Progestogen-only / Mini pill vs Sterilisation (Female / tubal occlusion)

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Progestogen-only / Mini pill

£From £0.22/day

Sterilisation (Female / tubal occlusion)

Add your Sterilisation (Female / tubal occlusion) review

Overview

Rated 2.7

1463 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

Plastic or titanium clamps or silicone ring may be used to block the fallopian tubes.

What Lowdown reviewers say

32% somewhat negative

43% stopped periods

49% lost sex drive

44% no impact

45% no impact on skin

Cycle return

39% don’t know impact

50% no impact on mood

63% no change

38% increased sex drive

75% no impact

100% no impact on skin

Cycle return

Not enough data to 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

Try it now

£From £0.22/day

Try it now

Add your Sterilisation (Female / tubal occlusion) review

Check out our latest reviews

Real life reviews from people like you

Progestogen-only / Mini pill reviews

1463 reviews

Progestogen-only / Mini pill  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  1 day ago

Desogestrel pill  

I’ve been using Desogestrel for over 6 months now it’s the first pill I tried as I didn’t like the fact that the combined pill affected your blood pressure. I struggled with heavy periods, cramping and always hated when my period came around as I had to use heavy flow tampons/towels continuously for 5-6 days. Since going on the pill I haven’t noticed any unusual side effects I take it in the evening at about 9pm I wouldn’t recommend it if you have spot prone skin as I didn’t originally I haven’t noticed a difference other than small breakouts before my period is due however I know it can make others worse if you already have spots. It hasn’t changed my weight at all however it does increase your appetite so as long as you keep on top of it stay active and eat healthy it shouldn’t affect you either. I’m very sexually active with my partner and so far we have had no pregnancy scares and we don’t use condoms. Overall the pill has made my periods much lighter I tend to either not bleed or bleed very little and I no longer have any cramping. It does cause breakthrough bleeding occasionally so if you want to stay regular I wouldn’t recommend this pill. I’m really happy with my decision to go on this form of contraception,

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  6 days ago

Zelleta pill  

The side effects I experienced on this pill were awful. I can’t take estrogen so have limited options. My mood dipped, and I had the worst breakouts of my life. Giant painful spots all over my chin which tanked my confidence, and I was bleeding almost constantly. Changed to Slynd after 3 months and can’t recommend that pill enough!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
28 years old
🇬🇧 UK
  •  6 days ago

Slynd pill  

This pill has been a game changer! I can’t tolerate estrogen, and I had previously been taking Zelleta which was causing near constant bleeding and my skin looked horrendous. I started taking Slynd in April 2025 and my periods are lighter than without contraception, and my skin has almost completely cleared up. I still get some spots around my period, but that was normal for me before contraception. I haven’t noticed any other side effects 9 months into taking it. My periods were irregular the first 3 months, but now are normal every 4-5 weeks.


Improved skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  1 day ago

Desogestrel pill  

I’ve been using Desogestrel for over 6 months now it’s the first pill I tried as I didn’t like the fact that the combined pill affected your blood pressure. I struggled with heavy periods, cramping and always hated when my period came around as I had to use heavy flow tampons/towels continuously for 5-6 days. Since going on the pill I haven’t noticed any unusual side effects I take it in the evening at about 9pm I wouldn’t recommend it if you have spot prone skin as I didn’t originally I haven’t noticed a difference other than small breakouts before my period is due however I know it can make others worse if you already have spots. It hasn’t changed my weight at all however it does increase your appetite so as long as you keep on top of it stay active and eat healthy it shouldn’t affect you either. I’m very sexually active with my partner and so far we have had no pregnancy scares and we don’t use condoms. Overall the pill has made my periods much lighter I tend to either not bleed or bleed very little and I no longer have any cramping. It does cause breakthrough bleeding occasionally so if you want to stay regular I wouldn’t recommend this pill. I’m really happy with my decision to go on this form of contraception,


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  6 days ago

Zelleta pill  

The side effects I experienced on this pill were awful. I can’t take estrogen so have limited options. My mood dipped, and I had the worst breakouts of my life. Giant painful spots all over my chin which tanked my confidence, and I was bleeding almost constantly. Changed to Slynd after 3 months and can’t recommend that pill enough!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
28 years old
🇬🇧 UK
  •  6 days ago

Slynd pill  

This pill has been a game changer! I can’t tolerate estrogen, and I had previously been taking Zelleta which was causing near constant bleeding and my skin looked horrendous. I started taking Slynd in April 2025 and my periods are lighter than without contraception, and my skin has almost completely cleared up. I still get some spots around my period, but that was normal for me before contraception. I haven’t noticed any other side effects 9 months into taking it. My periods were irregular the first 3 months, but now are normal every 4-5 weeks.


Improved skin

0 helpful

0 comments


Sterilisation (Female / tubal occlusion) reviews

8 reviews

Sterilisation (Female / tubal occlusion)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  1 month ago

Sterilisation (Female / tubal occlusion)  

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

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  26th May 24

Sterilisation (Female / tubal occlusion)  

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

Sterilisation (Female / tubal occlusion)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  25th Mar 24

Sterilisation (Female / tubal occlusion)  

eryew4yhwesgs


Decreased sex drive

1 more effect

0 helpful

1 comments

Sterilisation (Female / tubal occlusion)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  1 month ago

Sterilisation (Female / tubal occlusion)  

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

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  26th May 24

Sterilisation (Female / tubal occlusion)  

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

Sterilisation (Female / tubal occlusion)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  25th Mar 24

Sterilisation (Female / tubal occlusion)  

eryew4yhwesgs


Decreased sex drive

1 more effect

0 helpful

1 comments

Sterilisation (Female / tubal occlusion)  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  30th Jul 23

Sterilisation (Female / tubal occlusion)  

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

0 comments

Sterilisation (Female / tubal occlusion)  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  2nd Dec 20

Sterilisation (Female / tubal occlusion)  

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

Sterilisation (Female / tubal occlusion)  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  24th Sep 20

Sterilisation (Female / tubal occlusion)  

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

Sterilisation (Female / tubal occlusion)  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  7th Nov 19

Sterilisation (Female / tubal occlusion)  

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

Sterilisation (Female / tubal occlusion)  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  26th Jun 19

Sterilisation (Female / tubal occlusion)  

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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