Progestogen-only / Mini pill vs Sterilisation (Female / tubal occlusion)
Need help choosing? Speak to a doctor
£From £0.22/day
Add your Sterilisation (Female / tubal occlusion) review
Overview
Rated 2.7
1414 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 4.4
7 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
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
1414 reviews
Used for 12 - 18 mo
36 years old
🇬🇧 UK
• 1 day ago
I went on Slynd to help with endometriosis, but unfortunately I developed a wide range of side effects that made me stop. The most unusual one was nerve-like stinging pain after sex and orgasms. Even though I stayed lubricated, I would get a burning/nerve pain that lasted for days afterwards. Alongside that, I also experienced dry mouth, chest pain, insomnia, low mood, low energy, acne, dry skin, anxiety, and frequent headaches. The combination left me feeling really unwell, physically and emotionally. I wanted to share because painful orgasms and these systemic symptoms weren’t something I’d ever read about with Slynd, and if anyone else is going through the same thing, you’re not imagining it
Very negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 2 days ago
I stopped taking the pill yesterday. I used desogestrel for four months for my endometriosis. I tried really hard to stay positive, to remind myself that it takes time for the side effects to go away and for my endo pain to lessen. Well, unfortunately desogestrel hasn't helped at all, but has made everything worse for me. I've gained 5 kgs in these four months. I've always been naturally skinny and never gained (or lost) weight, so gaining this much in such a short amount of time is a lot for my body and self-esteem. Most of my pants don't fit anymore. Sure, some of it is just endo bloating, but the weight gain does play a part in it. And then there's the hot flashes. One minute I'm sweating like crazy, the next I'm feeling cold. I've also had constant breakthrough bleeding, so I'm using pantyliners daily. For the last two months of using the pills, I've had my periods every other week, which means I'm in terrible pain more often than I was without the pills. That's why I finally decided I've had enough and stopped taking desogestrel. I can't stand all the side effects and the pain. But this is just my experience, the pills might work for someone else! :)
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 1 month ago
I used this for a month hoping it would help with period cramps. Do not recommend. I used it perfectly and felt nauseous everyday after taking it. I got a 9 day period (with cramps) during what was supposed to be my "ovulation" week.It had me feeling very anrgy, caused me period like pains and headaches daily.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
36 years old
🇬🇧 UK
• 1 day ago
I went on Slynd to help with endometriosis, but unfortunately I developed a wide range of side effects that made me stop. The most unusual one was nerve-like stinging pain after sex and orgasms. Even though I stayed lubricated, I would get a burning/nerve pain that lasted for days afterwards. Alongside that, I also experienced dry mouth, chest pain, insomnia, low mood, low energy, acne, dry skin, anxiety, and frequent headaches. The combination left me feeling really unwell, physically and emotionally. I wanted to share because painful orgasms and these systemic symptoms weren’t something I’d ever read about with Slynd, and if anyone else is going through the same thing, you’re not imagining it
Very negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 2 days ago
I stopped taking the pill yesterday. I used desogestrel for four months for my endometriosis. I tried really hard to stay positive, to remind myself that it takes time for the side effects to go away and for my endo pain to lessen. Well, unfortunately desogestrel hasn't helped at all, but has made everything worse for me. I've gained 5 kgs in these four months. I've always been naturally skinny and never gained (or lost) weight, so gaining this much in such a short amount of time is a lot for my body and self-esteem. Most of my pants don't fit anymore. Sure, some of it is just endo bloating, but the weight gain does play a part in it. And then there's the hot flashes. One minute I'm sweating like crazy, the next I'm feeling cold. I've also had constant breakthrough bleeding, so I'm using pantyliners daily. For the last two months of using the pills, I've had my periods every other week, which means I'm in terrible pain more often than I was without the pills. That's why I finally decided I've had enough and stopped taking desogestrel. I can't stand all the side effects and the pain. But this is just my experience, the pills might work for someone else! :)
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 1 month ago
I used this for a month hoping it would help with period cramps. Do not recommend. I used it perfectly and felt nauseous everyday after taking it. I got a 9 day period (with cramps) during what was supposed to be my "ovulation" week.It had me feeling very anrgy, caused me period like pains and headaches daily.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Sterilisation (Female / tubal occlusion) reviews
7 reviews
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
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
0 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

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
Slide into our DMs
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