Vasectomy vs Combined pill

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Vasectomy

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Combined pill

£From £0.16/day

Overview

Rated 3.3

6 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 2.8

2295 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

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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Real life reviews from people like you

Vasectomy reviews

6 reviews

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

  •  Stopped using

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.

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Top side effects not reported

1 helpful

0 comments

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

  •  Stopped using

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.


Top side effects not reported

1 helpful

0 comments

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

  •  Stopped using

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.


Top side effects not reported

1 helpful

0 comments

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

  •  Stopped using

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.


Top side effects not reported

1 helpful

0 comments

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

  •  Stopped using

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.


Top side effects not reported

1 helpful

0 comments

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

  •  Stopped using

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.


Top side effects not reported

1 helpful

0 comments


Combined pill reviews

2295 reviews

Used for 3 - 6 mo
19 years old
🇬🇧 UK
  •  today

  •  Still using

I went on this pill as a contraception and so far it has done a great job at that. It has not stopped my periods sadly as they have got heavier but cramps have decreased - although I feel generally more ill on them. I have been on this pill twice, the first time it made me incredibly depressed. The second I have noticed no other side effects. It is good for me :)


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

good for me except it gave me painful cystic acne but didn’t experience any irregular bleeding or mood swings until the last month of using it (which is why i stopped)


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
25 years old
🇬🇧 UK
  •  3 days ago

  •  Stopped using

I didn’t experience any major side effects on this pill. My mood was better when compared to other pills


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
19 years old
🇬🇧 UK
  •  today

  •  Still using

I went on this pill as a contraception and so far it has done a great job at that. It has not stopped my periods sadly as they have got heavier but cramps have decreased - although I feel generally more ill on them. I have been on this pill twice, the first time it made me incredibly depressed. The second I have noticed no other side effects. It is good for me :)


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

good for me except it gave me painful cystic acne but didn’t experience any irregular bleeding or mood swings until the last month of using it (which is why i stopped)


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
25 years old
🇬🇧 UK
  •  3 days ago

  •  Stopped using

I didn’t experience any major side effects on this pill. My mood was better when compared to other pills


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

This pill was pretty seamless for me. It did not affect my moods or skin. My periods were very light, lasted a few days with little to no cramps. My libido suffered significantly and this symptom worsened as time went on which is the reason I switched to a non-hormonal method. Other than this, it was a great option for me.


Top side effects not reported

1 helpful

0 comments

Used for 1 - 3 mo
25 years old
🇬🇧 UK
  •  4 days ago

  •  Stopped using

I have endometriosis and adenomyosis and was put on microgynon by my gynaecologist. I was happy at first because my severe and constant pain disappeared (and only reappeared during my period, and even then it was only 10% of the pain I used to experience. However, the negative side effects unfortunately didn’t make the lack of pain worth it. My mental health (which was already quite terrible as I suffer from OCD and anxiety) crumbled. I was depressed and had CONSTANT mood swings. I was irritable, always in a bad mood and snapping at my husband. I also felt like a zombie, unable to focus on anything and feeling so disconnected and dissociated. I also put on water weight. I’m a small woman who runs a lot, so it was definitely linked to the pill. After doing some research, I asked my doctor to switch me to Eloine, and so far it’s been AMAZING. My mood has stabilised and I honestly feel the happiest and most connected to the world I have in a long time. I think Eloine has balanced out my endometriosis-induced hormonal imbalances and I feel amazing. For context, I’ve tried 4 types of combined pill: microgynon (androgenic), cimiszt (less androgenic), millinette and femodene (also less androgenic). I’ve also tried the mini pill cerazette and I was on the implant for 1 year. All of these made my mental health crumble and I spent 8 years of my life (18-25) battling with deciding between having bad mental health or having endo pain. Don’t try microgynon!!!!! And do research into the different types of combined pill. I never researched and just took what the dr gave me. The Lowdown really helped me research!


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
32 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

Overall had a very negative experience, especially with my mental health. I had severe anxiety. It works for lots of women, but not for everyone.


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

So far I don't have a bad word to say about this pill! This is the second combined pill I've tried after being on Microgynon 30 for about 6 months a couple of years ago. The experience I had on Microgynon was very negative and scared me out of trying any other combined pills until I read up about Drovelis. I'm in a long term relationship and only on the pill for contraception reasons, so slightly improved skin is just considered a bonus for me! It's nice to have found a pill that actually positively affects my mood rather than negatively impacts it like Microgynon did for me. I also lost my sex drive completely on Microgynon, but have been pleasantly surprised that I haven't had the same experience with Drovelis. I would even say it's improved my orgasm experience and feel like I get more aroused than I used to before being on pill - which I didn't expect at all! The only negative I've found with Drovelis is the occasional spotting when taking the active pills. This happened around month 3-4 of taking it but it seems to be happening less now. The spotting isn't heavy enough to use a pad or a liner but isn't ideal (hence the 4 stars). I feel like this is a great pill to try if the older generations don't work for you :)


Top side effects not reported

1 helpful

0 comments

Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I’ve got prescribed drovelis because I have irregular periods and my acne got extremely worse during the last 3 months. I’m now at the end of my second dose of drovelis and unfortunately my skin hasn’t recovered or got better yet. Actually I think it is quite worse and painful. Although the pill didn’t change my lifestyle and my period are regular now. I hope someone who had really bad acne to come forward with their experience because I’m starting to lose hope.


Top side effects not reported

1 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I've been taking Lucette for 14 months after being contraceptive free for 3 years. I haven't noticed major differences at all, however I do feel a slight mental dullness/brain fog as you usually do with the pill which is annoying but that's just part of the side effects. Overall I'm happy with it and wouldn't change to another pill! It's also helped my acne prone skin a lot


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
43 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

I have endometriosis and I'm mid-gynae referral so we're in the position of trying the pill to reduce my endo symptoms. I tried Millinette and it was awful (really anxious and bad headaches) so we switched to Zoely. It's not prescribed much near me so we had a real struggle getting hold of it. After I started taking it the first thing I noticed was there were no headaches and my mood/anxiety felt fine so that was really good. The downside was being unable to get through 2 packs without spotting, the intention was to take 2 or 3 packs back-to-back to keep my periods at bay, but my body just decided it was going to bleed when it wanted, so I ended up having to break halfway through every second pack. My periods on this were actually MORE painful, and I found that I had sharp cramps most days but just for a minute or so. I've persevered but had to stop because it's completely out of stock on the NHS. So now I'm switching to Lucette and I'm keeping my fingers crossed!


Top side effects not reported

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0 comments

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