Progestogen-only / Mini pill and spotting

How our community feel progestogen-only / Mini pill has affected their periods

Data is taken from self reported Lowdown user reviews

Stopped

44%

No change

3%

Don't know

2%

Out of the 1364 reviews for progestogen-only / Mini pill, 238 people (17%) reported spotting.

Reviewers that reported spotting as a side effect

Data is taken from self reported Lowdown user reviews

Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

I have been taking Hana for 4-5 months now. Generally I have enjoyed the effects of taking a POP, but the specific effect Desogestrel had has led me to trying Slynd instead. Aside from the contraceptive effect, I mainly started taking this pill to combat low mood, hormonal headaches and to hopefully lighten my period. I did find all of these things improved on Hana, but I found that inconsistent and increasingly frequent bleeding was killing my sex drive, making it a touch redundant and prompting the switch. I would have likely reluctantly kept taking Hana (or tried a different brand) as I do feel my mood has benefited overall, and it is advised that bleeding can settle down over time, but now that Slynd was finally available in the UK, I see no need to compromise. In my first month on the pill, I had no bleeding at all (as you would expect). I also generally didn't notice many other side effects. I did have some mood swings - which took me by surprise, but were easier to handle once I identified what was happening and generally settled down after the first month. I also noticed slight vaginal dryness (not uncommon for me in my luteal phase and nothing a bit of lube can't fix) but have been unable to determine if this has also settled. As I got to the last week of pills in my first pack, I had a withdrawal bleed, which again was not unexpected. I was pleased to note that this was much lighter than my normal period, even if it lasted longer, because I could essentially just wear period underwear instead of my normal underwear and that would last all day. In my second month, I noticed some light but otherwise entirely manageable spotting. This alone would not have dissuaded me from taking this pill. I again had a withdrawal bleed around the start of the last week in the pack and would have been happy with that cadence. This is where the problems started, however. Through the course of the third month, I noticed that the light spotting was turning into more prolonged bleeding, which by the end of the month was almost constant and in some cases led me to leak through my clothes. Having done some research online, I decided to try taking two pills instead of just one - this did seem to make the bleeding lighter but it has continued. While I feel that the hormones have overall had a positive impact on my sex drive, it is very hard to feel attractive or think about sex when you are constantly bleeding.

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Somewhat positive mood

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0 comments

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

3-6 months: (started the pill on 14/10/2024. I've done a review on my first 3 months so this is a follow up) Day 126 - 17/02/2024 – I’ve pretty much had 2 back to back periods with a 2 day break between which I really didn’t appreciate. They really hurt and I convinced myself something was wrong. I have made a doctors appointment to talk through everything. I’m just fed up with bleeding all of the time. I’m spending SO MUCH on pads it’s ridiculous. 12/03/2025 - I’m on my second week of my 6th month of the pill. I’ve kept having back to back periods and consulted the doctor. Because I’m coming up to 25 I had a routine smear (that came back clear) and the doctor did a pelvic exam and they recon it’s the pill that’s the cause of all the bleeding (which I assumed it was anyway. But better safe than sorry). I’m fed up of the bleeding but they’ve given me 6 more months after this to see if it settles. If not we’ll switch to something else. 5/4/2025 - I’m coming to the end of my 1st week in the 7th month of the pill. All I can say is that I’ve stopped bleeding/spotting for the most part. It’s been about 3 weeks since I last bled. So I guess the doctor was right. However, I had like a 1 day period at the beginning of the week it was painful and some period blood and then nothing since. But the last couple of days I’ve had some cramping as if a period wants to start but hasn’t yet. Overall, I think we’re getting back on track hopefully. Sorry I didn't reflect as much but it's pretty much been the same sort of story for the past 3 months


Worse skin

2 more effects

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Used for 3 - 5 yr
27 years old
🇬🇧 UK
  •  3 weeks ago

I’ve been on this pill for about 4 years now and I wouldn’t recommend it to anyone. Periods come and go when they please (at least 2/3 times a month) and can last for weeks on end. I tried to change to Desogestrel after a trip to the doctors but that made me throw up for 5 days straight. I’m limited to what pills I can take due to family history so I’m stuck with this until I can find an alternative, only plus side is is haven’t fell pregnant once whilst on it.


Improved skin

1 more effect

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0 comments

Progestogen-only / Mini pill common side effects

Data is taken from self reported Lowdown user reviews

51% of progestogen-only / Mini pill reviewers reported tender breasts

46% of progestogen-only / Mini pill reviewers reported period like cramps

42% of progestogen-only / Mini pill reviewers reported vaginal discharge

40% of progestogen-only / Mini pill reviewers reported breast enlargement

37% of progestogen-only / Mini pill reviewers reported vaginal dryness


Possible progestogen-only / Mini pill side effects

Data is taken from self reported Lowdown user reviews

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