Best progestogen-only / mini pill

Generally happy with this pill, which I'm now able to get from my GP. It's much better than Desogestrel for me. I haven't had a period since I started it and no breakthrough bleeding either. My skin is great on this pill and my weight hasn't changed - if anything I lost a bit of weight, which unfortunately made my boobs smaller. I read this pill has a diuretic effect but I haven't noticed that at all. Initially I had headaches and some disturbed sleep, but these went away after the first month. My sex drive is lower but not to the point of it being an issue. I love that it has the safety of a 24-hour window, plus it's made my mood really stable and has stopped my periods.

I have taken this pill for four months to help with endometriosis symptoms. Previously, I was on Eloine for about a year which worked greatly for me with minor side effects, but changed out of precautions due to having had two or three migraines with an aura. Within the first month of taking Slynd, my headaches became more frequent and intense (to such degree that I need to see a neurologist). Without changing my food habits, I gradually gained 8 kg in the four months of taking Slynd. I also have felt my mental health has been negatively affected by depressive feelings and mood swings. I am a mental health professional and was very surprised at this side effect, given my self-care routines and emotional regulation skills are usually optimal. I also developed adult acne, which I would have been ok with if it was the only side effect. The acne and weight gain have negatively affected my self-esteem. One good thing I experienced on Slynd is that my endometriosis cramps were less intense and that I was able to take this pill continuously, thereby skipping my periods and making endometriosis symptoms more manageable. As a result of this, I had more energy to work out.

I’ve been on Slynd just over three months, and as someone who has tried several other mini pills this one seems to agree with me best. On other mini pills I experienced mild to moderate side effects, notably acne, spotting between periods/constantly and low mood. On Slynd I’ve only had very, very minor spotting and it’s infrequent. I haven’t yet had a period on Slynd but that’s not unusual for me on mini pills. Most notable is my skin, which has seen a noticeable and gradual improvement. Acne has been my biggest challenge on mini pills, with painful cystic acne requiring prescription topical creams for years on end. I’ve just started my fourth month on Slynd and seem to have turned a corner to where I have very little acne, if at all, and no cystic spots. My skin hasn’t been this clear in years! The only other side effects i’ve experienced, but cannot be 100% sure are related, are some moderate thirst in month 2/3 and a strange, weeks-long cramp in the bottom of my foot. I started eating more bananas to try and balance my potassium and the cramp has since gone. Rating 4 stars only because I’ve been on combination pills before (no longer can be on them) and I will always prefer the combination ones over mini pills. But I would say Slynd has been the closest to combination pills I’ve found yet.