Sterilisation (Female / tubal occlusion) vs Combined pill

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Sterilisation (Female / tubal occlusion)

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Combined pill

£From £0.16/day

Overview

Rated 4.2

5 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 2.8

2343 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Sterilisation (Female / tubal occlusion) ingredients

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

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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Check out our latest reviews

Real life reviews from people like you

Sterilisation (Female / tubal occlusion) reviews

5 reviews

Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  30th Jul 23

  •  Still using

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!

Read more

Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  2nd Dec 20

  •  Stopped using

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.


Top side effects not reported

1 helpful

0 comments

Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  24th Sep 20

  •  Stopped using

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 3 - 6 mo
26 years old
🇬🇧 UK
  •  30th Jul 23

  •  Still using

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!


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  2nd Dec 20

  •  Stopped using

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.


Top side effects not reported

1 helpful

0 comments

Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  24th Sep 20

  •  Stopped using

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


Combined pill reviews

2343 reviews

Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  1 day ago

  •  Still using

Weirdly my worst side effects were during the week I went off this - dizziness, nausea, headaches. I was advised I could stay on it without a break, but after three months I had heavy breakthrough bleeding (not just spotting), so took a week off and felt dreadful. While on the pill I had more acne as well, which cleared up a bit during my week off. Needless to say this hasn’t been the right pill for me.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
24 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I was initially prescribed GEDAREL 30/150 to treat acne when I was 15. I have been diagnosed with clinical depression since age 14 which is managed with SSRIs. I can confidently say that GEDADAREL has not had any effect on my mood, but it should be noted that I have been on SSRIs for the entire time that I used it. It also drastically improved my acne which was an absolute miracle at that age. The only other side effect I noticed was larger and more tender breasts. I have always had light periods and I didn’t notice much of a change to my periods on the pill. I remained on it continuously until age 19. I took a break for around 9 months, during which time my acne returned. Went back on it age 20 when I got into a relationship and was on it continuously until the start of this year (age 23). I stopped using Gedarel because I am currently celibate and single and I haven’t had any severe issues with acne, so it feels unnecessary to pay for contraception. When I need contraception again I will definitely go back to Gedarel.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
26 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

Started taking this pill 8 years ago when I was 18 for contraception and to lighten periods that were on the heavy side and quite painful. The first few years were great, periods were lighter and less painful, no notable side effects. I started tricycling packets a few years back allowing me to plan periods around events. I think with time periods on this pill became more painful and heavier, with some infrequent almost unbearable pains, maybe once per period I would have 10 mins of agony. My blood pressure is now slightly raised and I have been having heart palpitations/high Heart rate. I had a migraine with aura a few weeks back (during my pill free week so probably linked to hormone changes). My skin has worsened in the last few years with big chin and jaw cysts but again these are infrequent. I hadn’t noticed mood changes maybe as I had been on this pill for so long. My sex drive was also none existent and I would never think of initiating sex. Due to all these symptoms I have come off birth control all together. I was incredibly anxious about coming off the pill as the thought of no longer having control over my periods was so alien to me. Since coming off my heart symptoms have improved, migraines improved, skin has improved (but I have been using prescription medication too), mood has improved (apart from the few days before my period!). The first period back came exactly 28 days after stopping the pill and has been heavier but less painful and manageable using a menstrual disc. My sex drive Increased immediately after stopping the pill and even more so around ovulation. I had lost about 6lbs from around my hips and stomach in a few weeks with no diet changes. My boobs feel slightly smaller and are more sensitive. I am now looking for the right alternative contraceptive for me whilst tracking my monthly cycles and getting to know my body better. The doctors immediately recommended I switch to a POP which I haven’t done yet, as maybe non hormonal would be better. Coming off the combined pill has prompted some open conversations with friends, and to my surprise all have had their own struggles with combined pills and no longer take them. I think we need more support as young women to make informed decisions around these topics rather than get dumped on the cheapest medication available that have symptoms that impact so many aspects of physical and mental health. In summary it was good for a while and may be better for some people but don’t let yourself feel trapped by the convenience of this pill. Don’t ignore any negative side effects as ultimately your body knows best.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  1 day ago

  •  Still using

Weirdly my worst side effects were during the week I went off this - dizziness, nausea, headaches. I was advised I could stay on it without a break, but after three months I had heavy breakthrough bleeding (not just spotting), so took a week off and felt dreadful. While on the pill I had more acne as well, which cleared up a bit during my week off. Needless to say this hasn’t been the right pill for me.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
24 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I was initially prescribed GEDAREL 30/150 to treat acne when I was 15. I have been diagnosed with clinical depression since age 14 which is managed with SSRIs. I can confidently say that GEDADAREL has not had any effect on my mood, but it should be noted that I have been on SSRIs for the entire time that I used it. It also drastically improved my acne which was an absolute miracle at that age. The only other side effect I noticed was larger and more tender breasts. I have always had light periods and I didn’t notice much of a change to my periods on the pill. I remained on it continuously until age 19. I took a break for around 9 months, during which time my acne returned. Went back on it age 20 when I got into a relationship and was on it continuously until the start of this year (age 23). I stopped using Gedarel because I am currently celibate and single and I haven’t had any severe issues with acne, so it feels unnecessary to pay for contraception. When I need contraception again I will definitely go back to Gedarel.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
26 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

