Sterilisation (Female / tubal occlusion) vs Progestogen-only / Mini pill

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Sterilisation (Female / tubal occlusion)

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Progestogen-only / Mini pill

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Overview

Rated 4.3

6 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 2.7

1236 reviews

Daily

Frequency

91% - 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.

Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

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

Period pain

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Real life reviews from people like you

Sterilisation (Female / tubal occlusion) reviews

6 reviews

Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  1 month ago

  •  Stopped using

eryew4yhwesgs

Read more

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 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 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  1 month ago

  •  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 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


Progestogen-only / Mini pill reviews

1236 reviews

Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 days ago

  •  Still using

I started the mini-pill as a quick method inbetween the time I was waiting to get the Copper Coil contraceptive. It has worked very well! No spotting or bleeding. Except, my periods were slightly heavier but had little to no cramps. I was very skeptical of the pill affecting my mental health but I am not sure as it could be other reasons!


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  5 days ago

  •  Stopped using

Overall after trying many different pills, this was the best, I started to have very depressive weeks so I stopped as I was afraid of some suicidal thoughts.


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

I've been on Slynd (Slinda) for 5 months. I've had irregular bleeding the whole time. It is lighter than an actual period but enough to have to wear a protection of some sort. I also get mild cramps with it often. I have PCOS and I feel it has helped my acne a bit but not as much as some combined pills I have been on (Yasmin, Yaz). I had hoped it would improve my skin more. No effect on weight, appetite or sex drive. I sleep very good with this pill but I see loads of quite vivid dreams, which I never used to see (or remember) in the past. My mood is stable with this pill, however I feel like my mood has been overall more positive on the combined pills.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 days ago

  •  Still using

I started the mini-pill as a quick method inbetween the time I was waiting to get the Copper Coil contraceptive. It has worked very well! No spotting or bleeding. Except, my periods were slightly heavier but had little to no cramps. I was very skeptical of the pill affecting my mental health but I am not sure as it could be other reasons!


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  5 days ago

  •  Stopped using

Overall after trying many different pills, this was the best, I started to have very depressive weeks so I stopped as I was afraid of some suicidal thoughts.


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

I've been on Slynd (Slinda) for 5 months. I've had irregular bleeding the whole time. It is lighter than an actual period but enough to have to wear a protection of some sort. I also get mild cramps with it often. I have PCOS and I feel it has helped my acne a bit but not as much as some combined pills I have been on (Yasmin, Yaz). I had hoped it would improve my skin more. No effect on weight, appetite or sex drive. I sleep very good with this pill but I see loads of quite vivid dreams, which I never used to see (or remember) in the past. My mood is stable with this pill, however I feel like my mood has been overall more positive on the combined pills.


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

I couldn’t be happier with this pill. After having a break from contraception and using FAM and falling pregnant twice, I decided I needed to go back on birth control. I initially tried the copper coil but it expelled after 24 hours and I didn’t want to go through the insertion process again. I went to the doctor and she’s said to give the mini pill a go, and I was prescribed Zelleta. I was really nervous as I have previously been in the combined pill for 7 years and it really impacted my mood so I was hesitant to try a pill again, but the doctor told me my body could react differently to the mini pill and she was right. The first two weeks I had headaches almost everyday, and was feeling extremely tired but I think this was down to my body getting used to the pill. After the three week mark they both disappeared. I had no loss of sex drive, I would actually say it’s increased which took me by surprise. I’ve lost around 8lbs and I feel like I have more energy. The only downside for me is my skin (previously completely clear) has had some breakouts but I will take it. My low mood and anxiety has decreased significantly. I was so hesitant to go back on the pill but when your doctor says they’re not all the same and you just have to find the right one for you, listen to them because it’s so true.


Top side effects not reported

1 helpful

0 comments

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

  •  Still using

Lovima has essentially stopped my periods, with rare spotting for 1-2 days (hardly requires a pantyliner), but mostly these only come if I have been late taking a pill (less than 12 hours late but more than 6ish hours late). My mood is definitely slightly better, I noticed it especially after > 6 months. Less side effects than a combined pill so honestly would recommend.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

The only side effect I had on this pill was the irregular bleeding. It worked for the first 2 months and then I just bled for the next 4 months (until I stopped). I suffer from VERY painful periods and even when I wasn’t bleeding or it was really light I can recall having 3 huge pain episodes that would last a few days. The pill didn’t affect my mood, but the side effects did because I had to spend nearly all summer inside because of the anxiety and depression. Aswell because of the bleeding I lost interest in sex (again, not caused by the pill directly). Overall I’m disappointed this method didn’t work. If I didn’t have bleeding and unexpected cramps this would’ve been perfect.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

Took this for 7 weeks and my mood has rapidly declined over the last two weeks. Any inconvenience that I’d usually be able to brush off or get over seems to leave my crying uncontrollably. Anxiety levels are higher than normal for me. The two periods that I had while on the pill were definitely longer lasting, would usually be 5 days max but last one was 8 days (although light towards the end). Stopping today because of the depressive thoughts


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

Granted I suffer with anxiety and depression anyway but it was under control and I hadn’t had panic attacks in a year when I was off birth control. I started this in January and at first I felt great, I had more energy, little bit of bloating but that went and no changes really at all. By month 2 I noticed I was getting panic attacks again and felt very anxious in safe places/ around safe people where I have never experienced anxiety before. I am now on month 4 and it is worse than ever, I am irritable, angry, emotional, low body image, finding myself not wanting to do anything. I am coming off this pill now and trying another because I want to be myself again.


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

I have PCOS, so I don't have periods normally as is and hormonal birth control effects me differently. My review is for the other PCOS girlies who have amenorrhea (lack of/no menses). I started cramping almost immediately. I take the pill at noon everyday, and the cramping sets in 30 minutes later. It is worse at night before bed. As far as emotional side effects, I've noticed I am more apathetic than usual, but otherwise fine.


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

The main side effect I experienced at the beginning of taking this pill was nausea, mainly after I had taken the pill but also throughout the day to the point where I thought I could be pregnant but it has subsided. I have started getting very irregular periods and regular spotting but I don’t really mind it too much, generally they’re a lot lighter and not painful. I have gotten a few more breakouts but they’re quite small, and could be due to other factors - do not let this put you off this pill. In terms of mood I have been crying more but not necessarily because I’m sadder at all? just out of happiness etc haha. No impact at all on sex drive etc yes. Overall a pretty good experience so far (but don’t want to jinx it)


Top side effects not reported

0 helpful

0 comments

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