Hormonal coil (IUS) vs Sterilisation (Female / tubal occlusion)
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Overview
Rated 3.5
892 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 4.5
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
Sterilisation (Female / tubal occlusion) 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
892 reviews
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 3 days ago
Sex drive plummeted on this, plus I think it made doggy uncomfortable and even painful, never had that issue before! I also had breakthrough bleeding whenever I did have sex, although this was the only time I would bleed. I had more intense period cramps and sore breasts on this than I had on any other contraception (implant, combined pill and mini pill), and I'm so glad to have it gone! Absolutely horrific experience getting it in, and ended up getting it out by myself at home when the sexual health nurse didn't want to remove it. Thankfully it was barely even uncomfortable to remove (would still recommend going to a health professional to remove though just in case!).
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
42 years old
🇬🇧 UK
• 1 week ago
I've had the mirena coil for four months, I'm still bleeding irregularly (period every 8 days) and lots of spotting. I've been dizzy for months, I'm feeling very low, I have water retention and a lot of lower back pain that feels like a pinched nerve so I'm battling to concentrate on work. I really want to have it removed but I'm terrified of going back to the alternative of extreme heavy periods that made me anemic.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 1 week ago
I had Kyleena for 5 years. For the first 6 months I had painful cramps, but my cycle became very light. I have noticed that I have had increasingly more acne, especially back acne, so be prepared for your skin to be very itchy. Towards the end of having it, I had constant light bleeding through the month and there was no regularity to it (probably because the hormones were wearing off). I have had incredibly bad bloating, water retention, and generic weight gain. I'm a very light build so this weight would normally have been easy to lose. Finally, I had to undergo investigations for ovarian cysts as I was getting all the symptoms for them, and after a bit of research it turns out that Kyleena can be a contributor to the formation of cysts. Overall, I have really liked the Kyleena. The side effects have been fairly insignificant compared to other methods. But just take into account the potential insidious side effects like cysts etc that can happen. I've now switched over to the copper IUD because of these side effects, and I'd prefer to be hormone free.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 3 days ago
Sex drive plummeted on this, plus I think it made doggy uncomfortable and even painful, never had that issue before! I also had breakthrough bleeding whenever I did have sex, although this was the only time I would bleed. I had more intense period cramps and sore breasts on this than I had on any other contraception (implant, combined pill and mini pill), and I'm so glad to have it gone! Absolutely horrific experience getting it in, and ended up getting it out by myself at home when the sexual health nurse didn't want to remove it. Thankfully it was barely even uncomfortable to remove (would still recommend going to a health professional to remove though just in case!).
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
42 years old
🇬🇧 UK
• 1 week ago
I've had the mirena coil for four months, I'm still bleeding irregularly (period every 8 days) and lots of spotting. I've been dizzy for months, I'm feeling very low, I have water retention and a lot of lower back pain that feels like a pinched nerve so I'm battling to concentrate on work. I really want to have it removed but I'm terrified of going back to the alternative of extreme heavy periods that made me anemic.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 1 week ago
I had Kyleena for 5 years. For the first 6 months I had painful cramps, but my cycle became very light. I have noticed that I have had increasingly more acne, especially back acne, so be prepared for your skin to be very itchy. Towards the end of having it, I had constant light bleeding through the month and there was no regularity to it (probably because the hormones were wearing off). I have had incredibly bad bloating, water retention, and generic weight gain. I'm a very light build so this weight would normally have been easy to lose. Finally, I had to undergo investigations for ovarian cysts as I was getting all the symptoms for them, and after a bit of research it turns out that Kyleena can be a contributor to the formation of cysts. Overall, I have really liked the Kyleena. The side effects have been fairly insignificant compared to other methods. But just take into account the potential insidious side effects like cysts etc that can happen. I've now switched over to the copper IUD because of these side effects, and I'd prefer to be hormone free.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Sterilisation (Female / tubal occlusion) reviews
8 reviews
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 16th Jan 26
I had a laparoscopic bisalpingectomy. Obviously it is a surgery, which means a few weeks of recovery and scars can take a few months to properly heal and fade, but I am so glad I got it done. It is permanent, so that is something to keep in mind if you are not 100% sure, but very safe and reliable.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 26th May 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 25th Mar 24
Decreased sex drive
1 more effect
0 helpful
1 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 16th Jan 26
I had a laparoscopic bisalpingectomy. Obviously it is a surgery, which means a few weeks of recovery and scars can take a few months to properly heal and fade, but I am so glad I got it done. It is permanent, so that is something to keep in mind if you are not 100% sure, but very safe and reliable.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 26th May 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 25th Mar 24
Decreased sex drive
1 more effect
0 helpful
1 comments
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 30th Jul 23
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
1 helpful
1 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 2nd Dec 20
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
1 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 24th Sep 20
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
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 7th Nov 19
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
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 26th Jun 19
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
7 helpful
0 comments
Women's health, reviewed.
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