Implant vs Sterilisation (Female / tubal occlusion)
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Overview
Rated 2.8
613 reviews
Every 3 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
Implant ingredients
Main hormones in Implant
progestogen
Sterilisation (Female / tubal occlusion) ingredients
What Lowdown reviewers 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
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Check out our latest reviews
Real life reviews from people like you
Implant reviews
613 reviews
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 2 days ago
To me, the implant feels like a very fair tradeoff, where inconsistent spotting and occasional sore boobs is a price I am willing to pay to ensure I have the best protection from pregnancy. That is why I have rated it 5 stars, despite mild side effects. I have had the implant for six months now, and I can honestly say that it has been immense. My copper IUD gave me heavy periods and back pain which would ruin my day, and caused me lots of stress when it randomly decided to dislodge itself after 3 months. The implant cannot dislodge, so this was a welcome improvement. My partner and I used condoms but were worried about the risk of "human error". I was hesitant to start hormonal birth control because I heard stories about people losing their libido or experiencing emotional/personality changes, but these changes have thankfully not occured for me! I may cry slightly more (at films and such) since getting the implant, but I don't actually feel any sadder if that makes sense. Prior to contraception I always had easy, regular periods. Since getting the implant, I have only experienced two physical side effects. One of these is irregular spotting for ~7 days at a time, once or twice a month. This spotting sometimes becomes period-like in terms of the bleeding, and occasionally comes with period-like cramps. I have found this to be easily manageable, but some people find it very frustrating and everyone will have a different experience. It's up to you which side effects you are and aren't willing to put up with. The second side effect for me is sore boobs, although I haven't experienced this for a while. I am hoping that this side effect has run its course now that I have had the implant for 6 months. In terms of the insertion process, it was a ridiculously easy procedure (although I only have an IUD insertion to compare it to). If you're scared of needles I would recommend taking a friend with you because they inject your arm to numb it (mild pain for under 10 seconds, then it's numb). As someone who isn't bothered by needles and had such a friendly doctor, getting the implant was nothing more than an excuse to be taken out for a celebratory dinner. Please don't let the insertion process put you off! Whilst the insertion may sound more inconvenient than picking up a box of condoms or a prescription, it is very straightforward and will only require a 10-minute doctors oppointment every 3 years. I had the implant in my dominant arm and I was able to do normal everyday things, although I had to be cautious about lifting things or raising my arm for the first few days. The bruise took about a month to fully fade, but the mild-moderate aching was gone within a week and a half. In summary, it is so easy to read these reviews and make asssumptions about the implant based on peoples stories of irregular bleeding, painful insertions and hormonal side effects. BUT it is not a negative experience for everyone, and I am so glad to have the implant!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 1 week ago
All the great wetness I was feeling down there is all gone. I have painful sexual intercourse and I'm sad.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 2 weeks ago
Poor experience. Great at preventing pregnancy however side effects on mental and physical health were not worth it. I chose to prioritise my health and swap to condoms.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 2 days ago
To me, the implant feels like a very fair tradeoff, where inconsistent spotting and occasional sore boobs is a price I am willing to pay to ensure I have the best protection from pregnancy. That is why I have rated it 5 stars, despite mild side effects. I have had the implant for six months now, and I can honestly say that it has been immense. My copper IUD gave me heavy periods and back pain which would ruin my day, and caused me lots of stress when it randomly decided to dislodge itself after 3 months. The implant cannot dislodge, so this was a welcome improvement. My partner and I used condoms but were worried about the risk of "human error". I was hesitant to start hormonal birth control because I heard stories about people losing their libido or experiencing emotional/personality changes, but these changes have thankfully not occured for me! I may cry slightly more (at films and such) since getting the implant, but I don't actually feel any sadder if that makes sense. Prior to contraception I always had easy, regular periods. Since getting the implant, I have only experienced two physical side effects. One of these is irregular spotting for ~7 days at a time, once or twice a month. This spotting sometimes becomes period-like in terms of the bleeding, and occasionally comes with period-like cramps. I have found this to be easily manageable, but some people find it very frustrating and everyone will have a different experience. It's up to you which side effects you are and aren't willing to put up with. The second side effect for me is sore boobs, although I haven't experienced this for a while. I am hoping that this side effect has run its course now that I have had the implant for 6 months. In terms of the insertion process, it was a ridiculously easy procedure (although I only have an IUD insertion to compare it to). If you're scared of needles I would recommend taking a friend with you because they inject your arm to numb it (mild pain for under 10 seconds, then it's numb). As someone who isn't bothered by needles and had such a friendly doctor, getting the implant was nothing more than an excuse to be taken out for a celebratory dinner. Please don't let the insertion process put you off! Whilst the insertion may sound more inconvenient than picking up a box of condoms or a prescription, it is very straightforward and will only require a 10-minute doctors oppointment every 3 years. I had the implant in my dominant arm and I was able to do normal everyday things, although I had to be cautious about lifting things or raising my arm for the first few days. The bruise took about a month to fully fade, but the mild-moderate aching was gone within a week and a half. In summary, it is so easy to read these reviews and make asssumptions about the implant based on peoples stories of irregular bleeding, painful insertions and hormonal side effects. BUT it is not a negative experience for everyone, and I am so glad to have the implant!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 1 week ago
All the great wetness I was feeling down there is all gone. I have painful sexual intercourse and I'm sad.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 2 weeks ago
Poor experience. Great at preventing pregnancy however side effects on mental and physical health were not worth it. I chose to prioritise my health and swap to condoms.
Very negative mood
0 helpful
0 comments
Sterilisation (Female / tubal occlusion) reviews
7 reviews
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
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
0 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

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