Contraception Reviews

Combination birth control pill vs Contraceptive gel

Combination birth control pill

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Contraceptive gel

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Overview

Rated 3.4

80 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 4.3

4 reviews

Before sex

Frequency

79% - 86%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Combination pill ingredients

Main hormones in Combination pill

estrogen

Contraceptive gel ingredients

Birth control gels include spermicides and a new gel called Phexxi. These gels contain chemicals which prevent sperm from reaching an egg by affecting the sperm's motility and helping to block the cervix (opening into the womb).

What Lowdown reviewers say

Mood

29% no impact on mood

Bleeds

30% regular periods

Sex drive

38% lost sex drive

Weight

45% no impact

Skin

41% improved skin

Cycle return

40% in 1 month

Mood

50% very positive

Bleeds

75% no change

Sex drive

75% increased sex drive

Weight

50% no impact

Skin

100% no impact on skin

Cycle return

100% don’t know impact

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

There are no benefits that are recognised in scientific research or guidelines for this birth control

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Check out our latest reviews

Real life reviews from people like you

Combination birth control pill reviews

80 reviews

Combination birth control pill  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  2 weeks ago

Junel Fe 1/20 birth control pill  

the combo pill helped get my period back to its normal cycle after spotting for 3 years on nexplanon. i definitely feel like i have retained some water weight in my stomach, arms, and face. i also have more acne than i did when i was on nexplanon. the last symptoms im dealing with are more anxiety and more sweat on my feet and palms. i’m open to trying different combo pills but i think im going to stay on this one for a year to feel the full effects/symptoms.

Read more

Somewhat negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
32 years old
🇺🇸 US
  •  3 weeks ago

Tri Lo Estarylla birth control pill  

Quiero vajar la meuctracion con estas pastillas


Very positive mood

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 6 mo
43 years old
🇺🇸 US
  •  21st Sep 24

Aviane birth control pill  

I use BC to control my heavy 3 week long bleeds. I'm 43, and went from PCOS bleeds to perimenopause bleeds. This one worked well, but did cause breakthrough bleeding a little in the first few packs. By breakthrough I mean an actual period gush, not spotting, I also had spotting off and on. It did shorten my periods to about 7 days. My mood seemed down a bit more, and my libido did decrease a little. However, I had the big O just fine, with my previous one(elinest) I couldnt. I'm starting Amethyst which is a slightly lower dose of the same hormones, hopefully that helps even me more. Overall, I would take Aviane again if I had to.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  2 weeks ago

Junel Fe 1/20 birth control pill  

the combo pill helped get my period back to its normal cycle after spotting for 3 years on nexplanon. i definitely feel like i have retained some water weight in my stomach, arms, and face. i also have more acne than i did when i was on nexplanon. the last symptoms im dealing with are more anxiety and more sweat on my feet and palms. i’m open to trying different combo pills but i think im going to stay on this one for a year to feel the full effects/symptoms.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
32 years old
🇺🇸 US
  •  3 weeks ago

Tri Lo Estarylla birth control pill  

Quiero vajar la meuctracion con estas pastillas


Very positive mood

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 6 mo
43 years old
🇺🇸 US
  •  21st Sep 24

Aviane birth control pill  

I use BC to control my heavy 3 week long bleeds. I'm 43, and went from PCOS bleeds to perimenopause bleeds. This one worked well, but did cause breakthrough bleeding a little in the first few packs. By breakthrough I mean an actual period gush, not spotting, I also had spotting off and on. It did shorten my periods to about 7 days. My mood seemed down a bit more, and my libido did decrease a little. However, I had the big O just fine, with my previous one(elinest) I couldnt. I'm starting Amethyst which is a slightly lower dose of the same hormones, hopefully that helps even me more. Overall, I would take Aviane again if I had to.


Somewhat negative mood

1 more effect

0 helpful

0 comments


Contraceptive gel reviews

4 reviews

Contraceptive gel  
Used for 8+ yr
26 years old
🇺🇸 US
  •  17th Apr 24

Contraceptive gel  

Birth control implant I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 12 - 18 mo
42 years old
🇺🇸 US
  •  12th Jan 24

Phexxi gel  

I feel like I've tried every birth control out there. Pills, patches rings, IUDs - with the exception of depo, you name it, I've tried it. But Phexxi has been a game changer for me! I never felt "whole" on hormonal methods or the IUDs, but with Phexxi I don't have to deal with hormonal side effects and I only use it when I need it. Super easy to use, not messy, and I feel like myself again!


Very positive mood

1 more effect

1 helpful

0 comments

Contraceptive gel  
Used for 18 mo - 3 yr
56 years old
🇺🇸 US
  •  12th Jan 24

Phexxi gel  

Love that I can use Phexxi only when I need it. I do not like adding hormones to my body. I really love the lubricating effect, makes for even better sex!


Very positive mood

1 more effect

1 helpful

0 comments

Contraceptive gel  
Used for 8+ yr
26 years old
🇺🇸 US
  •  17th Apr 24

Contraceptive gel  

Birth control implant I have had this birth control for 10 years (3 implants). It makes your period lighter and more regular, or takes it away completely; I had a birth control pill ( i'm not sure if the name) prescribed beforehand and i could not stand that one.


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 12 - 18 mo
42 years old
🇺🇸 US
  •  12th Jan 24

Phexxi gel  

I feel like I've tried every birth control out there. Pills, patches rings, IUDs - with the exception of depo, you name it, I've tried it. But Phexxi has been a game changer for me! I never felt "whole" on hormonal methods or the IUDs, but with Phexxi I don't have to deal with hormonal side effects and I only use it when I need it. Super easy to use, not messy, and I feel like myself again!


Very positive mood

1 more effect

1 helpful

0 comments

Contraceptive gel  
Used for 18 mo - 3 yr
56 years old
🇺🇸 US
  •  12th Jan 24

Phexxi gel  

Love that I can use Phexxi only when I need it. I do not like adding hormones to my body. I really love the lubricating effect, makes for even better sex!


Very positive mood

1 more effect

1 helpful

0 comments

Contraceptive gel  
Used for 6 - 12 mo
24 years old
🇺🇸 US
  •  11th Dec 23

Phexxi gel  

Phexxi works great — if you actually use it. Oops! My kid sister used Phexxi for about a year either by itself or along with condoms when she was ovulating. Then one time when she and her boyfriend were staying in my apartment for a family wedding, they picked me as the designated driver and the two of them had way too much to drink. They were all over each other in the car on the way home. Which was kind of cute but then when we got back to my place she wanted me to help her insert her birth control. I took her back to their bedroom and started getting her out of her clothes and I was like why don’t you just skip using it if you’re not in the middle of your cycle, and then she showed me her period tracker on her phone. Yep, not a good time to skip using protection, but still … She passed out while I was reading the instructions on the applicator, so I just was like whatever, I’m not doing this. I got off the rest of her clothes and woke her up and said I would tell her boyfriend she was ready. She didn’t even ask if I had inserted her Phexxi. The walls in my apartment are thin, so I heard the entire “discussion” when he couldn’t find their box of condoms. She was too drunk and horny to say no. She had no idea she was about to try to conceive. And yes, she became a mommy that night.


Increased sex drive

1 helpful

0 comments

Birth control alternatives and comparisons

Compare the Combination birth control pill with other birth control

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