Hormonal coil (IUS) vs Sterilisation (Female / tubal occlusion)

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Hormonal coil (IUS)

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Sterilisation (Female / tubal occlusion)

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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 4.4

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

Sterilisation (Female / tubal occlusion) ingredients

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

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

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

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


Sterilisation (Female / tubal occlusion) reviews

7 reviews

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
38 years old
🇬🇧 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
25 years old
🇬🇧 UK
  •  25th Mar 24

Sterilisation (Female / tubal occlusion)  

eryew4yhwesgs


Decreased sex drive

1 more effect

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 6 mo
26 years old
🇬🇧 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

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
38 years old
🇬🇧 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
25 years old
🇬🇧 UK
  •  25th Mar 24

Sterilisation (Female / tubal occlusion)  

eryew4yhwesgs


Decreased sex drive

1 more effect

0 helpful

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 6 mo
26 years old
🇬🇧 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

0 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

0 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

6 helpful

0 comments

Contraceptive alternatives and comparisons

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