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

Need help choosing? Speak to a doctor
Sterilisation (Female / tubal occlusion)

Add your Sterilisation (Female / tubal occlusion) review

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 4.4

7 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 2.7

1449 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

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

32% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

38% 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

Period pain

Try it now

Add your Sterilisation (Female / tubal occlusion) review

Try it now

£From £0.22/day

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


Progestogen-only / Mini pill reviews

1449 reviews

Progestogen-only / Mini pill  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 day ago

Cerelle pill  

Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly


Very negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  6 days ago

Norgeston pill  

I went on norgeston because although i didnt get many side effects on desogestrel, i did suffer from hairloss. I think it has given me less regulation over my anxiety and notnreally done anything to reduce pain from adenomyosis but other contraceptives disagree with me (to the point I have painfully expelled 2 mirena coils).


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  6 days ago

Cerelle pill  

I’ve been on 3 different mini pills over the last 6 months and I have bled every single day since. 3 months ago I was recommended to double dose and take 2 mini pills a day to try and stop the bleeding. (I was previously on the combined pill and loved it but not allowed now as history of migraines with aura) It made no difference and actually made them heavier by the last month. Doctors just kept trying me on a different mini pill hoping it would stop the bleeding, so obviously my hormones have been all over the shop, when I would change to a new pill I couldn’t stop crying. It felt like no one really cared until today I sat in the doctors and just cried saying I just want someone to listen to me. I am now considering the hormonal coil.


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 day ago

Cerelle pill  

Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly


Very negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  6 days ago

Norgeston pill  

I went on norgeston because although i didnt get many side effects on desogestrel, i did suffer from hairloss. I think it has given me less regulation over my anxiety and notnreally done anything to reduce pain from adenomyosis but other contraceptives disagree with me (to the point I have painfully expelled 2 mirena coils).


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  6 days ago

Cerelle pill  

I’ve been on 3 different mini pills over the last 6 months and I have bled every single day since. 3 months ago I was recommended to double dose and take 2 mini pills a day to try and stop the bleeding. (I was previously on the combined pill and loved it but not allowed now as history of migraines with aura) It made no difference and actually made them heavier by the last month. Doctors just kept trying me on a different mini pill hoping it would stop the bleeding, so obviously my hormones have been all over the shop, when I would change to a new pill I couldn’t stop crying. It felt like no one really cared until today I sat in the doctors and just cried saying I just want someone to listen to me. I am now considering the hormonal coil.


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
25 years old
🇬🇧 UK
  •  2 weeks ago

Desorex pill  

The mini-pill has been a life saver for me. I’ve always struggled with combined pills, trying so many to control horrible periods and always having awful side effects. Since first trying the mini pill, I had spotting for about a week, and I haven’t had anything since, it’s been three years! The only side effect I have is that my skin is very sensitive and breaks out easily like it did before I started taking oral contraceptives, which started again about two months in, but it’s worth it for the benefits for me. No mood swings, no migraines, no bleeding, no hair loss, no weight gain, just a bit of manageable acne!


Very positive mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
64 years old
🇬🇧 UK
  •  2 weeks ago

Progestogen-only / Mini pill  

Im a trans needing to help my breast fuller


Improved skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
64 years old
🇬🇧 UK
  •  2 weeks ago

Progestogen-only / Mini pill  

Im a trans for estrogen therapy to help with my breast


Improved skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

Cerelle pill  

Good experience, not experienced many side effects.


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
41 years old
🇬🇧 UK
  •  2 weeks ago

Slynd pill  

I have suffered with PMDD for years and Slynd has been a game changer for me- my PMDD has vanished completely! I’ve had very few side effects, literally some minor spotting at the start and a very slightly oiler hair. I’d say my sex drive is a little bit lower than before but not a huge difference. My skin is completely normal (other mini pills have given me acne but on Slynd my skin is as nice as always). The biggest positive impact has been on my mental health. I no longer get mood swings (unless I miss a pill) and my periods have completely stopped. I take my pills back to back (I skip the sugar pills) to keep my moods stable across the cycle. It’s such an amazing pill, I hope they will eventually licence this for PMDD so it can help lots of other women (slynd has the same progesterone as the combined pill Yaz which is licenced in the US for PMDD).


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
29 years old
🇬🇧 UK
  •  2 weeks ago

Slynd pill  

I stayed off of contraception for 6 years following bad experiences with desogestrel and the combined pill. I was very very hesitant before taking Slynd and thought about it/researched for months before finally taking it. I have mild PCOS and endometriosis, my periods were completely unmanageable and would stop my life for a week and a half each month and I knew i needed to take action so that I could live a more normal life. My first 4 months on Slynd I had a lot of spotting, the first 2 months i had periods lasting 2 weeks (but farrrr less heavy than usual and no pain) after this time my periods stopped all together. I have previously suffered with acne but have taken roaccutane to get rid of it so I know i am susceptible to bad skin, I would say my skin is slightly worse than it was before taking slyd however, its not bad and it doesn't out weigh the pros of the pill for me. My sex drive is a bit less and I have a very dry throat now and need to constantly drink water (not a bad thing i guess) I have actually lost weight too. I believe this is due to being able to regularly exercise without my hormones/period taking over half of each month and I no longer have the crazy PMS food cravings. I dont think this is a permanent solution to endometriosis at all but it has definitely improved my quality of life drastically and i'm glad I stuck with it and didn't give up in the first 4 months due to the spotting.


Very positive mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
40 years old
🇬🇧 UK
  •  3 weeks ago

Noriday pill  

I switched to Noriday to stop the irregular bleeding and spotting I developed on Desogestrel/Cerelle. After eight years without periods on Desogestrel, I began having irregular bleeding at 40 — two periods a month plus spotting in between. Once I changed to Noriday, the chaotic bleeding stopped immediately, and the brain fog and fatigue also lifted. I suspect these symptoms were linked to perimenopause, and they’ve settled since starting Noriday. Ideally, I’d prefer no period at all, but having a predictable three-day period on Noriday is far better than the chaotic bleeding I had on Desogestrel.


Worse skin

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Sterilisation (Female / tubal occlusion) with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

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

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them