Vasectomy vs Hormonal coil (IUS)

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Vasectomy

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Hormonal coil (IUS)

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Overview

Rated 3.8

8 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 3.5

871 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

38% somewhat negative

75% no change

50% lost sex drive

88% no impact

100% no impact on skin

Cycle return

Not enough data to say

43% no impact on mood

46% stopped periods

47% no impact

59% no impact

54% no impact on skin

Cycle return

33% 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

8 reviews

Vasectomy  
Used for 8+ yr
58 years old
🇬🇧 UK
  •  1st Jun 25

Vasectomy  

vasectomy is a good form of contraception. There is a lot of good information here: https://vasectomy.co.uk/vasectomy

Read more

Very positive mood

0 helpful

1 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 8+ yr
58 years old
🇬🇧 UK
  •  1st Jun 25

Vasectomy  

vasectomy is a good form of contraception. There is a lot of good information here: https://vasectomy.co.uk/vasectomy


Very positive mood

0 helpful

1 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


Hormonal coil (IUS) reviews

871 reviews

Hormonal coil (IUS)  
Used for 3 - 6 mo
35 years old
🇬🇧 UK
  •  5 days ago

Benilexa coil  

I previously had the copper coil for 4 years because I wasn't keen on using a hormonal contraception but I wish I'd changed to benelixa sooner. I opted for a numbing injection during the procedure and hardly felt anything, it was great. Afterwards there was some very mild cramping and unfortunately I did get mild thrush within the week, however since then it's been amazing. Hardly any pain during periods and they are sooo much lighter. I used to bloat all the time but now I never do. I also lost about 4lbs and have stayed at that weight ever since. I had thinning hair previously and now have lots of new baby hairs coming in all over my head which I'm delighted about. Sex drive has decreased ever so slightly but not enough to be a problem. No changes to my skin or any other negative side effects. Really can't recommend it more, I'm delighted with not being in agony every month and I have much more energy since I'm only losing about a quarter of blood compared to before.


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Kyleena coil  

I’ve had the kyleena iud for just over a year. Initially, I had more painful periods but that’s common for about 6 months as your body adjusts but this has since gone away. After about 6 months, I started to suffer with vaginal dryness. This was easily managed with lube during sex but after a year it really started to get bad. It was causing constant thrust (5 times in 3 months) which I had never been prone to before and the pain during sex can sometimes mean we have to stop or I’ll be okay for a bit but then after will be bleeding or have sort of friction burns. It’s coming out soon but it’s just a shame about the dryness as I loved it otherwise


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
33 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

My first year of the coil seemed to be okay. Took a while to get used to and on the grand scheme of things after about 3 months my period pretty much left.. but in the last year, I’ve been getting symptoms of anger, forgetfulness and generally feeling checked out. Going to speak to GP to find another option.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 6 mo
35 years old
🇬🇧 UK
  •  5 days ago

Benilexa coil  

I previously had the copper coil for 4 years because I wasn't keen on using a hormonal contraception but I wish I'd changed to benelixa sooner. I opted for a numbing injection during the procedure and hardly felt anything, it was great. Afterwards there was some very mild cramping and unfortunately I did get mild thrush within the week, however since then it's been amazing. Hardly any pain during periods and they are sooo much lighter. I used to bloat all the time but now I never do. I also lost about 4lbs and have stayed at that weight ever since. I had thinning hair previously and now have lots of new baby hairs coming in all over my head which I'm delighted about. Sex drive has decreased ever so slightly but not enough to be a problem. No changes to my skin or any other negative side effects. Really can't recommend it more, I'm delighted with not being in agony every month and I have much more energy since I'm only losing about a quarter of blood compared to before.


Lost weight

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Kyleena coil  

I’ve had the kyleena iud for just over a year. Initially, I had more painful periods but that’s common for about 6 months as your body adjusts but this has since gone away. After about 6 months, I started to suffer with vaginal dryness. This was easily managed with lube during sex but after a year it really started to get bad. It was causing constant thrust (5 times in 3 months) which I had never been prone to before and the pain during sex can sometimes mean we have to stop or I’ll be okay for a bit but then after will be bleeding or have sort of friction burns. It’s coming out soon but it’s just a shame about the dryness as I loved it otherwise


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
33 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

My first year of the coil seemed to be okay. Took a while to get used to and on the grand scheme of things after about 3 months my period pretty much left.. but in the last year, I’ve been getting symptoms of anger, forgetfulness and generally feeling checked out. Going to speak to GP to find another option.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  6th Dec 25

Mirena coil  

Hard to tell if it’s improved but I definitely have breast tenderness


Improved skin

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
31 years old
🇬🇧 UK
  •  17th Nov 25

Kyleena coil  

Kyleena was recommended with mr having Adenomyosis due to wrongly being given the copper coil before and bleeding for months on end. Kyleena had irregular periods to begin, the only sidr effect for the first 4 months were severe coldnesd/flu like symptoms the day before my period for all 4 months. As my periods stopped, my sex drive and mental health crashed. I'm on month 9 and awaiting removal.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
35 years old
🇬🇧 UK
  •  10th Nov 25

Kyleena coil  

Having used the pill on and off for 20 years I was hesitant to use another hormonal contraception but I was so happy with kyleena - no noticeable mentsl or physical symptoms. Insertion is not pleasant but it's over in seconds.i experienced some period cramps in first few weeks but then periods became extremely light and pain free for the last 3-4 years. I would get this method again without hesitation.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  9th Nov 25

Mirena coil  

I had a terrible experience with Mirena. It started with severe cramping after insertion. The cramping continued for weeks. I got a UTI from it. Then the other symptoms started - severe depression, sneezing, severe sinus pain, insomnia. I experienced severe vaginal dryness and vulvodynia (shooting pain down there) which ultimately led me to showing up at my gp and begging for it to be removed.


Very negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  3rd Nov 25

Hormonal coil (IUS)  

Periods stopped, no noticeable side effects other than toward the end of the 5 years when I had a few side effects (tender breasts, spots, mood swings) which I put down to hormonal change as the coil was coming to expiry date. Now I've had it replaced and I have no side effects. Stable mood, skin clear, no periods, no stomach/back/head pain.


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  27th Oct 25

Jaydess coil  

In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods became lighter and I still have the normal symptoms of my cycle which is exactly what I want. The only negatives (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period. One other slight negative at the beginning was my partner took some time to get used to the feeling of the strings when having sex, however this improved after a few months and is no longer an issue.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  27th Oct 25

Kyleena coil  

In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods because lighter and I still have the normal symptoms of my cycle. The only negative (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period.


Top side effects not reported

0 helpful

1 comments

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