Sterilisation (Female / tubal occlusion) vs Implant
Need help choosing? Speak to a doctor
Add your Sterilisation (Female / tubal occlusion) review
Add your Implant review
Overview
Rated 4.4
7 reviews
Permanent
Frequency
Over 99%
Effectiveness
None
Blood clot risk
Permanent
Effect on fertility
Rated 2.8
608 reviews
Every 3 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
Try it now
Add your Sterilisation (Female / tubal occlusion) review
Try it now
Add your Implant review
Check out our latest reviews
Real life reviews from people like you
Sterilisation (Female / tubal occlusion) reviews
7 reviews
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 3 - 6 mo
Lowdown user
🇬🇧 UK
• 30th Jul 23
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
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 3 - 6 mo
Lowdown user
🇬🇧 UK
• 30th Jul 23
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
Implant reviews
608 reviews
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 4 days ago
Great if you want to have sex and not worry about pregnancy’s however the change in my physical appearance and mood swings have been crazy and I will be getting it removed asap as I can’t go on like this
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 weeks ago
Some infrequent cramping and bleeding but in general a good experience. Despite a lot of fear and generally being very bad with needles, a very good fitting experience (thank you to the nurse for introducing me to glucose shots that reduced the delayed faint for me!), and very convenient to not have to think about it for a few years. Feeling for it has not been as bad as it sounded, and while you cannot avoid side effects as easily - unlike a pill or patch you can't just stop taking it or take a break - they have not been worse than a usual cycle, and happen less frequently so overall, happy!
Somewhat positive mood
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 2 weeks ago
Great, less to worry about. But the cramps are brutal as well as the mood swings.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 4 days ago
Great if you want to have sex and not worry about pregnancy’s however the change in my physical appearance and mood swings have been crazy and I will be getting it removed asap as I can’t go on like this
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 weeks ago
Some infrequent cramping and bleeding but in general a good experience. Despite a lot of fear and generally being very bad with needles, a very good fitting experience (thank you to the nurse for introducing me to glucose shots that reduced the delayed faint for me!), and very convenient to not have to think about it for a few years. Feeling for it has not been as bad as it sounded, and while you cannot avoid side effects as easily - unlike a pill or patch you can't just stop taking it or take a break - they have not been worse than a usual cycle, and happen less frequently so overall, happy!
Somewhat positive mood
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 2 weeks ago
Great, less to worry about. But the cramps are brutal as well as the mood swings.
Somewhat negative mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 3 weeks ago
Random bleeding throughout which was frustrating. Partner felt like I seemed happier in general once I came off. Suffered anxiety attacks after coming off the implant (may or may not be related currently unsure)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 8+ yr
30 years old
🇬🇧 UK
• 3 weeks ago
Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 10th Jun 25
I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account
Somewhat positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 24th May 25
I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 7th May 25
I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
• 28th Apr 25
Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
33 years old
🇬🇧 UK
• 27th Apr 25
Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.
Very negative mood
0 helpful
0 comments

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
Slide into our DMs
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