Implant vs Vasectomy

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Implant

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Vasectomy

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Overview

Rated 2.8

605 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.8

8 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

37% somewhat negative

48% irregular periods

50% lost sex drive

40% gained weight

56% no impact on skin

Cycle return

32% in 1 month

38% somewhat negative

75% no change

50% lost sex drive

88% 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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Check out our latest reviews

Real life reviews from people like you

Implant reviews

605 reviews

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  1 day ago

Nexplanon implant  

Random bleeding throughout which was frustrating. Partner felt like I seemed happier in general once I came off. Suffered anxiety attacks after coming off the implant (may or may not be related currently unsure)

Read more

Somewhat positive mood

2 more effects

0 helpful

0 comments

Implant  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  5 days ago

Nexplanon implant  

Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  1 day ago

Nexplanon implant  

Random bleeding throughout which was frustrating. Partner felt like I seemed happier in general once I came off. Suffered anxiety attacks after coming off the implant (may or may not be related currently unsure)


Somewhat positive mood

2 more effects

0 helpful

0 comments

Implant  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  5 days ago

Nexplanon implant  

Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account


Somewhat positive mood

0 helpful

0 comments


Vasectomy reviews

8 reviews

Vasectomy  
Used for 8+ yr
58 years old
🇬🇧 UK
  •  1 month ago

Vasectomy  

vasectomy is a good form of contraception. There is a lot of good information here: https://vasectomy.co.uk/vasectomy


Very positive mood

0 helpful

1 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 8+ yr
58 years old
🇬🇧 UK
  •  1 month ago

Vasectomy  

vasectomy is a good form of contraception. There is a lot of good information here: https://vasectomy.co.uk/vasectomy


Very positive mood

0 helpful

1 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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