Vasectomy vs Hormonal coil (IUS)

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Vasectomy

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Hormonal coil (IUS)

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Overview

Rated 3.6

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 3.5

763 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

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.

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

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

43% no impact on mood

46% stopped periods

46% no impact

59% no impact

53% no impact on skin

Cycle return

31% 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

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Check out our latest reviews

Real life reviews from people like you

Vasectomy reviews

7 reviews

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

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
50 years old
🇬🇧 UK
  •  2 weeks ago

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


Hormonal coil (IUS) reviews

763 reviews

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  3 days ago

Mirena coil  

My experience with Mirena wasn’t fully bad. I started using Mirena back in 2022. The insertion wasn’t all that bad because my doctor didn’t use the Pozzi clamp (or tenaculum). I had 3 insertions already so I’ve gotten to realize that the worst part is the pozzi clamp. The first 2-3 months, my body adjusted to the IUD and therefore I had cramps here and there but nothing more than usual period cramping. The bleeding started to elongate though. Prior to Mirena, I had Kyleena and Jaydess and my main issue with those. was the constant spotting. It was always around my period but it lasted 10-20 days. With the Mirena it stayed at about 10 days every month. So I was fine with it. Other side effects I noticed but didn’t bother me were more body hair, my breast got smaller and most of my pms symptoms were gone. After about 1.5 Years, the bleeding started to get worse (25 days a month, I was lucky if I even got a week free). So that’s when I decided to change. My overall experience wasn’t bad, I just wished the spotting wasn’t there. I will now be switching to gynefix (copper IUD without arms).


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

I’ve been using this method for 11 months now upon recommendation of a nurse as I suffer from heavy periods, and the mini pill gives me more trouble than it’s worth. I’ve had cramps before, but nothing like I have experienced with the Mirena coil. I am currently waiting on a hospital appointment for surgery to get it removed as it has gone missing. I was told it was so rare to experience this that it shouldn’t even be of any concern to me, and yet here we are! I have been waiting a month just to be seen to be told it’s missing, always listen to your body ladies!


Somewhat negative mood

1 more effect

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
42 years old
🇬🇧 UK
  •  12th Jun 24

Kyleena coil  

When first inserted 3 months ago the cramps lasted for about 2-3 weeks inconsistently and occasionally get random ones between cycles, I still get occasional spotting for 1-2 days and periods now last longer than before (originally 3-4 days, now about 4-6 days, sometimes they stop then start again over two weeks). The most frustrating thing is not being able to predict when your period will start, they are getting lighter, but I had hoped they would stop. Also a note on insertion, I know this is all recommended beforehand but make sure you take the pain killers, only local anaesthetic is applied which seemed like it made no difference. You will likely have cramps for at least two weeks or longer whilst it settles down.


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  3 days ago

Mirena coil  

My experience with Mirena wasn’t fully bad. I started using Mirena back in 2022. The insertion wasn’t all that bad because my doctor didn’t use the Pozzi clamp (or tenaculum). I had 3 insertions already so I’ve gotten to realize that the worst part is the pozzi clamp. The first 2-3 months, my body adjusted to the IUD and therefore I had cramps here and there but nothing more than usual period cramping. The bleeding started to elongate though. Prior to Mirena, I had Kyleena and Jaydess and my main issue with those. was the constant spotting. It was always around my period but it lasted 10-20 days. With the Mirena it stayed at about 10 days every month. So I was fine with it. Other side effects I noticed but didn’t bother me were more body hair, my breast got smaller and most of my pms symptoms were gone. After about 1.5 Years, the bleeding started to get worse (25 days a month, I was lucky if I even got a week free). So that’s when I decided to change. My overall experience wasn’t bad, I just wished the spotting wasn’t there. I will now be switching to gynefix (copper IUD without arms).


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

I’ve been using this method for 11 months now upon recommendation of a nurse as I suffer from heavy periods, and the mini pill gives me more trouble than it’s worth. I’ve had cramps before, but nothing like I have experienced with the Mirena coil. I am currently waiting on a hospital appointment for surgery to get it removed as it has gone missing. I was told it was so rare to experience this that it shouldn’t even be of any concern to me, and yet here we are! I have been waiting a month just to be seen to be told it’s missing, always listen to your body ladies!


