removed completely to reduce any risk of recanalisation in the future. I feel so much happier in myself and no longer experience panic attacks related to sex/pregnancy scares so I’m actually able to relax and enjoy myself 😅 I had to go private because of my age and where I live but it was definitely worth the money. There is a Childfree friendly doctors list on Reddit, I found the link on a Childfree Facebook group. Definitely recommend sterilisation!


Very positive mood

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  2nd Dec 20

Sterilisation (Female / tubal occlusion)  

It maybe ok for some people and for some, like the other women here it may even be good, but for myself and a lot of other women this was and still is the worst thing that could have happened to me. My life has been irrevocably damaged by this procedure and is still being damaged. The complex migraines I have suffered since having the procedure caused me to have a stroke 3 days after my 39th birthday, I have never smoked, eat healthy, organic food and don’t abuse my body. Before this procedure I was extremely fit, quick minded, outgoing and energetic. It might not harm everyone but if you are one of the growing number of women that have been affected you will regret it for the rest of your life. Even a reversal may not completely fix things (as I found) depending on how badly the tubes have been damaged. Really do your research, join support groups for ptls and ask the women who are all suffering the same symptoms, as many questions as you can.


Very negative mood

2 more effects

1 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  24th Sep 20

Sterilisation (Female / tubal occlusion)  

I chose sterilization several years ago to prevent pregnancy. It was the right decision for me and I have had no long-lasting effects.


Top side effects not reported

1 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  7th Nov 19

Sterilisation (Female / tubal occlusion)  

Best decision ever. I never have to worry about a pregnancy scare. Note: only do this if you are sure you never want to become pregnant naturally.


Increased sex drive

1 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  26th Jun 19

Sterilisation (Female / tubal occlusion)  

I decided to get sterilised at age 25 after awful side effects from hormonal contraceptives (which doctors brushed off as nothing) including weight gain, depression, mood swings and complete loss of libido. I didn't want kids so I went to Marie Stopes and had my tubes tied privately (think it cost about £1000). Doctors on the NHS had more or less told me I was supposed to have kids and they only sterilised women who are older or who have already had kids...women's healthcare is shockingly bad. Anyway, other than temporary pain and discomfort after the surgery, which gradually tapered off after 2 weeks (I was in bad period-level pain immediately after, but by the next day I was just uncomfortable and this got better day by day), I feel completely myself and have done ever since...zero side effects! P.s. don't trust NHS doctors when it comes to women's health - they lie.


Top side effects not reported

6 helpful

0 comments

Contraceptive alternatives and comparisons

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