Hormonal coil (IUS) vs Vasectomy
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Overview
Rated 3.5
876 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.8
8 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
What Lowdown reviewers 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
876 reviews
Used for 8+ yr
50 years old
🇬🇧 UK
• 3 weeks ago
I had used the Mirena coil back to back post partum for 9 years very happily but my LEA meant I was only having withdrawal bleeds. After restoring bodyweight and menstruating naturally, I went back for Mirena but was given Jaydess. The insertion was more problematic and that she how I ended up with Jaydess over Mirena. I had irregular and more bleeding for the first 3 months but read the reviews on here to help me persevere. I was “angry” as on Mirena it was always so easy but then I wasn’t actually properly menstruating due to low energy availability (eating disorder) so I drew perhaps FALSE causation on Jaydess being wrong. I have very light but regular periods and my PME is definitely reduced. I’ve had it in a year and am very happy with it and my threads have stayed in place despite roughhousing which wasn’t always the case with the Mirena. I’m in no rush to have to it out even though I turn 50 this year.
Top side effects not reported
1 helpful
0 comments
Used for 18 mo - 3 yr
36 years old
🇬🇧 UK
• 3 weeks ago
Had this for adenomyosis and the pain stopped for a while but its back again now so the side affects aren't worth it for me. Having it removed later today
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 3 weeks ago
I love my hormonal coil. I have had no side effects what-so-ever and my bleeding is regular but extremly light, only monthly spotting. I did have ongoing spotting for around the first 6 months but no issue at all since then and the spotting was worth it for the final result of minimal bleeding.
Top side effects not reported
1 helpful
0 comments
Used for 8+ yr
50 years old
🇬🇧 UK
• 3 weeks ago
I had used the Mirena coil back to back post partum for 9 years very happily but my LEA meant I was only having withdrawal bleeds. After restoring bodyweight and menstruating naturally, I went back for Mirena but was given Jaydess. The insertion was more problematic and that she how I ended up with Jaydess over Mirena. I had irregular and more bleeding for the first 3 months but read the reviews on here to help me persevere. I was “angry” as on Mirena it was always so easy but then I wasn’t actually properly menstruating due to low energy availability (eating disorder) so I drew perhaps FALSE causation on Jaydess being wrong. I have very light but regular periods and my PME is definitely reduced. I’ve had it in a year and am very happy with it and my threads have stayed in place despite roughhousing which wasn’t always the case with the Mirena. I’m in no rush to have to it out even though I turn 50 this year.
Top side effects not reported
1 helpful
0 comments
Used for 18 mo - 3 yr
36 years old
🇬🇧 UK
• 3 weeks ago
Had this for adenomyosis and the pain stopped for a while but its back again now so the side affects aren't worth it for me. Having it removed later today
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 3 weeks ago
I love my hormonal coil. I have had no side effects what-so-ever and my bleeding is regular but extremly light, only monthly spotting. I did have ongoing spotting for around the first 6 months but no issue at all since then and the spotting was worth it for the final result of minimal bleeding.
Top side effects not reported
1 helpful
0 comments
Vasectomy reviews
8 reviews
Used for 8+ yr
58 years old
🇬🇧 UK
• 1st Jun 25
vasectomy is a good form of contraception. There is a lot of good information here: https://vasectomy.co.uk/vasectomy
Very positive mood
0 helpful
1 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 5th Jul 24
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
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Sep 20
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
Used for 8+ yr
58 years old
🇬🇧 UK
• 1st Jun 25
vasectomy is a good form of contraception. There is a lot of good information here: https://vasectomy.co.uk/vasectomy
Very positive mood
0 helpful
1 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 5th Jul 24
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
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Sep 20
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 12th Jun 20
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
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 20th Aug 19
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
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 28th Jun 19
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
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 19th Jun 19
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
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 2nd Apr 19
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
Women's health, reviewed.
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