Implant vs Vasectomy

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Implant

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Vasectomy

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Overview

Rated 2.8

590 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.6

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Implant ingredients

Main hormones in Implant

progestogen

Vasectomy ingredients

A vasectomy (male sterilisation) is a permanent surgical procedure to cut or seal the tubes that carry a man’s sperm. It prevents pregnancy by stopping sperm getting into a man’s semen which is then ejaculated during sexual intercourse.

What Lowdown reviewers say

38% somewhat negative

49% irregular periods

50% lost sex drive

41% gained weight

58% no impact on skin

Cycle return

31% in 1 month

43% somewhat negative

86% no change

57% lost sex drive

100% no impact

100% no impact on skin

Cycle return

Not enough data to say

Benefits: What this contraceptive can help with

Heavy periods

Ovulation pain

Period pain

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

Try it now

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Add your vasectomy review

Check out our latest reviews

Real life reviews from people like you

Implant reviews

590 reviews

Implant  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

50/50 experience overall. My skin improved to the point where it is clear aside from the occasional hormonal spot. Definitely would recommend if you’re like me and always forget to take the pill daily. I don’t get periods but when I do I bleed for about 2-3 weeks heavily. I have noticed some weight gain but nothing to be worried about. My boobs have grown 2 whole cup sizes. No mood changes as far as I’m aware. The implant insertion process was quick and painless so nothing to worry about there.

Read more

Improved skin

1 more effect

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  9th Nov 24

Nexplanon implant  

Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  5th Nov 24

Implant  

Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

50/50 experience overall. My skin improved to the point where it is clear aside from the occasional hormonal spot. Definitely would recommend if you’re like me and always forget to take the pill daily. I don’t get periods but when I do I bleed for about 2-3 weeks heavily. I have noticed some weight gain but nothing to be worried about. My boobs have grown 2 whole cup sizes. No mood changes as far as I’m aware. The implant insertion process was quick and painless so nothing to worry about there.


Improved skin

1 more effect

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  9th Nov 24

Nexplanon implant  

Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  5th Nov 24

Implant  

Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different


Somewhat negative mood

2 more effects

0 helpful

0 comments


Vasectomy reviews

7 reviews

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  5th Jul 24

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.


Top side effects not reported

0 helpful

0 comments

Vasectomy  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  5th Sep 20

Vasectomy  

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

Vasectomy  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  12th Jun 20

Vasectomy  

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

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  5th Jul 24

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.


Top side effects not reported

0 helpful

0 comments

Vasectomy  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  5th Sep 20

Vasectomy  

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

Vasectomy  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  12th Jun 20

Vasectomy  

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

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  20th Aug 19

Vasectomy  

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

Vasectomy  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  28th Jun 19

Vasectomy  

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

Vasectomy  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  19th Jun 19

Vasectomy  

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

Vasectomy  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  2nd Apr 19

Vasectomy  

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

Contraceptive alternatives and comparisons

Compare the Implant with other contraceptives

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