Hormonal coil (IUS) vs Vasectomy

I've had great success with a Mirena for treating jawline acne, after getting it to prep for going onto Roaccutane it actually cleared my acne up amazingly and now I just get the odd spot every month when I'm due on. I get irregular, yet light periods, and occasionally some spotting, and overall my period cramps have been lessened. My sex drive is not what it is when off hormonal contraception, but as I've been on hormonal contraception my whole adult life, bar a couple of years here and there, this hasn't been an issue overall. I have put weight on gradually, but I've also aged (now 34), so its more likely to be metabolic changes rather than a side effect. The only thing I would say is that the coil itself has moved twice, resulting in removal and replacement (I'm waiting for another removal, and will likely explore pill options again as its just too painful getting it replaced every 2 years!). It should last 8 years, but for whatever reason, maybe my anatomy, mine moves to be too low, and then the long process of getting it checked, ultrasounds, appt waiting times for removal, and everything else, means its not something I want to continue using at the moment. Overall though, it has been a really good method for me, and just because mine hasn't stayed where it should be, doesn't mean someone else won't have a good experience, its probably down to my anatomy only!

I was very worried about trying this method as I’d not used hormonal contraception before but overall it has been positive. The insertion was quite painful but not unbearable. It took about a week for me to recover, with me having to stop exercise for that time and then slowly increase again. Bleeding has been the most annoying part as my periods are very irregular now (previously they were regular as clockwork) and I have light spotting for up to a week before each period. But it’s getting slightly better each month and I’m hoping I’ll be one of the lucky ones who eventually gets to little or no bleeding at all. I’ve suffered no other symptoms of note.

I've had the hormonal mirena for 14 months now to reduce endometriosis symptoms. My periods have reduced in length (used to be 3 weeks) and happen irregularly and the pain has settled during these. I have however noticed continuous weight gain since I went on it, despite very little changing in my diet and exercise. I've always stayed at a very stable weight and now my breast have nearly doubled in size and my weight in general continues to creep up. I have tried upping my exercise with no improvement in my weight. I'm the heaviest I've ever been, except for pregnancy. It's a huge price to pay for a reduction in endo symptoms. It's very frustrating.

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!