Copper coil (IUD) vs Vasectomy

My experience of the copper IUD is mixed, even if overall positive. I first got it as emergency contraception after my first sexual experience, and was not properly offered any pain relief. The pain was excruciating and slightly traumatic, but also as I wasn't used to things going inside my vagina either. However it served me perfectly for 5 years, and no hormones and side effects from those. When it was time for renewal I was prepared emotionally and knew what pain relief to ask for. The procedure itself was quick and felt very empowering. They offered me the 10 year one which was slightly bigger and I thought it was no big deal. I was in constant low level pain and discomfort with it, and periods became excruciating. I got it switched back to a 5 year one and this cleared up. Again. the procedure was fairly quick as I knew my body and had good pain relief. My last one suited me fine up until around 2020, when the combination of the stress from the pandemic and using an expired lube gave me recurring yeast infections that lasted at least a year. I then discovered that it had slipped and so got it removed, deciding to switch to Fertility Awareness Method. After that, the recurring yeast infections stopped.

Personally, I would never get another coil again. The reason for 2 stars is I actually had the copper coil inserted in 2018 and it was okay but I had it removed in 2021 after asking for it to be removed for over a year. My periods were heavier as expected, but I also had thrush every month, BV multiple times and it just became so uncomfortable dealing with this constantly. I had the copper coil again this year (march 2025) and it was awful. The insertion this time took an hour compared to the 10 minutes last time. I was in so much pain I was heaving, I have had three babies and this was worse than birthing a child. They finally got it in and I ended up with a mild infection probably due to how long and how many attempts it took. A week later it started to settle down 🤞🏼 however almost three months later and I'm having it removed next week. I don't know if it's misplaced (they will be checking this first) but I feel it 'stabbing' me randomly every day. I will be walking and suddenly stop and feel like it's stabbing me or trying to come out, but I can still feel the strings. On two occasions it's hurts me during sex which is a red flag. My periods are 10-12 days long and I'm getting through a pack of pads every 1-2 days, plus the thrush is back again. I was offered a replacement however I have declined and I am currently trying to decide which combined pill may be best for me, tho I am nervous about going on the pill now!

I was having heavier periods

vasectomy is a good form of contraception. There is a lot of good information here: https://vasectomy.co.uk/vasectomy

As a woman the vasectomy is the best contraception I feel we have ever had. I have no pain, weight gain, mood swings, plastic packaging or costs. I highly recommend.

Sept 1998. Had a vasectomy. Easy and quick. Done in the hospital operating room on a Friday morning. Went home And took it easy. Took it easy at work Monday no problems. By Wednesday started feeling pain in testicles. Called doctors office. Doctors gone on holiday. Anyway from this point the pain only gets worse and all the doctors have to say is that they have never seen anyone in such pain. Within the first six months I had met with a variety of doctors and tried a wide variety of drugs, therapies and nerve blocks. Nothing worked for more than a few hours (nerve blocks did!). I had the vasectomy reversed June 1999 at my own cost of $2000. It was about three months before i felt better from that. Sadly only my left testicle had resolved. The right side still had the same pain. I had a semen test done. First ever in my life. I had sperm count of 125 million / ml. Surgeon thought that was great but still pain persisted in my right testicle. Followup turned into another vas reversal but just for the right side. This one I didn’t have to pay for because it was for chronic pain. Sadly it didn’t help. Now it’s 2020! I have endured this for 22 years. I wish I had never done it. That’s my absolute last word.

Vasectomy has been a very effective contraceptive for me. It is good because it has allowed my hormones to follow a natural rhythm. Unfortunately I have experienced depression(and severe PMS) as I would like to have more children(but my partner does not). This has decreased my libido significantly and made me consider using hormonal contraception to level out my hormone levels.

As noted before, testicular pain/discomfort and testicles sensitive to pressure to the extent that rucked underpants could lead to quite severe pain. Gradually diminished over years but not completely. Testicles still more sensitive than should be. Did lead to reduction in enjoyment of sex as experience could be painful on occasions. Apparently quite a high side effect risk. Effective contraception method but took a few weeks to get the all clear.

For women, this is the most natural contraceptive on the market. For me and all the other men, its mostly psychological, but had no side effects.

Vasectomies are relatively safe for surgical procedures, but it is STILL SURGERY and as such has risks and side effects. In particular be aware that many of the side effects aren't really talked about. In my case I thought I was well educated about the procedure (I am a nurse) but it wasn't until after the deed was done that I learned for about 10% of men (numbers vary from study to study) the pain from surgery never entirety goes away. Most of the time (including in my case) it's pretty mild and you can still function, but it's always there and I was not warned about that possibility. As far as sexual side effects, there's a lot of misinformation out there so let me cover the basics: -You still ejaculate, and the amount is pretty much unchanged. However, the consistency of your semen does change--often runnier post-op. -You can still get someone pregnant for a few months after the procedure. Plan accordingly. -Officially there shouldn't be any difference in orgasm or sex drive. I must disagree. Orgasm doesn't feel the same at all, but seems to be slowly recovering over time. At 1 month post-op sex was actually pretty unpleasant to the point I just wasn't interested at all. I am at 2 months now and it's . . . pleasant again but still not what it once was. -The appearance of your genitals may change a little, particularly the way the testicles hang. Nothing major, but it can make you feel pretty self conscious. The surgery itself isn't too bad-- kind of like a root canal but more embarrassing. I'm still pretty recent post-op so I am hoping things improve, the side effects aren't unbearable but I do wish they hadn't downplayed them as much as they did.

I had a vasectomy at the age of 31 after fathering two children. I didn't want my wife to be taking drugs for the rest of her child-bearing years - and I also didn't want the risk of another mouth to feed. My doctor tried to dissuade me on the basis that I may want children in the future. However, we went ahead and it was very straightforward, not all that painful and 100% effective. Ps: You don't lose your mojo!