Started taking this pill 8 years ago when I was 18 for contraception and to lighten periods that were on the heavy side and quite painful. The first few years were great, periods were lighter and less painful, no notable side effects. I started tricycling packets a few years back allowing me to plan periods around events. I think with time periods on this pill became more painful and heavier, with some infrequent almost unbearable pains, maybe once per period I would have 10 mins of agony. My blood pressure is now slightly raised and I have been having heart palpitations/high Heart rate. I had a migraine with aura a few weeks back (during my pill free week so probably linked to hormone changes). My skin has worsened in the last few years with big chin and jaw cysts but again these are infrequent. I hadn’t noticed mood changes maybe as I had been on this pill for so long. My sex drive was also none existent and I would never think of initiating sex. Due to all these symptoms I have come off birth control all together. I was incredibly anxious about coming off the pill as the thought of no longer having control over my periods was so alien to me. Since coming off my heart symptoms have improved, migraines improved, skin has improved (but I have been using prescription medication too), mood has improved (apart from the few days before my period!). The first period back came exactly 28 days after stopping the pill and has been heavier but less painful and manageable using a menstrual disc. My sex drive Increased immediately after stopping the pill and even more so around ovulation. I had lost about 6lbs from around my hips and stomach in a few weeks with no diet changes. My boobs feel slightly smaller and are more sensitive. I am now looking for the right alternative contraceptive for me whilst tracking my monthly cycles and getting to know my body better. The doctors immediately recommended I switch to a POP which I haven’t done yet, as maybe non hormonal would be better. Coming off the combined pill has prompted some open conversations with friends, and to my surprise all have had their own struggles with combined pills and no longer take them. I think we need more support as young women to make informed decisions around these topics rather than get dumped on the cheapest medication available that have symptoms that impact so many aspects of physical and mental health. In summary it was good for a while and may be better for some people but don’t let yourself feel trapped by the convenience of this pill. Don’t ignore any negative side effects as ultimately your body knows best.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  2 weeks ago

  •  Still using

Only negative for me is it does make me very emotional and I’m not usually an emotional person!


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
15 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

This pill was hell i had to stop taking it before it got too much for me. It helped my painful periods but the cons outweighed the pros. I gained a lot of weight no matter what i did i was always hungry. My breast got bigger however were always extremely tender. MY MOODS were so awful i was difficult to be around people didn’t want to talk to me as much as i was so easily irritated and negative all the time and it was affecting my relationship. I was always extremely upset and lethargic and cried throughout the day and got angry at the people i love for little things. I felt a bit nauseous and had a few headaches but not too bad. I absolutely would not recommend this pill to anyone, i know a few people who have taken it and i’ve never once heard of someone having a good experience with it so it saddens me that this is usually the go to first combined pill doctors recommend.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
15 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I’ve been taking this pill only for a month so far but it’s a whole lot better than the previous pill i was taking a year ago (rigevidon) first few days of this pill i noticed i was a bit more emotional and irritated but it went away in a week i think i was just getting used to it. I have gained a little bit of weight but nothing too significant however i think that might just be because of my diet. My breasts have gotten bigger but they’re very tender hopefully that goes away a bit as i continue taking it. Slight loss of sex drive but not complete loss and a bit of vaginal dryness but it’s not too bad. I’ve gotten a few spots on my forehead but this could just be a result of my diet or travel and they’re only tiny for now but i’ll see how that goes. Overall pleasantly surprised at my experience so far compared to the absolutely demonic pill i was on previously, would recommend x


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I have tried many contraceptions ranging from the injection to the implant. I landed on this pill at about 20 years old and at the beginning it worked really well considering how all the others gave me really bad bleeding or other side effects. I’ve been on Rigevidon on and off for about 8 years. And I’d say within the last few years I’ve noticed a huge change in my moods when on the pill and when on a break from it I’m happier. This pill has caused anxiety, worry, stress and bouts of depression. I’m not usually like this and it’s horrible to feel like each month I dread the time that my mood will dip and I’ll feel not like myself. I’ve had to even explain this to my fiancé so he’s prepared and it’s not fair on either of us. I overthink and it’s just like a grey cloud following me. It’s not worth it and truthfully I’ll be coming off it for good when this packet is finished!


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
40 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

After taking the contraceptive pill for the past 15 years and being told it’s perfectly safe, I found out at the beginning of this year that I have 3 tumours on my liver as a result of long term usage of the pill. This week I underwent major surgery and had a liver resection to remove the biggest tumour, which at over 7cm was at risk of haemorrhaging. I’ve got two other smaller tumours which will hopefully shrink now I’ve come off the contraceptive pill. I hope my story highlights that hormonal contraception is NOT SAFE!


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

i’ve been on the yasmin pill for about a year now and it’s been amazing! my boobs grew from an AA to a C and i’m no longer struggling with acne


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

I experienced severe discomfort when on my period and very heat bleeding and blood clots, very large ones.


Top side effects not reported

0 helpful

0 comments

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