Somewhat negative mood

1 more effect

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
42 years old
🇬🇧 UK
  •  12th Jun 24

Kyleena coil  

When first inserted 3 months ago the cramps lasted for about 2-3 weeks inconsistently and occasionally get random ones between cycles, I still get occasional spotting for 1-2 days and periods now last longer than before (originally 3-4 days, now about 4-6 days, sometimes they stop then start again over two weeks). The most frustrating thing is not being able to predict when your period will start, they are getting lighter, but I had hoped they would stop. Also a note on insertion, I know this is all recommended beforehand but make sure you take the pain killers, only local anaesthetic is applied which seemed like it made no difference. You will likely have cramps for at least two weeks or longer whilst it settles down.


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 8+ yr
51 years old
🇬🇧 UK
  •  11th Jun 24

Mirena coil  

I haven't noticed any side effects, and its been a good form of contraception, which is why I have remained on it for 8+ years. The only downside is the painful insertion and removal process.


Worse skin

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  9th Jun 24

Kyleena coil  

The experience is very good in terms of contraception. However I have had quite irregular periods which can be heavy alongside bad cramps.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  8th Jun 24

Jaydess coil  

Only hormonal contraception that hasn’t caused mental health issues ! I feel myself and my moods are actually better than when I had the copper IUD and my periods are way lighter. I have PCOS and I haven’t noticed an increase in dark excess hairs and I haven’t had any problems with acne but I have taken accutane in the past which often fixes acne permanently.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  24th May 24

Mirena coil  

I had the Mirena coil for about a year and a half to manage menorrhagia and for contraception. The insertion procedure was better than I expected; while I had been warned it could be very painful by others, I found it more uncomfortable than painful. I do have a high pain tolerance, so that might have helped. However, the next seven months were horrendous. I experienced intense cramps and back pain, worse than anything I'd ever felt. Some days, I couldn't get out of bed, and even walking made me faint and dizzy. I relied heavily on pain medication and even resorted to using weed to cope. During this time, I became incredibly depressed, but my doctor advised me to give it six months. My periods, although lighter and lasting about five days, were followed by weeks of spotting, necessitating the use of pads or liners. They were also extremely irregular, they never were before. This constant bleeding made me less confident and significantly reduced my libido as I had issues getting aroused which made me 'dry', making sex both unappealing and painful, especially in the first few months. While the Mirena coil did make my periods lighter, the prolonged bleeding was a significant downside. Additionally, I could sometimes feel the coil, which was uncomfortable as it seemed to scratch my cervix and vagina. I eventually had it removed because my doctor suspected that the issues might be related to the hormone. I honestly should've removed it a couple of months in, and I regret that I didn't, as it clearly was not for me. I have now started the combined pill and feel much happier. Overall, although the Mirena is great for some, it was a horrendous experience for me, but I'd recommend people to give it a go regardless, as its effects seem to be case-dependent and it may be brilliant for some!!


Somewhat negative mood

3 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
  •  23rd May 24

Mirena coil  

The merina coil was not for me. I chose the merina for the benefits of inserting and forgetting and that the hormones released were localised, therefore less side effects on the rest of the body (in theory). What I was underprepared for was the discomfort and pain in the insertion and the intense cramps following, lasting for around 1 year. I had considered having it removed after around 6 months which is when they say the cramps should have stopped. However, where I was living (abroad) it had cost me a lot of money to have the procedure, it also gradually did decrease in frequency and intensity after the 1 year mark. I decided to keep using it for a further 2 years (3 in total) until we talked about having children. Since having it removed the cramps have completely gone which is a huge relief. I definitely recommend getting a wide range of views and stories, not to put you off but so you’re fully prepared. I feel that the leaflets supplied describe generally how most people feel but don’t give the whole picture of how it can affect different people. I will say the removal was incredibly easy (if the stings are visible) and so can be tried and removed if not working.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
32 years old
🇬🇧 UK
  •  20th May 24

Mirena coil  

Had the coil recommended by a gynaecologist to combat my estrogen dominance which was causing me very irregular but really heavy periods. I haven’t had any negative side effects thus far and my skin has got much better, however I did have constant, light bleeding for 3 months after insertion.


Improved skin

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  20th May 24

Mirena coil  

The insertion wasn't as bad as I expected, it was very quick and the pain was manageable. I got it about 5 months ago and my periods are now very light but last around two weeks but I understand that they should shorten. I came off the combined pill (on which I took no pill breaks) just before I got the coil so am unsure which side effects (mood swings, migraines) are due to the coil or just because I now have a natural cycle.


Somewhat negative mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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