Hormonal coil (IUS) vs Vasectomy

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Hormonal coil (IUS)

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Vasectomy

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Overview

Rated 3.5

790 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.6

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

Vasectomy ingredients

A vasectomy (male sterilisation) is a permanent 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

43% no impact on mood

48% stopped periods

47% no impact

59% no impact

53% no impact on skin

Cycle return

30% don’t know impact

43% somewhat negative

86% no change

57% lost sex drive

100% no impact

100% no impact on skin

Cycle return

Not enough data to say

Benefits: What this contraceptive can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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

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Check out our latest reviews

Real life reviews from people like you

Hormonal coil (IUS) reviews

790 reviews

Hormonal coil (IUS)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Prepare for an immediate & severe drop in mood after insertion, coupled with intense pain for the first few weeks. My mood has stabilised a bit after 5 months, but overall I am much lower in mood and lack energy and motivation. The headaches are persistent and I have gained 1 stone. I bled for 3 months straight and now I bleed for approx half of the month, with painful periods and severe bloating.

Read more

Very negative mood

3 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Jaydess coil  

I’ve had this coil in for around 5 weeks now which isn’t a long time but it’s the best i’ve used so far. I have had positive experiences with copper IUDs in the past but they have all rejected due to strong period cramps, so I decided to give the Jaydess a try as it is the lowest dose of hormones available. I initially had it inserted a week after my period and the following week I started my period that lasted 17 days, very heavily. I didn't have any mood swings or weight gain in that time, but the cramps were SO bad for the entire time. On the weight gain, my experience might be skewed as I go to the gym and do very rigorous cardio 6 days per week. I have ultra dry skin also, so I cannot comment on acne as I luckily don’t suffer from it, apart from one super huge spot that came up on week 4. So far so good girls, stay safe and good luck!


Somewhat positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  1 month ago

Mirena coil  

I have found the coil a very useful and relatively stress free form of contraception. I find the lighter periods much easier to deal with, my PMDD has been a lot more manageable with the coil and I appreciate not having to remember to deal with contraception regularly. My only issues have been some uncomfortable cramping occasionally and I did have an ovarian cyst which the doctor thought could be related to the hormonal contraception. The cyst did require an overnight hospital stay for pain relief but didn’t require surgery to fix, it went away on its own. Overall, taking everything into account I would still recommend the hormonal coil for ease etc - I think it is worth it!


Somewhat positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Prepare for an immediate & severe drop in mood after insertion, coupled with intense pain for the first few weeks. My mood has stabilised a bit after 5 months, but overall I am much lower in mood and lack energy and motivation. The headaches are persistent and I have gained 1 stone. I bled for 3 months straight and now I bleed for approx half of the month, with painful periods and severe bloating.


Very negative mood

3 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Jaydess coil  

I’ve had this coil in for around 5 weeks now which isn’t a long time but it’s the best i’ve used so far. I have had positive experiences with copper IUDs in the past but they have all rejected due to strong period cramps, so I decided to give the Jaydess a try as it is the lowest dose of hormones available. I initially had it inserted a week after my period and the following week I started my period that lasted 17 days, very heavily. I didn't have any mood swings or weight gain in that time, but the cramps were SO bad for the entire time. On the weight gain, my experience might be skewed as I go to the gym and do very rigorous cardio 6 days per week. I have ultra dry skin also, so I cannot comment on acne as I luckily don’t suffer from it, apart from one super huge spot that came up on week 4. So far so good girls, stay safe and good luck!


Somewhat positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  1 month ago

Mirena coil  

I have found the coil a very useful and relatively stress free form of contraception. I find the lighter periods much easier to deal with, my PMDD has been a lot more manageable with the coil and I appreciate not having to remember to deal with contraception regularly. My only issues have been some uncomfortable cramping occasionally and I did have an ovarian cyst which the doctor thought could be related to the hormonal contraception. The cyst did require an overnight hospital stay for pain relief but didn’t require surgery to fix, it went away on its own. Overall, taking everything into account I would still recommend the hormonal coil for ease etc - I think it is worth it!


Somewhat positive mood

0 helpful

0 comments


Vasectomy reviews

7 reviews

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  5th Jul 24

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.


Top side effects not reported

0 helpful

0 comments

Vasectomy  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  5th Sep 20

Vasectomy  

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.


Somewhat negative mood

1 more effect

1 helpful

0 comments

Vasectomy  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  12th Jun 20

Vasectomy  

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.


Very negative mood

1 more effect

1 helpful

0 comments

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  5th Jul 24

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.


Top side effects not reported

0 helpful

0 comments

Vasectomy  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  5th Sep 20

Vasectomy  

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.


Somewhat negative mood

1 more effect

1 helpful

0 comments

Vasectomy  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  12th Jun 20

Vasectomy  

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.


Very negative mood

1 more effect

1 helpful

0 comments

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  20th Aug 19

Vasectomy  

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.


Somewhat negative mood

1 more effect

2 helpful

0 comments

Vasectomy  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  28th Jun 19

Vasectomy  

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.


Very positive mood

1 more effect

0 helpful

0 comments

Vasectomy  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  19th Jun 19

Vasectomy  

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.


Somewhat negative mood

1 more effect

2 helpful

0 comments

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  2nd Apr 19

Vasectomy  

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!


Top side effects not reported

3 helpful

0 comments

Contraceptive alternatives and comparisons

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