Copper coil (IUD) vs Sterilisation (Female / tubal occlusion)

Need help choosing? Speak to a doctor
Copper coil (IUD)

Add your Copper coil (IUD) review

Sterilisation (Female / tubal occlusion)

Add your Sterilisation (Female / tubal occlusion) review

Overview

Rated 3.5

590 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

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

Copper coil (IUD) ingredients

Most copper coils are made of a T-shaped frame of polyethylene (plastic) and barium sulphate. Copper wire is wound around the vertical arm.

Sterilisation (Female / tubal occlusion) ingredients

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

What Lowdown reviewers say

54% no impact on mood

68% heavier periods

63% no impact

75% no impact

75% no impact on skin

Cycle return

45% in 1 month

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

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

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

Try it now

Add your Copper coil (IUD) review

Try it now

Add your Sterilisation (Female / tubal occlusion) review

Check out our latest reviews

Real life reviews from people like you

Copper coil (IUD) reviews

590 reviews

Copper coil (IUD)  
Used for 3 - 5 yr
37 years old
🇬🇧 UK
  •  2 days ago

Copper coil (IUD)  

After having children the contraceptive pill didn’t seem to work, I tried various types and had breakthrough bleeding. I decided to try the copper coil. Insertion was so painful but my periods have been regular and through tracking apps I’ve got to understand my cycle and know what my hormones are doing which I quite like.

Read more

Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

The copper coil hurt the first day of insertion but then immediately settled. My periods have become slightly heavier and cramps a bit more painful but still very manageable with just paracetamol and ibuprofen. I am lucky in that my periods only last 4-5 days anyway. My moods change with a normal cycle pattern, I get some acne during my luteal phase. I love having protection but not having the negative impacts on my MH like hormonal contraception had. Would recommend.


Somewhat positive mood

1 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
29 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

It's so hard finding contraception that doesn't have side effects and I wanted a hormone free form, so opted for copper IUD. Insertion is manageable, with painkillers beforehand. The first period was tough, I invested in a tens machine pad but the cramps were hard, but not worse than the worst period I've had. Second period non existent, literally three days and barely any blood, but third was heavy and lasted for 10 days. I stopped using the coil not because of any of this alone, but because I'm sure the inflammation in my body was making me uncharacteristically anxious. So hard to put my finger on, but since I got it removed it's been a weight off my shoulders. I'm now worrying that hormonal IUD will make me more anxious, and I haven't had it put in yet. It's overall not been too awful- I wouldn't not recomend it but I had it put in for emergency contraception so hoping there is a better solution out there without the anxiety side effects.


Somewhat negative mood

1 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 5 yr
37 years old
🇬🇧 UK
  •  2 days ago

Copper coil (IUD)  

After having children the contraceptive pill didn’t seem to work, I tried various types and had breakthrough bleeding. I decided to try the copper coil. Insertion was so painful but my periods have been regular and through tracking apps I’ve got to understand my cycle and know what my hormones are doing which I quite like.


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

The copper coil hurt the first day of insertion but then immediately settled. My periods have become slightly heavier and cramps a bit more painful but still very manageable with just paracetamol and ibuprofen. I am lucky in that my periods only last 4-5 days anyway. My moods change with a normal cycle pattern, I get some acne during my luteal phase. I love having protection but not having the negative impacts on my MH like hormonal contraception had. Would recommend.


Somewhat positive mood

1 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
29 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

It's so hard finding contraception that doesn't have side effects and I wanted a hormone free form, so opted for copper IUD. Insertion is manageable, with painkillers beforehand. The first period was tough, I invested in a tens machine pad but the cramps were hard, but not worse than the worst period I've had. Second period non existent, literally three days and barely any blood, but third was heavy and lasted for 10 days. I stopped using the coil not because of any of this alone, but because I'm sure the inflammation in my body was making me uncharacteristically anxious. So hard to put my finger on, but since I got it removed it's been a weight off my shoulders. I'm now worrying that hormonal IUD will make me more anxious, and I haven't had it put in yet. It's overall not been too awful- I wouldn't not recomend it but I had it put in for emergency contraception so hoping there is a better solution out there without the anxiety side effects.


Somewhat negative mood

1 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

1 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

1 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

1 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

1 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

1 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

7 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Copper coil (IUD) with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them