Vasectomy vs Implant
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Overview
Rated 3.6
7 reviews
Permanent
Frequency
Over 99%
Effectiveness
None
Blood clot risk
Permanent
Effect on fertility
Rated 2.8
600 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Vasectomy ingredients
Implant ingredients
Main hormones in Implant
progestogen
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
Heavy periods
Ovulation pain
Period pain
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Real life reviews from people like you
Vasectomy reviews
7 reviews
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 5th Jul 24
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
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Sep 20
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 12th Jun 20
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
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 5th Jul 24
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
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Sep 20
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 12th Jun 20
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
Implant reviews
600 reviews
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
• 2 weeks ago
Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
33 years old
🇬🇧 UK
• 2 weeks ago
Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.
Very negative mood
0 helpful
0 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 2 weeks ago
my periods stopped but i noticed when i wanted to have sex i wasn’t able to get wet easily. i also developed acne for the first time after i stopped due to the sudden loss of hormones. overall it worked and i enjoyed no periods and no other symptoms outside of sex.
Improved skin
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
• 2 weeks ago
Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
33 years old
🇬🇧 UK
• 2 weeks ago
Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.
Very negative mood
0 helpful
0 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 2 weeks ago
my periods stopped but i noticed when i wanted to have sex i wasn’t able to get wet easily. i also developed acne for the first time after i stopped due to the sudden loss of hormones. overall it worked and i enjoyed no periods and no other symptoms outside of sex.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 17th Mar 25
took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!
Worse skin
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇬🇧 UK
• 13th Mar 25
I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 6th Mar 25
Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 28th Feb 25
Normal for me I’m a U.S. bodybuilder nothing has change a lot of women gain weight because it can be an appetite enhancing affect. I’ve stayed the same tracking calories my spotting is normals as other off and on some missed periods and most lighter and little do not heavy. Experiencing hard sore nipples. And depression seems more there but not to bad. Do feel tired though out the day.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
21 years old
🇬🇧 UK
• 12th Feb 25
Used this for 1,5 years and I love it. The implant completely stopped my period this whole time, except 1 small break-thru bleeding 1yr ago. Insertion was not painful. Started using due to painful periods. Now living pain-free!
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 6th Feb 25
Positives of the Nexplexon implant is it is a very effective contraceptive and the insertion was quick and painless. However, I have been constantly bleeding (spotting and heavier bleeding) since I had it inserted 6 months ago. I have had bad cramping and lower back pain along side the bleeding. My overall mood has been effected as I feel exhausted most of the time, although I do work some night shifts so this may be a contributing factor. My sex drive has been lower than normal. I have noticed my boobs ache and feel sore. I am considering having it removed, if the bleeding does not settle.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 27th Jan 25
I believe it ruined mindset, mental health and confidence. I am normally not over the top and this sounds like an exaggeration. Although I had a really tough year and these would've affected my perspective. I always have and would utilise those negative situations to motivate me and channel sadness into action. But when I was on the implant: - I had lost all confidence in myself and abilities - My skin got worse and I have always had super clear skin - I had more hair than usual - I was super easy to agitation and struggled to regulate my emotions - I became anxious and depressed (please note some of this would be situational and not just the implant). I thought it was all situational. Until I got it removed a month ago. I am still in the process of my hormones regulating which has been difficult. But after a month I am slowly finding my personality coming back. I am not isolating as much. I am channelling my energy into action and turning my life around again! I feel more like myself day by day.
Very negative mood
2 more effects
0 helpful
0 comments

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