Progestogen-only / Mini pill vs Sterilisation (Female / tubal occlusion)
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Overview
Rated 2.7
1505 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 4.5
8 reviews
Permanent
Frequency
Over 99%
Effectiveness
None
Blood clot risk
Permanent
Effect on fertility
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
Sterilisation (Female / tubal occlusion) ingredients
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Period pain
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
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Add your Sterilisation (Female / tubal occlusion) review
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Real life reviews from people like you
Progestogen-only / Mini pill reviews
1505 reviews
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 2 days ago
I have been on the mini pill now for around 5 months, not for contraception (sure it’s a bonus) but as a move from taking Omeprazole and Mefenamic Acid to control horrific period pain, which stopped working. The first 2 weeks on this pill were great, no side effects, nothing… After I had such a horrorific period i almost stopped it all together. Bleeding & clotting heavily for almost 2 weeks combined with debilitating cramps. Since then I bleed DAILY, with 2-3week long periods. In my review my doctors pushed me to try another 3 months as “It’s should settle out” But I’m in agonising pain some days from when I wake up and for the last 2 months have had daily headaches with a few turning into full blown migraines, which I have been sent home from work for. I hadn’t had a migraine that bad in almost a year and my headaches, which i am prone to, have NEVER been this frequent, but again i was told to ‘monitor them’ and ‘keep track of them’ by my doctor… I’m genuinely at my wits end and i feel quite lied to as well, as one of the biggest reasons i was put onto the mini pill is my medical record with the combined pill, as well as being worried about weight gain and told oh that one happen, when it most certainly has. I genuinely wouldn’t recommend it to anyone and it makes me not want to try any others due to my horrible experience now and in the past.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
43 years old
🇬🇧 UK
• 1 month ago
A couple of months after starting Slynd I noticed a lot of hair in the plug hole after showering. I have fine but dense hair, so it took some time to realise just how much I was losing. I estimate I lost in a day what I previously would have lost in a week. The hairline behind my ears receded 2-3cm but otherwise I shed all over my head. My hair is now very thin, pony tail barely there, and my scalp is very visible if I wear my hair back. I think I have lost 2/3 of my hair at least. It is still falling out at the same rate a month after stopping it.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 1 month ago
I was on this mini pill for just over a year after switching from the combined pill. It slowly affected my mood to the point where my mood was constantly flat and I didn’t feel excited about anything. My libido was also very low. I felt a massive difference after stopping. Positives were I didn’t have periods often (every 6-8 weeks) and not much period pain. The 12 hour window to take the pill was also helpful when I sometimes forgot, as some other mini pills have shorter windows.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 2 days ago
I have been on the mini pill now for around 5 months, not for contraception (sure it’s a bonus) but as a move from taking Omeprazole and Mefenamic Acid to control horrific period pain, which stopped working. The first 2 weeks on this pill were great, no side effects, nothing… After I had such a horrorific period i almost stopped it all together. Bleeding & clotting heavily for almost 2 weeks combined with debilitating cramps. Since then I bleed DAILY, with 2-3week long periods. In my review my doctors pushed me to try another 3 months as “It’s should settle out” But I’m in agonising pain some days from when I wake up and for the last 2 months have had daily headaches with a few turning into full blown migraines, which I have been sent home from work for. I hadn’t had a migraine that bad in almost a year and my headaches, which i am prone to, have NEVER been this frequent, but again i was told to ‘monitor them’ and ‘keep track of them’ by my doctor… I’m genuinely at my wits end and i feel quite lied to as well, as one of the biggest reasons i was put onto the mini pill is my medical record with the combined pill, as well as being worried about weight gain and told oh that one happen, when it most certainly has. I genuinely wouldn’t recommend it to anyone and it makes me not want to try any others due to my horrible experience now and in the past.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
43 years old
🇬🇧 UK
• 1 month ago
A couple of months after starting Slynd I noticed a lot of hair in the plug hole after showering. I have fine but dense hair, so it took some time to realise just how much I was losing. I estimate I lost in a day what I previously would have lost in a week. The hairline behind my ears receded 2-3cm but otherwise I shed all over my head. My hair is now very thin, pony tail barely there, and my scalp is very visible if I wear my hair back. I think I have lost 2/3 of my hair at least. It is still falling out at the same rate a month after stopping it.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
35 years old
🇬🇧 UK
• 1 month ago
I was on this mini pill for just over a year after switching from the combined pill. It slowly affected my mood to the point where my mood was constantly flat and I didn’t feel excited about anything. My libido was also very low. I felt a massive difference after stopping. Positives were I didn’t have periods often (every 6-8 weeks) and not much period pain. The 12 hour window to take the pill was also helpful when I sometimes forgot, as some other mini pills have shorter windows.
