Implant vs Sterilisation (Female / tubal occlusion)
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Overview
Rated 2.8
620 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
620 reviews
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 1 day ago
Safest and easiest contraception in my opinion. However does come with lots of side effects as any medication does, it is manageable but irritating at times (headaches, irregular bleeding every month and lower back pain). I also get rashes at the implant site quite frequently and heard this is very common- gets itchy but normal apparently
Very negative mood
3 more effects
0 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 2 days ago
Of all the contraceptives I tried I was most satisfied with the implant. I had mostly no side effects and it stopped my period completely after 1 year (had some spotting irregularly in the first year). It was a very effective method, with painless insertion and changes (had 3 implants in 7 years). I removed it because I wanted to give my body a break before potentially trying for a baby. The main side effect and reason I took off one star is the loss of libido and vaginal dryness. My libido was very low and when I did get into sex, the dryness made things painful. Overall the sensation and pleasure of sex took a hit, but it was manageable. Now that I am off the implant I notice a resurgence in libido and feel more connected to my body and sexual self.
Decreased sex drive
0 helpful
0 comments
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 5 days ago
I had the implant for 19 months and got it taken out today after being a little fed up of the side effects. For the first couple of months, I had my period as normal and pretty much no other symptoms except being a bit more emotional. Then over the next year or so i had completely stopped bleeding and had no issues. Then I started to get migraines maybe 2 a week for a couple weeks (I had 5 in the space of a month?) and they were so unbearable. And then I started bleeding again but it was so irregular. I could have a period twice in 2 weeks but not have one for like 6-8 weeks and then get spotting for a few days. It was so frustrating. That and having incredibly sore nipples and tender breasts that I couldn’t wear anything without it hurting. Ever since getting it inserted I have gained around 30kg which is very noticeable on someone who is barely 5ft tall. So because of that my self confidence has completely dropped. It felt like I was buying a bigger bra every 2 months. And none of my clothes that I had a year and a half ago fit me anymore. Overall the beginning was pretty great but about a year in I didn’t like it anymore.
Gained weight
0 helpful
0 comments
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 1 day ago
Safest and easiest contraception in my opinion. However does come with lots of side effects as any medication does, it is manageable but irritating at times (headaches, irregular bleeding every month and lower back pain). I also get rashes at the implant site quite frequently and heard this is very common- gets itchy but normal apparently
Very negative mood
3 more effects
0 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 2 days ago
Of all the contraceptives I tried I was most satisfied with the implant. I had mostly no side effects and it stopped my period completely after 1 year (had some spotting irregularly in the first year). It was a very effective method, with painless insertion and changes (had 3 implants in 7 years). I removed it because I wanted to give my body a break before potentially trying for a baby. The main side effect and reason I took off one star is the loss of libido and vaginal dryness. My libido was very low and when I did get into sex, the dryness made things painful. Overall the sensation and pleasure of sex took a hit, but it was manageable. Now that I am off the implant I notice a resurgence in libido and feel more connected to my body and sexual self.
Decreased sex drive
0 helpful
0 comments
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 5 days ago
I had the implant for 19 months and got it taken out today after being a little fed up of the side effects. For the first couple of months, I had my period as normal and pretty much no other symptoms except being a bit more emotional. Then over the next year or so i had completely stopped bleeding and had no issues. Then I started to get migraines maybe 2 a week for a couple weeks (I had 5 in the space of a month?) and they were so unbearable. And then I started bleeding again but it was so irregular. I could have a period twice in 2 weeks but not have one for like 6-8 weeks and then get spotting for a few days. It was so frustrating. That and having incredibly sore nipples and tender breasts that I couldn’t wear anything without it hurting. Ever since getting it inserted I have gained around 30kg which is very noticeable on someone who is barely 5ft tall. So because of that my self confidence has completely dropped. It felt like I was buying a bigger bra every 2 months. And none of my clothes that I had a year and a half ago fit me anymore. Overall the beginning was pretty great but about a year in I didn’t like it anymore.
Gained weight
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
Women's health, reviewed.
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