Sterilisation (Female / tubal occlusion) vs Combined pill
Need help choosing? Speak to a doctor
Sterilisation (Female / tubal occlusion) ingredients
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
Check out our latest reviews
Real life reviews from people like you
Sterilisation (Female / tubal occlusion) reviews
6 reviews
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
• 25th Mar 24
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
26 years old
🇬🇧 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!
Top side effects not reported
0 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.
Top side effects not reported
1 helpful
0 comments
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
• 25th Mar 24
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
26 years old
🇬🇧 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!
Top side effects not reported
0 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.
Top side effects not reported
1 helpful
0 comments
Combined pill reviews
2369 reviews
Used for 12 - 18 mo
18 years old
🇬🇧 UK
• today
I went on this one after a bad experience with a similar pill it’s okay. I kind of feel stuck on it because it’s a big improvement from the sickness I felt from the last pill but it’s still not great however I fear that if I change my pills again all those side effects will come back. I experienced HRT like symptoms from what i’ve seen they get better then they get horrendously worse it’s like a constant cycle.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
33 years old
🇬🇧 UK
• 1 day ago
Took a while to realise that these were side effects of the pill. Already have a history of depression and anxiety but around 3.5 months into taking this my mood plummeted, I started to have increasingly awful problems with vaginal dryness, thrush and vaginitis. In hindsight I was also having an awful lot of headaches and some migraines, which I haven’t had an issue with for years. 10 days after stopping, every single symptom has gone!
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
43 years old
🇬🇧 UK
• 2 days ago
I generally felt great with this pill. No mood changes and lost weight but unfortunately I had vaginal dryness which lead to regular thrush infections. I took a break from Yaz and the thrush infections stopped. I've just swapped to Zoely to see if this suits me better.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
18 years old
🇬🇧 UK
• today
I went on this one after a bad experience with a similar pill it’s okay. I kind of feel stuck on it because it’s a big improvement from the sickness I felt from the last pill but it’s still not great however I fear that if I change my pills again all those side effects will come back. I experienced HRT like symptoms from what i’ve seen they get better then they get horrendously worse it’s like a constant cycle.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
33 years old
🇬🇧 UK
• 1 day ago
Took a while to realise that these were side effects of the pill. Already have a history of depression and anxiety but around 3.5 months into taking this my mood plummeted, I started to have increasingly awful problems with vaginal dryness, thrush and vaginitis. In hindsight I was also having an awful lot of headaches and some migraines, which I haven’t had an issue with for years. 10 days after stopping, every single symptom has gone!
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
43 years old
🇬🇧 UK
• 2 days ago
I generally felt great with this pill. No mood changes and lost weight but unfortunately I had vaginal dryness which lead to regular thrush infections. I took a break from Yaz and the thrush infections stopped. I've just swapped to Zoely to see if this suits me better.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
37 years old
🇬🇧 UK
• 3 days ago
I tried Drovelis to attempt to manage PMDD (severe mood drop on top of existing depression) and PCOS. After 5+ months, my sense is that it was absolutely helping with PMDD. I aimed to take it continuously to minimise any mood drop' and did so for 3 months at first. Unfortunately, I just would not stop bleeding - it was more than 'spotting', enough to get through 3-4 tampons a day, every day. Then I tried 2 months of allowing a break between active pills to see if encouraging a 'period' would reduce the breakthrough bleeding, but to no avail. I didn't even used to suffer heavy periods, so I'm genuinely gutted I couldn't seem to settle and stop bleeding on this, as it was great for my PMDD and had no other negative side effects (beyond breast tenderness and temporary breast enlargement in month 1-2). Doctor's advice was if it hadn't settled by almost 6 months, best to try something else (so now I'm starting Yasmin).
Top side effects not reported
0 helpful
1 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 2 weeks ago
Been taking yacella for 6 months after not being on any contraception in years due to fears of side effects. Previously been on Loestrin 20 and Rigevidon both of which gave me horrible cystic acne and low mood. Dr recommended yacella as it has anti-androgenic progesterone and I have mild PCOS. So far it has been pretty good! I think my mood is unaffected, skin is great, sex drive unaffected. I have had some slight weight gain in more 'womanly' areas but nothing crazy. My breasts definitely have grown a lot and for the first few months they were quite sore but this has reduced to mild tenderness now. I do experience pain, especially lower back/pelvic, and am emotional during my 7 day break, however I suffered a lot with cramps prior to taking the pill so this is still an improvement for me. Would recommend, especially for anyone with hormonal imbalances like me.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
28 years old
🇬🇧 UK
• 2 weeks ago
Having been on this pill for a year, I noticed that I hadn't felt like myself for a while. I found myself with persistently lower moods. Even during times of joy, the feeling felt dampened. This is the primary reason I decided to stop taking this pill; no contraception is worth losing yourself to! I am still in the early stages of being off this pill, but I feel relieved to have made the choice. It did make my withdrawal bleeds ("periods") very light. However, I do also think it completely suppressed my libido. I (being naive) thought that being on a low dosage pill, I might have fewer symptoms, but it just hasn't worked for me. I just wish there were more non-hormonal options out there.
Top side effects not reported
0 helpful
0 comments
Used for 5 - 8 yr
24 years old
🇬🇧 UK
• 2 weeks ago
I was prescribed this pill as I struggled to gain weight therefore, I didn’t have a regular period. I never had any awful experiences with this pill other than after 3 years I started to experience reoccurring thrush. Once it was treated it usually went away until recently, I have been experiencing thrush almost every month always during the week before my break. It has become unbearable leading me to change to a different lower dose birth control instead.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
23 years old
🇬🇧 UK
• 3 weeks ago
This pill had a severe negative effect on my mental health. Physically I felt better as it alleviated PCOS symptoms but worsened my depression.
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
43 years old
🇬🇧 UK
• 3 weeks ago
Yasmin was the best pill for me. I have PCOS and it completely took care of my symptoms like acne. I also had very stable mood and positive mental state with this pill. My periods were light and I used to skip them 3 packets in a row and have only maybe 4 withdrawal bleeds per year. When I tried to extend it to 4 packs, I would often start to get light spotting so I think 3 packs non-stop was optimal for me.
Top side effects not reported
1 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
Pharmacy services provided by Phlo Technologies Ltd. GPhC reg number: 9011171
When you click on some links on this site, we may get a small affiliate commission