Very negative mood
3 more effects
0 helpful
0 comments
Sterilisation (Female / tubal occlusion) reviews
8 reviews
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 16th Jan 26
I had a laparoscopic bisalpingectomy. Obviously it is a surgery, which means a few weeks of recovery and scars can take a few months to properly heal and fade, but I am so glad I got it done. It is permanent, so that is something to keep in mind if you are not 100% sure, but very safe and reliable.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 26th May 24
Feel much better not having extra hormones circulating through my body and not worrying about contraception.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 25th Mar 24
Decreased sex drive
1 more effect
0 helpful
1 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 16th Jan 26
I had a laparoscopic bisalpingectomy. Obviously it is a surgery, which means a few weeks of recovery and scars can take a few months to properly heal and fade, but I am so glad I got it done. It is permanent, so that is something to keep in mind if you are not 100% sure, but very safe and reliable.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 26th May 24
Feel much better not having extra hormones circulating through my body and not worrying about contraception.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 25th Mar 24
Decreased sex drive
1 more effect
0 helpful
1 comments
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 30th Jul 23
This procedure saved my life! I was sterilised earlier this year aged 36, I suffer from Tokophobia (fear of pregnancy) and don’t want children so this surgery was the perfect solution. I opted to have both tubes removed completely to reduce any risk of recanalisation in the future. I feel so much happier in myself and no longer experience panic attacks related to sex/pregnancy scares so I’m actually able to relax and enjoy myself 😅 I had to go private because of my age and where I live but it was definitely worth the money. There is a Childfree friendly doctors list on Reddit, I found the link on a Childfree Facebook group. Definitely recommend sterilisation!
Very positive mood
1 helpful
1 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 2nd Dec 20
It maybe ok for some people and for some, like the other women here it may even be good, but for myself and a lot of other women this was and still is the worst thing that could have happened to me. My life has been irrevocably damaged by this procedure and is still being damaged. The complex migraines I have suffered since having the procedure caused me to have a stroke 3 days after my 39th birthday, I have never smoked, eat healthy, organic food and don’t abuse my body. Before this procedure I was extremely fit, quick minded, outgoing and energetic. It might not harm everyone but if you are one of the growing number of women that have been affected you will regret it for the rest of your life. Even a reversal may not completely fix things (as I found) depending on how badly the tubes have been damaged. Really do your research, join support groups for ptls and ask the women who are all suffering the same symptoms, as many questions as you can.
Very negative mood
2 more effects
1 helpful
1 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 24th Sep 20
I chose sterilization several years ago to prevent pregnancy. It was the right decision for me and I have had no long-lasting effects.
Top side effects not reported
1 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 7th Nov 19
Best decision ever. I never have to worry about a pregnancy scare. Note: only do this if you are sure you never want to become pregnant naturally.
Increased sex drive
1 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 26th Jun 19
I decided to get sterilised at age 25 after awful side effects from hormonal contraceptives (which doctors brushed off as nothing) including weight gain, depression, mood swings and complete loss of libido. I didn't want kids so I went to Marie Stopes and had my tubes tied privately (think it cost about £1000). Doctors on the NHS had more or less told me I was supposed to have kids and they only sterilised women who are older or who have already had kids...women's healthcare is shockingly bad. Anyway, other than temporary pain and discomfort after the surgery, which gradually tapered off after 2 weeks (I was in bad period-level pain immediately after, but by the next day I was just uncomfortable and this got better day by day), I feel completely myself and have done ever since...zero side effects! P.s. don't trust NHS doctors when it comes to women's health - they lie.
Top side effects not reported
7 helpful
0 comments

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