Sterilisation (Female / tubal occlusion) vs Implant
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Overview
Rated 4.5
8 reviews
Permanent
Frequency
Over 99%
Effectiveness
None
Blood clot risk
Permanent
Effect on fertility
Rated 2.8
640 reviews
Every 5 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Sterilisation (Female / tubal occlusion) ingredients
Implant ingredients
Main hormones in Implant
progestogen
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
Heavy periods
Ovulation pain
Period pain
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Check out our latest reviews
Real life reviews from people like you
Sterilisation (Female / tubal occlusion) reviews
8 reviews
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 16th Jan 26
I had a laparoscopic bisalpingectomy. Obviously it is a surgery, which means a few weeks of recovery and scars can take a few months to properly heal and fade, but I am so glad I got it done. It is permanent, so that is something to keep in mind if you are not 100% sure, but very safe and reliable.
Very positive mood
1 more effect
0 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 6 - 12 mo
32 years old
🇬🇧 UK
• 16th Jan 26
I had a laparoscopic bisalpingectomy. Obviously it is a surgery, which means a few weeks of recovery and scars can take a few months to properly heal and fade, but I am so glad I got it done. It is permanent, so that is something to keep in mind if you are not 100% sure, but very safe and reliable.
Very positive mood
1 more effect
0 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
Implant reviews
640 reviews
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• today
At first, my experience with the implant wasn't too bad as I was still 'wet' and moist, but over time my natural moisture has completely dwindled down to nearly nothing. This severe dryness is driving me absolutely insane because it honestly makes me feel like I have a post-menopausal vagina. Because of this, I am now changing back to the generic Desogestrel mini-pill, as I know from previous use that I at least had a normal, healthy white and milky discharge on that method. I am just stating my own personal experience here, and I still think that other people should definitely try the implant if they fancy a different form of birth control, because everyone's body reacts differently to the hormones. so yeah, thank u, next with the implant.
Top side effects not reported
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 1 day ago
Been on the implant for 6 years now, initially I was spotting for 6 months before it finally settled. Now much more lighter periods so I can cope better as previously really heavy and needed tranexamic acid to manage, mood is more level now also, very rarely get cramps which is a bonus, have gained a little weight and body hair, overall happy with it
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 1 week ago
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• today
At first, my experience with the implant wasn't too bad as I was still 'wet' and moist, but over time my natural moisture has completely dwindled down to nearly nothing. This severe dryness is driving me absolutely insane because it honestly makes me feel like I have a post-menopausal vagina. Because of this, I am now changing back to the generic Desogestrel mini-pill, as I know from previous use that I at least had a normal, healthy white and milky discharge on that method. I am just stating my own personal experience here, and I still think that other people should definitely try the implant if they fancy a different form of birth control, because everyone's body reacts differently to the hormones. so yeah, thank u, next with the implant.
Top side effects not reported
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 1 day ago
Been on the implant for 6 years now, initially I was spotting for 6 months before it finally settled. Now much more lighter periods so I can cope better as previously really heavy and needed tranexamic acid to manage, mood is more level now also, very rarely get cramps which is a bonus, have gained a little weight and body hair, overall happy with it
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 1 week ago
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
42 years old
🇬🇧 UK
• 3 weeks ago
This i my first time, I discovered skin heat rash at the initial stage, presently loosing weight and loosing hair.
Worse skin
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
• 3rd Jun 26
I am so far very happy with the nexplanon implant. I had tried iuds prior, first the copper T, which did not work for me at all, and then mirena, which was good, but I did experience some pelvic pain and discomfort during intimacy. With the nexplanon, my periods stopped for the first year and a half, maybe closer to 2 years. And then was just very light spotting for awhile after that. I am at about 2 years and 6 months, and my period has come back fully, and I am starting to have hormonal acne and mood changes, so I opted to have it replaced, just in case these symptoms are due to the hormones tapering off. I just had it replaced today, so I am not sure whether it will fix the issue, but will keep ypu posted.
Very positive mood
0 helpful
0 comments
Used for 3 - 6 mo
18 years old
🇬🇧 UK
• 1st Jun 26
It cause me to have my period for 145 days straight starting two weeks after getting it. The first month was honestly horrible with severe cramping and lower back pain while passing relatively big clots. It also made my mental health decline significantly during this time but after the five month mark I am feeling great and not pregnant!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
30 years old
🇬🇧 UK
• 7th May 26
I was on it for coming up to 8 years overall obviously great to not get pregnant and I was on contraception before where I had an accident so it was really easy and really quick to not have to think about this. It did really impact my moods and I eventually ended up having PMDD because of the severe mood swings. I would also bleed twice a month instead of just a once And it caused a really bad loss of libido and federal dryness. But these are all things that would probably happen if I was pregnant anyway.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 6th May 26
My mood was completely changed on this contraception about 2 weeks in. I started getting really angry at everything/everyone very fast, I had a short temper, I felt sad all the time and like everyone was against me. Overall I felt I was going crazy and could not control my emotions at all. Also I had a constant heavy period for 3 months
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 16th Apr 26
Used for 5 years so far. No complaints really. I didnt feel much change to myself till recently. This has been mood swings and irritability but ive been on it 5 years and this only just started. Never fell pregnant. Little to no periods. Would recommend
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 2nd Apr 26
I originally had the implant inserted in May 2025, but I had a difficult experience with heavy bleeding. I had it removed and switched back to the mini-pill, which has always worked well for me. I decided to try the implant again and had it re-inserted around August 18, 2025. Here is the updated timeline of my experience: Initial Recovery (August 2025) • Wound Care: I removed the bandage and plaster early to let the area breathe. I applied a new plaster on the second day, eventually removing it once I was sure the insertion site had finished bleeding. • Healing: There was some minor bruising around the site, but nothing too bad. • Early Symptoms: I noticed some clear, yellowish vaginal discharge shortly after insertion, but no spotting or bleeding during this initial stage. Follow-up Symptoms (A few months later) After I had the implant in for a few months, I began experiencing some changes: • Spotting: I had spotting/light bleeding for a few days. • Discharge: This was followed by a period of reddish and brown discharge that lasted for a few weeks. Current Status Aside from that specific window of spotting and colored discharge a few months in, I have had no other issues. It has been working well since then, and I’m hopeful it stays this way!
Top side effects not reported
0 helpful
2 comments
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