Sterilisation (Female / tubal occlusion) vs Combined pill
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Overview
Rated 4.4
7 reviews
Permanent
Frequency
Over 99%
Effectiveness
None
Blood clot risk
Permanent
Effect on fertility
Rated 2.8
2634 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Sterilisation (Female / tubal occlusion) ingredients
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
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
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£From £0.16/day
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Real life reviews from people like you
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
Combined pill reviews
2634 reviews
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• today
Overall okay, main side effect affecting me is the loss of libido and vaginally dryness as someone in a long-term relationship.
Improved skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 3 days ago
I’ve been on this for 2 1/2 months for perimenopause. My mood has been so bad I’ve had to have 2 weeks off work. I’m tired to the point even the smallest of things seem overwhelming. No sex drive whatsoever and unable to orgasm. I’m crying all the time and my poor husband doesn’t know what to do. The worst pill I’ve ever had.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 1 week ago
I have had a positive experience overall with minimal side effects. The most notable was becoming more emotional (crying more easily) but I haven’t minded that.
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• today
Overall okay, main side effect affecting me is the loss of libido and vaginally dryness as someone in a long-term relationship.
Improved skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 3 days ago
I’ve been on this for 2 1/2 months for perimenopause. My mood has been so bad I’ve had to have 2 weeks off work. I’m tired to the point even the smallest of things seem overwhelming. No sex drive whatsoever and unable to orgasm. I’m crying all the time and my poor husband doesn’t know what to do. The worst pill I’ve ever had.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 1 week ago
I have had a positive experience overall with minimal side effects. The most notable was becoming more emotional (crying more easily) but I haven’t minded that.
Somewhat negative mood
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 2 weeks ago
I started this pill to help with my hormonal acne that had come on when i was on a different pill so decided i needed a change. Everything was fine for the first week or so, I went abroad and accidentally missed a pill due to different timezones. I bled consistently for 3 weeks after missing one pill. My anxiety has been increased and i am extremely fatigued all the time. I have painful sex, due to hormonal changes and vaginal dryness. I am now coming off this pill for a week to bleed and then i am going back on the pill i was on previously.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 2 weeks ago
Ugh...honestly so sad to be going off this pill. If it weren't for the fact I've completely lose sensation and sex drive I would stay on this for as long as necessary. Made my mood so stable with no other side effects apart from breast tenderness and enlargment, but I'm used to having tender breasts anyway. A lot of spotting in the beginning which was fine, nothing major just wore panty liners.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 2 weeks ago
Amazing compared to the progesterone only pill and progesterone only implant I was on previously. Less mood swings, no depression. Perfect for timing my irregular periods, except the breakthough bleed a couple days before I end my pill packet. DEFINITELY GAINED WEIGHT. Before I was living a bit sedentary, and even when I joined the gym, I was still heavy/gaining weight. Led to breasts and tummy increasing 4 inches each. Will be going back to the gym daily for cardio to maintain / decrease this. My migraines had stopped prior to taking the combined pill, but since having it, I am getting a few more headaches, and sometimes a migraine, but not daily like I used to.
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 2 weeks ago
All good so far just really tender breasts but no weight gain and even cleared up my skin!
Improved skin
0 helpful
0 comments
Used for 12 - 18 mo
41 years old
🇬🇧 UK
• 2 weeks ago
When started, my gynecologist said that some spotting is expected. I bled for a whole month, seriously like on a heavy period. Had to treat anemia for months after that. Later everything normalised and my period lasts now 2-3 days which I'm extremely happy about. If you accidentally miss a pill be ready to have period like cramps for a day. Skin became clearer, breasts enlarged a bit, no mood swings. Overall, happy with this pill.
Improved skin
0 helpful
0 comments
Used for 12 - 18 mo
41 years old
🇬🇧 UK
• 2 weeks ago
Was told by my gynaecologist that some spotting in the first month was to be expected and normal. I bled for a month, every day, even more than during my usual period. Had to treat anemia for months after that but it was ok later on. Now my period is bately there, 2-3 days and I'm very happy about it.
Improved skin
0 helpful
0 comments
Used for 8+ yr
28 years old
🇬🇧 UK
• 3 weeks ago
I loved this pill at first and didn’t have any issues. After 4.5 years I started getting severe sharp head pains as well as lower back and pelvic pain which my gp said was from the pill. I swapped to Desogestril which I didn’t like to came off the pill and the pains stopped. I started back on Millinette after a couple of months and have been fine for 5 years until this year I have had an upset stomach and severe dizziness which has been put down to Vestibular Migraines. I have also had severe anxiety. I came off the pill and my stomach has gone back to normal but the constant dizziness, vertigo and severe anxiety is ongoing
Somewhat positive mood
2 more effects
0 helpful
0 comments

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