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

772 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

46% stopped periods

47% no impact

60% no impact

54% 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

772 reviews

Hormonal coil (IUS)  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  4 days ago

Jaydess coil  

I had cramps for ten days after and then I felt good for a week. Then I got pain so bad and a fever that I got taken to an and e. I in hospital for 10 days and had pelvic inflammatory disease which caused a massive abscess on my ovary which may leave permanent damage. I was never warned of this would not recommend it was such a painful experience

Read more

Somewhat negative mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
46 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Mirena prescribed for painful, heavy, irregular periods in peri-menopause. My quality of life improved dramatically as a result. I had some bleeding daily for first 6 weeks, but my periods have now stopped other than an occasional slight spotting episode. No more pain, flooding or embarrassment, with my iron levels restored, so feeling energetic and less tired. No side effects other than breast tenderness and some mood changes initially. Life changing.


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

After being on the combined pill for the last 13 years for my heavy periods I was ready for a change and I am so happy I did. I had previously tried to have a coil fitting at my local GP surgery but the pain was so much so that I asked the procedure be stopped. I went back a few months later and asked for a topical local anesthetic which really helped and was able to have it fitted successfully. The coil has honestly changed my life, just over six months in and my periods have now virtually stopped. With only a day of light bleeding. My mood has massively changed and I feel so much happier in myself, I don't think I even realised the full affect the combined pill was having on me, even my husband has commented on how much happier I seem. It was definitely worth it!


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  4 days ago

Jaydess coil  

I had cramps for ten days after and then I felt good for a week. Then I got pain so bad and a fever that I got taken to an and e. I in hospital for 10 days and had pelvic inflammatory disease which caused a massive abscess on my ovary which may leave permanent damage. I was never warned of this would not recommend it was such a painful experience


Somewhat negative mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
46 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Mirena prescribed for painful, heavy, irregular periods in peri-menopause. My quality of life improved dramatically as a result. I had some bleeding daily for first 6 weeks, but my periods have now stopped other than an occasional slight spotting episode. No more pain, flooding or embarrassment, with my iron levels restored, so feeling energetic and less tired. No side effects other than breast tenderness and some mood changes initially. Life changing.


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

After being on the combined pill for the last 13 years for my heavy periods I was ready for a change and I am so happy I did. I had previously tried to have a coil fitting at my local GP surgery but the pain was so much so that I asked the procedure be stopped. I went back a few months later and asked for a topical local anesthetic which really helped and was able to have it fitted successfully. The coil has honestly changed my life, just over six months in and my periods have now virtually stopped. With only a day of light bleeding. My mood has massively changed and I feel so much happier in myself, I don't think I even realised the full affect the combined pill was having on me, even my husband has commented on how much happier I seem. It was definitely worth it!


Very positive mood

0 helpful

0 comments


Vasectomy reviews

7 reviews

Vasectomy  
Used for 8+ yr
50 years old
🇬🇧 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
50 years old
🇬🇧 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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