Vasectomy vs Progestogen-only / Mini pill

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Vasectomy

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Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.3

6 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 2.7

1283 reviews

Daily

Frequency

91% - 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.

Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

progestogen

What Lowdown reviewers say

50% somewhat negative

83% no change

67% lost sex drive

100% no impact

Not enough data to say

Cycle return

Not enough data to say

32% somewhat negative

37% stopped periods

50% lost sex drive

43% no impact

46% 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

Period pain

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£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Vasectomy reviews

6 reviews

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.

Read more

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
  •  20th Aug 19

Vasectomy  

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.


Somewhat negative mood

1 more effect

1 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
  •  20th Aug 19

Vasectomy  

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.


Somewhat negative mood

1 more effect

1 helpful

0 comments


Progestogen-only / Mini pill reviews

1283 reviews

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  2 days ago

Cerazette pill  

Was great for 2 years, no side effects. Then after 2 years was getting very irregular bleeding even though you get no periods on this pill. That is why I stopped using it.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  2 weeks ago

Cerelle pill  

I'm giving this pill more time because maybe it's just an adjustment. But I've been a bit weepy with sore breasts and spotting every week. Also a really tender feeling in my lower abdomen-especially during sex. Which I hate obviously. So I'm definitely not getting pregnant because I no longer enjoy sex.. so in that respect it is effective. It's getting one more month and then I'm done.


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
32 years old
🇬🇧 UK
  •  2 weeks ago

Cerazette pill  

Took it for 2 years. It numbed and blunted my feelings and led to outbursts because I wasn’t aware I was feeling bad in the first place. Had a terrible effect on my ADHD and made my meds much less effective, leading to massive burn out. I was sooo depressed and angry, and couldn’t figure out why. I had a light period non stop!!! I started getting the worst acne, which I found out was hormonal acne. This was what prompted me to stop! And I’m so glad I did!!! Using a combined pill with some estrogen right now and it’s been a total game changer!


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  2 days ago

Cerazette pill  

Was great for 2 years, no side effects. Then after 2 years was getting very irregular bleeding even though you get no periods on this pill. That is why I stopped using it.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  2 weeks ago

Cerelle pill  

I'm giving this pill more time because maybe it's just an adjustment. But I've been a bit weepy with sore breasts and spotting every week. Also a really tender feeling in my lower abdomen-especially during sex. Which I hate obviously. So I'm definitely not getting pregnant because I no longer enjoy sex.. so in that respect it is effective. It's getting one more month and then I'm done.


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
32 years old
🇬🇧 UK
  •  2 weeks ago

Cerazette pill  

Took it for 2 years. It numbed and blunted my feelings and led to outbursts because I wasn’t aware I was feeling bad in the first place. Had a terrible effect on my ADHD and made my meds much less effective, leading to massive burn out. I was sooo depressed and angry, and couldn’t figure out why. I had a light period non stop!!! I started getting the worst acne, which I found out was hormonal acne. This was what prompted me to stop! And I’m so glad I did!!! Using a combined pill with some estrogen right now and it’s been a total game changer!


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

I have endometriosis and this is the only pill I’ve tried that has stopped my daily pain. After a couple of failed attempts at a coil fitting my doctor suggested the progesterone only pill and I wish I had started taking it years ago! It’s increased my sex drive, dramatically reduced my endometriosis pain, had a positive impact on my mood and hasn’t caused weight gain or acne. The two main side effects I’ve had are occasional spotting and nausea, I’m still only on my 2nd month of the pill so hoping these settle down soon.


Very positive mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 5 - 8 yr
23 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

This pill has been amazing for me, I went on it because of very heavy periods and it really helped with that, I would really recommend it. I have heard a lot of bad stories from friends about their (different) pills but for me I don’t think I’ve had any bad side effects or experiences with it and I’ve been on it for nearly 7 years!


Very positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
23 years old
🇬🇧 UK
  •  2 weeks ago

Noriday pill  

I have PCOS, so don’t get regular periods and take the mini pill in order to balance my hormones. However, I don’t feel that it truly does balance them; I frequently get break through bleeding, feel bloated, have very low energy and experience cramps even when not on my period. As there is no breaks in this pill cycle, I never know if bleeding is a real period or an effect from this pill which concerns me. If I forget to take this pill, it can trigger a hormonal migraine.


Increased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
35 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel pill  

I completely lost my appetite for sex and became very irritable


Somewhat negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel pill  

I have tried lots of contraception and this has not been good for me. I was in agony with abdominal pain for a week and had period symptoms with no bleeding, followed by random bleeds.


Worse skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
36 years old
🇬🇧 UK
  •  3 weeks ago

Slynd pill  

Lowered my Bp to the point that I’m off meds. Only mini pill that I haven’t bled through.


Improved skin

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
44 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

Spotting, headaches, period type pains. Not for me


Very negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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