Sterilisation (Female / tubal occlusion) vs Implant

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Sterilisation (Female / tubal occlusion)

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Implant

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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

577 reviews

Every 3 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.

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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Real life reviews from people like you

Sterilisation (Female / tubal occlusion) reviews

7 reviews

Used for 3 - 5 yr
38 years old
🇬🇧 UK
  •  today

  •  Still using

Feel much better not having extra hormones circulating through my body and not worrying about contraception.

Read more

Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  25th Mar 24

  •  Stopped using

eryew4yhwesgs


Top side effects not reported

0 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 3 - 5 yr
38 years old
🇬🇧 UK
  •  today

  •  Still using

Feel much better not having extra hormones circulating through my body and not worrying about contraception.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  25th Mar 24

  •  Stopped using

eryew4yhwesgs


Top side effects not reported

0 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


Implant reviews

577 reviews

Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  today

  •  Still using

Getting it put in: was a little more involved and bigger than I expected. It was fine, little gross but I couldn't feel it and just avoided looking. They numb the arm area, and slowly insert it. It feels like the they're slowly inserting the pointy side of one of those old school card sized mail openers. It was fine. You can do it. Was much more appealing to me than pill or any vaginal coil. Experience 0-3 months: irregular bleeding, spotting, almost constantly for the first three months. Not heavy at all, very light but irregular. No cramps and before I had these a lot! Experience 3-7 months: no period, no spotting, no cramps. It's amazing and I'm so happy with it. My hair has been shedding more but I have a lot of very thick Asian hair so unsure if related. I've had increased appetite, but again this could be due to other factors in life. No other side effects. I'm very pleasantly surprised. I expected a pretty difficult journey with this one, but it's the best contraceptive I've used so far.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

I was originally on the Evra patch, but I got the implant as I was moving from the UK to NZ - where the patch is not available and id have to pay out of pocket for any other kind of pill. My experience was awful. I had constant, nonstop breakthrough bleeding, anxiety, stress, depression, suicidal ideation and no libido. I was very sensitive to stress and pollen so would come home from work and be absolutely drained, stuck in bed with an awful headache. I was bloated all the time and gained weight as I was bingeing to help deal with the stress of moving and my side effects from the implant - I suffer from an eating disorder… I was a mess. Not a great mix when you move to the other side of the world with your boyfriend. I do deal with real bad dryness around ovulation when I’m not on any contraception - so the patch and implant did help with that - but of course bleeding for 4 months straight did not help anything else. My doctor was very worried about my iron levels… Everything got so bad with my moods and the physical side effects, my boyfriend was like “you need to sort this out and have it remove or think about moving home…” I had it removed in November 2022. Currently not on any contraception but thinking about Yaz or Yasmin. Although not subsidised here in New Zealand, everything else available that is subsidised has a high androgenic strength. Not impressed, however i had a very good experience with Yasmin back in 2017, so maybe it’s best I eat up the £75 charge for 6 months worth? Can’t wait to move back home so I have access to free contraception lol.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1 week ago

  •  Still using

Persistent thrush immediately after getting it fitted, also VERY low mood when period is due and generally more emotional.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  today

  •  Still using

Getting it put in: was a little more involved and bigger than I expected. It was fine, little gross but I couldn't feel it and just avoided looking. They numb the arm area, and slowly insert it. It feels like the they're slowly inserting the pointy side of one of those old school card sized mail openers. It was fine. You can do it. Was much more appealing to me than pill or any vaginal coil. Experience 0-3 months: irregular bleeding, spotting, almost constantly for the first three months. Not heavy at all, very light but irregular. No cramps and before I had these a lot! Experience 3-7 months: no period, no spotting, no cramps. It's amazing and I'm so happy with it. My hair has been shedding more but I have a lot of very thick Asian hair so unsure if related. I've had increased appetite, but again this could be due to other factors in life. No other side effects. I'm very pleasantly surprised. I expected a pretty difficult journey with this one, but it's the best contraceptive I've used so far.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

