Hormonal coil (IUS) vs Sterilisation (Female / tubal occlusion)
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Overview
Rated 3.5
889 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
889 reviews
Used for 3 - 5 yr
33 years old
🇬🇧 UK
• 1 day ago
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!
Improved skin
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
43 years old
🇬🇧 UK
• 2 weeks ago
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.
Top side effects not reported
0 helpful
1 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 2 weeks ago
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.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
33 years old
🇬🇧 UK
• 1 day ago
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!
Improved skin
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
43 years old
🇬🇧 UK
• 2 weeks ago
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.
Top side effects not reported
0 helpful
1 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 2 weeks ago
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.
Somewhat negative mood
3 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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