Sterilisation (Female / tubal occlusion) vs Hormonal coil (IUS)

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Sterilisation (Female / tubal occlusion)

Add your Sterilisation (Female / tubal occlusion) review

Hormonal coil (IUS)

Add your Hormonal coil (IUS) review

Overview

Rated 4.4

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 3.5

864 reviews

Every 3-8 years

Frequency

Over 99%

Effectiveness

None

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.

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

What Lowdown reviewers say

57% no impact on mood

57% no change

43% no impact

71% no impact

100% no impact on skin

Cycle return

Not enough data to say

43% no impact on mood

46% stopped periods

48% no impact

59% no impact

53% no impact on skin

Cycle return

33% don’t know impact

Benefits: What this contraceptive can help with

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Add your Sterilisation (Female / tubal occlusion) review

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Check out our latest reviews

Real life reviews from people like you

Sterilisation (Female / tubal occlusion) reviews

7 reviews

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.

Read more

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 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


Hormonal coil (IUS) reviews

864 reviews

Hormonal coil (IUS)  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  3 days ago

Hormonal coil (IUS)  

Periods stopped, no noticeable side effects other than toward the end of the 5 years when I had a few side effects (tender breasts, spots, mood swings) which I put down to hormonal change as the coil was coming to expiry date. Now I've had it replaced and I have no side effects. Stable mood, skin clear, no periods, no stomach/back/head pain.


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Jaydess coil  

In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods became lighter and I still have the normal symptoms of my cycle which is exactly what I want. The only negatives (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period. One other slight negative at the beginning was my partner took some time to get used to the feeling of the strings when having sex, however this improved after a few months and is no longer an issue.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Kyleena coil  

In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods because lighter and I still have the normal symptoms of my cycle. The only negative (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period.


Top side effects not reported

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  3 days ago

Hormonal coil (IUS)  

Periods stopped, no noticeable side effects other than toward the end of the 5 years when I had a few side effects (tender breasts, spots, mood swings) which I put down to hormonal change as the coil was coming to expiry date. Now I've had it replaced and I have no side effects. Stable mood, skin clear, no periods, no stomach/back/head pain.


Very positive mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Jaydess coil  

In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods became lighter and I still have the normal symptoms of my cycle which is exactly what I want. The only negatives (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period. One other slight negative at the beginning was my partner took some time to get used to the feeling of the strings when having sex, however this improved after a few months and is no longer an issue.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2 weeks ago

Kyleena coil  

In terms of contraception practically perfect, I react extremely badly to hormonal contraception usually and this didn’t cause any of the negative side effects I usually get from hormonal methods. My periods because lighter and I still have the normal symptoms of my cycle. The only negative (which is quite a big one) is significantly increased pain throughout my cycle, during my bleed and also cramping randomly throughout the month, sometimes when exercising and also two days before my period which I didn’t experience before. I am devastated that this has been discontinued in most places. I think it’s completely inexcusable that there is now no IUS which for most people doesn’t stop their period.


Top side effects not reported

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

Got this inserted as a long-acting, reliable method of contraception. I found the insertion process ok, it was uncomfortable but not painful. I was able to easily feel the coil threads when I checked regularly. I had lighter periods but actually found period pains worse with the coil in place - hence the deducted star. I had this removed as we wanted to try to concieve. The removal process was totally painless. We got pregnant in one month of trying.


Top side effects not reported

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

Levosert coil  

Overall my experience has been positive in comparison to my previous experience with combined oral contraception. I no longer have mood swings or night sweats however over the 4 years of having my hormonal coil I now have no sex drive which was a big change for me, in addition to this sex became painful.On the other hand my periods stopped after 6 months to a year.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
35 years old
🇬🇧 UK
  •  3 weeks ago

Hormonal coil (IUS)  

Today I finally had my Mirena coil removed. The insertion and removal went smoothly and were painless. I had the coil for 10 months. During the first 6 weeks, I experienced continuous bleeding. After that, my periods became more regular but were very long up to 10 days and lighter than usual. After a period ended, I had another one a week later for only 3 days, and then the cycle repeated exactly every 28 days. I also had persistent discharge, infections, and cysts, and I even had to have a biopsy due to white spots on my cervix caused by the Mirena. Today, having it removed, I felt immediate relief. I was prescribed desogestrel tablets, so hopefully it will be better, although the pill doesn’t have very good reviews either.


Top side effects not reported

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
40 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

From coil insertion I had issues, it was very painful having it inserted and I had cramps for a weeks. I also got a post coil infection. I would get horrible period pain at that time of the month and my periods would also last longer than before coil. Often had spotting and could always feel there was something there like a pressure (difficult to explain). I also didn’t feel like myself, I didn’t have energy for a long time after the coil insertion. I got thrush and then got a UTI in August which I had for 6 & half weeks and took 5 courses of antibiotics. I finally saw a nurse who said stop the meds and agreed with my decision to have coil removed and said we would monitor it. I had coil removed 29/09 and am still getting the discomfort down there and regularly have a hot bean bag on my lower abdomen. Some days are better than others and this week I have had headaches so I’m not sure if it is linked to coil removal. The nurse will call me for follow up next week and if still getting it she needs to see if it could be pelvic inflammatory disease


Somewhat negative mood

1 more effect

0 helpful

1 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

I liked that it was minimal effort once inserted. My periods were far lighter and less frequently occurring. Because of the thickening of vaginal fluids being part of the mechanism; I found I because much more prone to UTIs after sex and also had lower sexual drive. I came off the Mirena because I wanted to track my cycle accurately to see if my hormones and cycle were affecting/triggering my seizures (I have drug resistant epilepsy). When I came off the Mirena I found I was less anxious over the months following swapping to the copper coil I.e. non hormonal. This had not been a concern of mine when on it.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 18 mo - 3 yr
23 years old
🇬🇧 UK
  •  24th Sep 25

Levosert coil  

While I had my Levosert, I liked it. I had mood changes, and cried a lot more than usual, but mostly just leading up to my period so it was manageable. I had recurrent thrush with it, and actually ended up having a prescription for monthly fluconazole tablets. In the end, after around 2 years, my coil slipped into my cervix, and it was incredibly stressful. I had no symptoms that it had slipped down, except my strings were a bit longer than usual. A doctor mistakenly told me it was fine to keep using, but when I later had it checked at a different clinic with ultrasound, they were alarmed that I'd had no symptoms as it was pretty much almost out of my body. I'd essentially been unprotected for about 8 months, and this led to a big pregnancy scare.


Somewhat negative mood

1 more effect

1 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  21st Sep 25

Mirena coil  

The mirena coil did effectively reduce menstrual bleeding and prevent pregnancy. Due to thickening vaginal discharge I found I was more prone to thrush and also that this had an impact on arousal. I was an advocate for the hormonal coil until I changed to a non hormonal birth control and found that this had elevated my anxiety certain times in my cycle. I am epileptic without seizure control and this was my reason for coming off hormonal methods. Female hormones can trigger seizures in women with refractory epilepsy!


Somewhat negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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