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

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Sterilisation (Female / tubal occlusion)

Add your Sterilisation (Female / tubal occlusion) review

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 4.5

8 reviews

Permanent

Frequency

Over 99%

Effectiveness

None

Blood clot risk

Permanent

Effect on fertility

Rated 2.7

1496 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

50% no impact on mood

63% no change

38% increased sex drive

75% no impact

100% no impact on skin

Cycle return

Not enough data to say

31% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

39% 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

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Add your Sterilisation (Female / tubal occlusion) review

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£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Sterilisation (Female / tubal occlusion) reviews

8 reviews

Sterilisation (Female / tubal occlusion)  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  16th Jan 26

Sterilisation (Female / tubal occlusion)  

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.

Read more

Very positive mood

1 more effect

0 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 6 - 12 mo
32 years old
🇬🇧 UK
  •  16th Jan 26

Sterilisation (Female / tubal occlusion)  

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

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


Progestogen-only / Mini pill reviews

1496 reviews

Progestogen-only / Mini pill  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  1 day ago

Cerazette pill  

It's stopped my period completely which is great, not that i had bad periods to begin with but it was definitely convenient. i've become quite irritable since being on cerazette and just overall heightened negative emotions. in the first couple months i had lots of nausea but that went away pretty quickly. overall it's been an alright experience, not bad but not amazing


Somewhat negative mood

0 helpful

0 comments

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

Cerelle pill  

This is my second time using Cerelle and I’m about a month into it. The first time, about a year ago, I decided to stop using it because I was constantly bleeding. However this time round my periods seem to have stopped all together.


Worse skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  4 days ago

Slynd pill  

Had to stop after a month - constant headaches that turned into migraines every few days. Near constant bleeding for two weeks, cystitis and some swelling. I’m very sensitive to hormones and felt that even if I could get through the settling in phase this one wouldn’t work for me.


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  1 day ago

Cerazette pill  

It's stopped my period completely which is great, not that i had bad periods to begin with but it was definitely convenient. i've become quite irritable since being on cerazette and just overall heightened negative emotions. in the first couple months i had lots of nausea but that went away pretty quickly. overall it's been an alright experience, not bad but not amazing


Somewhat negative mood

0 helpful

0 comments

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

Cerelle pill  

This is my second time using Cerelle and I’m about a month into it. The first time, about a year ago, I decided to stop using it because I was constantly bleeding. However this time round my periods seem to have stopped all together.


Worse skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  4 days ago

Slynd pill  

Had to stop after a month - constant headaches that turned into migraines every few days. Near constant bleeding for two weeks, cystitis and some swelling. I’m very sensitive to hormones and felt that even if I could get through the settling in phase this one wouldn’t work for me.


Decreased sex drive

0 helpful

0 comments

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

Zelleta pill  

Feel like the mini pill has levelled out my mood after years of going literally crazy 1-2 days before my period. Having no periods is a welcome relief but I have experienced a slight drop in libido and some dryness which isn’t ideal.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Slynd pill  

Slynd started off great no period was a bonus, water retention went down. Then after 2 months it made me very irritable and my mood very very low. Within a week of stopping both returned to normal.


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  1 month ago

Cerazette pill  

went on cerazette after trying out microgynon30ED and noriday (which both caused frequent irregular bleeding). My GP told me cerazette was fantastic for people who experience frequent bleeding on other mini-pills and often their periods stop. i started it back in late september 2025, and experienced bleeding every second week. fine, i thought, it’s just my body getting used to it! by november i was having just one period a month again! yay!! this was short lived however, as by december i was back to having it every 2nd week. in january i bled for 25 days straight. i was told that the first 3-5 months are expected to see changes in bleeding, so i stuck it out a bit longer. unfortunately the bleeding never stopped, and i continued to get my period now every week and a half, or sometimes even more frequently with only 3 days break in between cycles. :( it’s end of may now and have been on cerazette for 9 months. i am still bleeding every week and a half and honestly im sick of it. i have stopped taking cerazette now. hopefully there’s another one out there for me :(


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
38 years old
🇬🇧 UK
  •  14th May 26

Zelleta pill  

I was on the depo shot for 22 years and really started to worry about my bone density as my mother has osteoporosis and I was also struggling to inject in certain bits of my stomach from scar nodules. So I swapped to the mini pill as its the same but with less side effects. I originally came to this site to read the reviews and as usual, people always tend to leave a review for the negatives. I can honestly say Ive had absolutely no side effects, my period still hasn't returned after being on the shot and I've actually lost weight. Hopefully someone needs to read this.


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  14th May 26

Desogestrel pill  

Not a good experience, lots of weight gain, more emotional/moody. cant wear contacts anymore


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  14th May 26

Cerazette pill  

I was a bit more emotional my first 1-2 months on it but then I was fine. Completely took away my debilitating period pains, I get one very mild cramp about once a month and that's it. No side effects except for some constant spotting. I Googled it and started taking 2 pills instead of 1 and the spotting has since stopped. My weight, sex drive, skin, and mood are unaffected as of now (8 months of taking it daily)


Lost weight

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  10th May 26

Slynd pill  

I'm in months 2 and hoping things get a little better. Pro: No periods or period pain/endo pain! (HURRAY) And no weightgain (which i had on another pill) Con: I'm feeling down, sleep bad, hair loss, forgetful, spotting, BV, vaginal dryness, heart pains and rising anxiety. I want to give it a month extra or so but the side effects are getting me down. This is the 2nd pill I've tried this year. The first one was a combined pill but made my uterine lining super thick and that gave me massive cramps and hurt. So let's see but kinda sceptical.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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