I was originally on the Evra patch, but I got the implant as I was moving from the UK to NZ - where the patch is not available and id have to pay out of pocket for any other kind of pill. My experience was awful. I had constant, nonstop breakthrough bleeding, anxiety, stress, depression, suicidal ideation and no libido. I was very sensitive to stress and pollen so would come home from work and be absolutely drained, stuck in bed with an awful headache. I was bloated all the time and gained weight as I was bingeing to help deal with the stress of moving and my side effects from the implant - I suffer from an eating disorder… I was a mess. Not a great mix when you move to the other side of the world with your boyfriend. I do deal with real bad dryness around ovulation when I’m not on any contraception - so the patch and implant did help with that - but of course bleeding for 4 months straight did not help anything else. My doctor was very worried about my iron levels… Everything got so bad with my moods and the physical side effects, my boyfriend was like “you need to sort this out and have it remove or think about moving home…” I had it removed in November 2022. Currently not on any contraception but thinking about Yaz or Yasmin. Although not subsidised here in New Zealand, everything else available that is subsidised has a high androgenic strength. Not impressed, however i had a very good experience with Yasmin back in 2017, so maybe it’s best I eat up the £75 charge for 6 months worth? Can’t wait to move back home so I have access to free contraception lol.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1 week ago

  •  Still using

Persistent thrush immediately after getting it fitted, also VERY low mood when period is due and generally more emotional.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  1 week ago

  •  Still using

I love the implant. My doctor refused to renew my combination pill due to high blood pressure, and at first I was really disappointed and angry because I had been really happy with that method and I was afraid that a new method would give me side effects. After five months, however, I haven’t had any unwanted side effects whatsoever. The only change for me is that I don’t get periods, but it’s actually a bonus. During the first five months I’ve had a tiny bit of spotting maybe twice and it only lasted a day if that. I know everyone is different but I would highly recommend the implant!


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
25 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

It was good for the first implant but then when my second one was fitted I bled for almost a whole year and became very exhausted


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
29 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

I really enjoyed the implant for the first 12 months, however after this I started to spot more and more and for longer periods. These were also accompanied with increased fatigue and pain. The breakout bleeding than got progressively worse until the end of the 3 year period. Otherwise little to no symptoms which was made the increasing spotting so much more annoying!


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

It was my first time on contraception, I was afraid to forget the pill and had the feeling that the implant had less hormones in it. My mood was very fluctuating for the first 4-6 months but then settled. My period was much lighter at the beginning and not painful for the first few months, then actually got irregular after 7-8 months (only a few days, then nothing for 2 weeks, then 3 weeks long period...) The insertion of the implant was very easy and not too painful, been able to feel it since the beginning.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Loved having no periods and the convenience around not needing to remember anything for 3 years at a time. But over time I did realise I was getting vaginal dryness and thrush more often.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
39 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

I didn't get on with the implant. After 4 months of heavy bleeding most days, a nurse was worried it was exacerbating my endometriosis. I agreed it probably was, so went on the cerelle mini-pill for 3 months at the same time. Cerelle and the implant together did stop the constant bleeding for 2 months, but then it came back slowly and I was no better off. I suffered from low mood, leg aches, acne and bloating for the entire 7 months I had nexplannon, so it was a relief to get it removed.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
36 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Unfortunately the implant wasn’t for me. At first I didn’t notice any effects for the first couple of weeks, however, a few weeks in I started my first period on the implant which lasted two weeks, I then stopped for a week and then I started with some spotting which turned into a full blown period. This pattern was repeated for several months until I was prescribed a pill, to help regulate my periods, as a temporary measure, with the hope the implant would adjust. Unfortunately once I came off the pill I had bleeding for 6 weeks straight until I decided to start taking a combined pill and I have just today had the implant removed. Obviously everyone’s bodies work differently so I don’t necessarily want to put people off the implant but I would say from my experience to give it 6 months and if it’s not working try something else, don’t suffer in silence.


Top side effects not reported

0 helpful

0 comments

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