Vasectomy vs Patch

Need help choosing? Speak to a doctor
Vasectomy

Add your vasectomy review

Patch

£From £0.32/day

Overview

Rated 3.6

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 3.4

108 reviews

Weekly

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.

Patch ingredients

Main hormones in Patch

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

35% no impact on mood

35% lighter periods

50% no impact

49% no impact

43% no impact on skin

Cycle return

37% 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

Try it now

Add your vasectomy review

Try it now

£From £0.32/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


Patch reviews

108 reviews

Patch  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  2nd Mar 25

Evra patch  

I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.


Very negative mood

2 more effects

1 helpful

1 comments

Patch  
Used for 3 - 6 mo
44 years old
🇬🇧 UK
  •  22nd Feb 25

Evra patch  

Breast tenderness and headaches


Decreased sex drive

0 helpful

1 comments

Patch  
Used for 6 - 12 mo
27 years old
🇬🇧 UK
  •  21st Feb 25

Evra patch  

First few months were GREAT- my skin and hair looked amazing, breasts looked the best they'd ever looked, periods were regular and only negative side effects I had were nausea and breast tenderness. Did not have big issues with the adhesive, even though I have sensitive skin, and was not bothered by the lint that stuck to the edges of the patch (I stuck it to my tummy or my bum so it was hidden by clothes anyway). Thought it was a blessing for the first 4 months on it. Started having issues further in, due to the high levels of oestrogen, where I began having extremely heavy and longer periods and went on to have daily pelvic pain after about 8 months on the patch... now on the waiting list to see if I have endometriosis. The patch itself did not negatively impact my sex drive and it did not worsen my anxiety (I did cry more and have some brain fog though). I only gained a small amount of weight and my body looked the best it ever has. Overall, it didn't work for me and has potentially worsened endometriosis (high oestrogen can feed endo), but it has prevented pregnancy and it is so convenient and harder to mess up than taking a pill every day.


Improved skin

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  2nd Mar 25

Evra patch  

I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.


Very negative mood

2 more effects

1 helpful

1 comments

Patch  
Used for 3 - 6 mo
44 years old
🇬🇧 UK
  •  22nd Feb 25

Evra patch  

Breast tenderness and headaches


Decreased sex drive

0 helpful

1 comments

Patch  
Used for 6 - 12 mo
27 years old
🇬🇧 UK
  •  21st Feb 25

Evra patch  

First few months were GREAT- my skin and hair looked amazing, breasts looked the best they'd ever looked, periods were regular and only negative side effects I had were nausea and breast tenderness. Did not have big issues with the adhesive, even though I have sensitive skin, and was not bothered by the lint that stuck to the edges of the patch (I stuck it to my tummy or my bum so it was hidden by clothes anyway). Thought it was a blessing for the first 4 months on it. Started having issues further in, due to the high levels of oestrogen, where I began having extremely heavy and longer periods and went on to have daily pelvic pain after about 8 months on the patch... now on the waiting list to see if I have endometriosis. The patch itself did not negatively impact my sex drive and it did not worsen my anxiety (I did cry more and have some brain fog though). I only gained a small amount of weight and my body looked the best it ever has. Overall, it didn't work for me and has potentially worsened endometriosis (high oestrogen can feed endo), but it has prevented pregnancy and it is so convenient and harder to mess up than taking a pill every day.


Improved skin

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  10th Feb 25

Evra patch  

Having tried 12 birth control pills previously that nearly all had intolerable side effects for me, mostly making my IBS worse, I decided to try a non-digested birth control method and settled on the Patch. It took me a few tries to get used to applying it correctly and for the first 2 weeks I had very light daily spotting. Now having been on it for 4 months, I am so happy I tried it. I have gained weight and I have definitely noticed an increased appetite but for me the lack of other side effects is 100% worth it. It has had no impact on my IBS, my skin is the clearest it's ever been and I love the convenience of using it weekly. I currently use it continuously because I've always had heavy and painful periods. Every 2 months or so I do have a few days of spotting/ bleeding but it's not heavy or painful and then I have no bleeding for another few months. I did notice a little increase in my Anxiety but I take antidepressants so I can't say how much it affected my mental health. My boobs have gone up a cup size but not that noticeable as I was only an A cup before. Overall I couldn't be happier with my experience so far, it's definitely the best I've tried yet. definitely recommend if you're sensitive to the pill/ digested birth control.


Improved skin

1 more effect

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  28th Jan 25

Evra patch  

Overall positive experience. The longer Ive been on it, the more irregular the periods have become. I often use the whole cycle before having a break rather than the 3 doses


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  26th Jan 25

Evra patch  

I think I’ve nearly tried every possible contraceptive pill there is out there. I really had high hopes when first started the patch. It was really convenient not having to take a pill every morning and the patch would stay on really well even in the shower/pool when on holiday. Easy enough to hide too! After a couple weeks I noticed lots of little bumps under my skin particularly in my jaw area. This would then quickly turn into really painful acne and take a long time to heal. I seen a massive difference in my skin when having patch free days compared to when I was on it. Unfortunately had to stop it due to how badly my skin reacted to it whilst on it.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  9th Nov 24

Evra patch  

I mean, it did its job and I'm not pregnant. However, after 6 months of use, my periods started being irregular, I was starting them on the patch and stopping midway through patch free week, which was very annoying. The biggest issue was when I bled for a month constantly. They run all the tests, nothing was wrong with my body - it was the patch causing it and I was told to change the method. Now I'm on a Ring, let's see how it goes...


Very negative mood

1 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  31st Aug 24

Evra patch  

After switching from the combined pill due to depression, I was interested in the patch as I could change it weekly instead of remembering to take a pill everyday. I started the patch and my periods became regular and my mood increased greatly, I do experience bad PMS but It is much better compared to when I was on the pill. I do get cramps sometimes between periods but nothing too bad. You can also use the patch to skip periods but I enjoy having a regular “cycle” and when I did use it to skip a period for a holiday I ended up spotting for a month! Overall the patch is great for me and I don’t plan on changing as it has helped my mental health so much.


Somewhat positive mood

1 more effect

1 helpful

0 comments

Patch  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  24th Aug 24

Patch  

I had near constant breakthrough bleeding the entire time


Somewhat negative mood

1 more effect

1 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  7th Aug 24

Patch  

It’s convenient to only change once a week. I’ve found when I’ve been on holiday if you are in the water it does loosen and sometimes come off in the water which is not helpful. I have experienced a lot of breakthrough bleeding very randomly but it has helped with my skin. My sex drive has basically gone it’s that low which I have struggled with but my mood and endometriosis pain during periods has helped


Somewhat positive mood

3 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Vasectomy with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them