Vasectomy vs Combined pill

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Vasectomy

Add your vasectomy review

Combined pill

£From £0.16/day

Overview

Rated 3.6

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 2.8

2578 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

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.

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

What Lowdown reviewers say

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

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

Benefits: What this contraceptive can help with

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

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

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.

Read more

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


Combined pill reviews

2578 reviews

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  1 day ago

Ambelina pill  

my pharmacy moved me to this pill when my previous one was not available. I was hesitent at first but found it lightened my discharge which was always so heavy on my previous pill. I was forced to stop this pill due to unavailbilty but i am currently trying to get it back because after a month back on my old pill i am now seeing how much better this one was for me. I didnt notice the positive changes until i had to go back onto my old one. But if anything that is a good thing to me because it felt natural.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  2 days ago

Rigevidon  

It was good in the sense that my “cycle” felt really regular and I had very consistent moods which felt good as it avoided the PMS I used to get. The peace of mind as a contraceptive method was also good. Whilst I was on it I didnt realise anything significantly different about myself. However, when I came off it i didnt realise how much of my self it had suppressed - in terms of feeling alive to the word and sexually charged. I now use condoms/ may consider the localised hormonal coil as I am no longer interested in experiencing such significant changes in myself for contraception.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  2 days ago

Millinette 20/75 pill  

Within 48 hours of swallowing the first tablet I started to have Brown discharge which has grown into what would be described as a full on period with horrendous stomach ache, it will be 2 weeks on Sunday since I swallowed the first tablet. I'm assuming this is the breakthrough bleeding and my body needs to adjust but anyone else experienced this?


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  1 day ago

Ambelina pill  

my pharmacy moved me to this pill when my previous one was not available. I was hesitent at first but found it lightened my discharge which was always so heavy on my previous pill. I was forced to stop this pill due to unavailbilty but i am currently trying to get it back because after a month back on my old pill i am now seeing how much better this one was for me. I didnt notice the positive changes until i had to go back onto my old one. But if anything that is a good thing to me because it felt natural.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  2 days ago

Rigevidon  

It was good in the sense that my “cycle” felt really regular and I had very consistent moods which felt good as it avoided the PMS I used to get. The peace of mind as a contraceptive method was also good. Whilst I was on it I didnt realise anything significantly different about myself. However, when I came off it i didnt realise how much of my self it had suppressed - in terms of feeling alive to the word and sexually charged. I now use condoms/ may consider the localised hormonal coil as I am no longer interested in experiencing such significant changes in myself for contraception.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  2 days ago

Millinette 20/75 pill  

Within 48 hours of swallowing the first tablet I started to have Brown discharge which has grown into what would be described as a full on period with horrendous stomach ache, it will be 2 weeks on Sunday since I swallowed the first tablet. I'm assuming this is the breakthrough bleeding and my body needs to adjust but anyone else experienced this?


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
16 years old
🇬🇧 UK
  •  2 days ago

Rigevidon  

It was working perfectly fine at first, was helping me with unbearable cramps and nausea, but after about four months of use, I wasn't feeling like myself at all. It made my anxiety so much worse that is was making me nauseous and kept giving me heart palpitations and trembling limbs. I've had a major loss of appetite which is really bad for someone who is already considered underweight for her age. I couldn't tell the difference between feeling hungry or feeling sick, but whenever I did eat, I continued to feel this way. I became so emotionally unstable that I was in a near constant state of dread for no apparent reason and would be crying without even being upset, every day. I struggled to sleep with the increased negative mood, the only think to help me sleep was to listen to educational videos in the background to distract me from the anxiety and nausea. I took travel pills to alleviate both of these which is working well and helping me sleep, and two days after stopping with the pill, my mood has been gradually improving. I'm still getting heart palpitations and tearing up a little at times, butI'm starting to feel like myself again. I wouldn't recommend rigevidon if you have a history with anxiety or depression. Made my hormones go haywire, lost my already small appetite, and messed around a whole lot with my sleep schedule.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  3 days ago

Lucette pill  

Really helpful for my moods, only 10 months in did i randomly experience breast secretion and so swapped to the sister pill eloine with less oestrogen


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  4 days ago

Drovelis pill  

I've been on it for a year and a half, it made me gain 10 kgs (even though I work out more than usual and eat a healthy diet), especially weight in my lower stomach, I have a pooch now and am always bloated, which is very uncomfortable. It also made me go up two cup sizes, I was a B cup before starting this contraception and now am a D cup. I also lost all my sex drive and it makes me really moody. I was hoping to be a fan since it's supposed to be less hormones than other pills but unfortunately my body did not react well to it.


Very negative mood

2 more effects

1 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  5 days ago

Drovelis pill  

Experiences severe pms before taking this pill, first tried deso 30 again as I used it in the past, but I definitely gained weight with that one and still experienced feelings of depression every now and then. With this pill, I still have my normal weight and I feel like any dark feelings are almost gone, sometimes I still have an off day ofcourse. Overall I am very happy; clear skin, I am feeling great, and my weight is normal.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  6 days ago

Eloine pill  

So I might just be allergic to the pill. I was given this as it's low dose and I've had strong reactions to everything else. I had an anxiety attack on the first day, then couldn't stop crying on the second so I stopped it quickly. I had started it because I was feeling really good so thought I could cope with the mood changes but they were so severe it scared me. I've then had a horrible period in the month after and back at square 1.


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  2 weeks ago

Levest pill  

Ive been on 3 different pills and Levest was my long term. My skin got clearer and my periods have been much more managable (I used to be prescribed meds for pain control). However the main effect is decreased sex drive dramatically and just feeling 'meh' all the time very dampened emotions over everything. Not many highs not many lows just an overall feeling of meh.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Zoely pill  

My psychiatrist put me on Zoely in August of 2024, I had recently been diagnosed with PMDD (pre menstrual dysphoric disorder) and was at a point in my life where if I didn’t find a way to manage the symptoms I was at breaking point. I’d been misdiagnosed with bipolar, major depression, borderline personality disorder and had been on a rollercoaster of treatments from ages 13-30. So I was hesitant to trust this psychiatrist and go on another potentially damaging rollercoaster of meds. Alas, after 3 weeks I noticed dramatic changes to my moods, I was balanced! I felt in control, grounded and sane! Obviously my period stopped and my cycle was no longer existent but this medication saved my life, my relationship, my mental health and gave me back my life! The only negative side is my low to zero sex drive, that’s been tough but I’m navigating it now, my partner doesn’t feel desirable because I don’t want sex.. like ever but we are both just happy to have a peaceful life without the ups and down. It seems like a fair trade to me. So very grateful for this medication.


Very positive mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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