Contraception Reviews

Combination birth control pill vs Mini pill

Combination birth control pill

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Mini pill

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Overview

Rated 3.3

112 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.4

28 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Combination pill ingredients

Main hormones in Combination pill

estrogen


Mini pill ingredients

Main hormones in Mini pill

progestin

What Lowdown reviewers say

Mood

29% no impact on mood

Bleeds

32% lighter periods

Sex drive

38% lost sex drive

Weight

43% no impact

Skin

41% improved skin

Cycle return

39% in 1 month

Mood

32% no impact on mood

Bleeds

36% stopped periods

Sex drive

43% no impact

Weight

50% no impact

Skin

39% no impact on skin

Cycle return

60% 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

Period pain

Heavy menstrual bleeding

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Check out our latest reviews

Real life reviews from people like you

Combination birth control pill reviews

112 reviews

Combination birth control pill  
Used for 1 - 3 mo
34 years old
🇺🇸 US
  •  2 days ago

Loryna birth control pill  

I’ve heard this birth control is supposed to be helpful for acne, but I have been flushed since I started taking it and seen a couple breakouts, and I haven’t even finished my first pack yet. I have also been sweating profusely off and on since the second week of taking it. Those are the most significant side effects I’ve noticed. I did just have my Mirena IUD removed after my uterus tried to absorb it, so these effects could be related to that. I’ve been on many different birth control pills over the past 15 years and usually I have no side effects after the first month or two, so we’ll see.

Read more

Decreased sex drive

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
20 years old
🇺🇸 US
  •  1 week ago

Loestrin 21 1/20 birth control pill  

It is not bad. The bad thing about it is it did make me gain weight and made my boobs go from a C to a DD and it kind of hurts my back. I gained like 10-15 lbs and I am unable to lose it no matter what diets I do. My skin has cleared up and my hair isn’t as oily and my periods have stopped which is really nice though.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

I had severe anxiety on this pill, and also all of the sudden got motion sick all the time. I was nauseous everyday and lost weight because I couldn't eat. It did definitely help with acne and my previously irregular periods. However, I lost 20 pounds and had to eventually stop. Within a week of stopping, my mood returned to normal and I wasn't panicking all the time. Within a few months, however, my acne got way worse and I started getting cystic acne along my jawline. I also still suddenly get motion sick sometimes, and this isn't something I ever had before.


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
34 years old
🇺🇸 US
  •  2 days ago

Loryna birth control pill  

I’ve heard this birth control is supposed to be helpful for acne, but I have been flushed since I started taking it and seen a couple breakouts, and I haven’t even finished my first pack yet. I have also been sweating profusely off and on since the second week of taking it. Those are the most significant side effects I’ve noticed. I did just have my Mirena IUD removed after my uterus tried to absorb it, so these effects could be related to that. I’ve been on many different birth control pills over the past 15 years and usually I have no side effects after the first month or two, so we’ll see.


Decreased sex drive

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
20 years old
🇺🇸 US
  •  1 week ago

Loestrin 21 1/20 birth control pill  

It is not bad. The bad thing about it is it did make me gain weight and made my boobs go from a C to a DD and it kind of hurts my back. I gained like 10-15 lbs and I am unable to lose it no matter what diets I do. My skin has cleared up and my hair isn’t as oily and my periods have stopped which is really nice though.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

I had severe anxiety on this pill, and also all of the sudden got motion sick all the time. I was nauseous everyday and lost weight because I couldn't eat. It did definitely help with acne and my previously irregular periods. However, I lost 20 pounds and had to eventually stop. Within a week of stopping, my mood returned to normal and I wasn't panicking all the time. Within a few months, however, my acne got way worse and I started getting cystic acne along my jawline. I also still suddenly get motion sick sometimes, and this isn't something I ever had before.


Very negative mood

2 more effects

0 helpful

0 comments


Mini pill reviews

28 reviews

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  1 month ago

Mini pill  

I lost so much hair. I’m done using this. My periods are more painful, I’m so tired now


Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  21st Apr 25

Mini pill  

Best bc pill experience I've had


Worse skin

1 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  16th Apr 25

Slynd birth control pill  

Really love it! I can skip my periods, don't experience migraines and my acne cleared up!


Improved skin

1 more effect

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  1 month ago

Mini pill  

I lost so much hair. I’m done using this. My periods are more painful, I’m so tired now


Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  21st Apr 25

Mini pill  

Best bc pill experience I've had


Worse skin

1 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  16th Apr 25

Slynd birth control pill  

Really love it! I can skip my periods, don't experience migraines and my acne cleared up!


Improved skin

1 more effect

0 helpful

0 comments

Mini pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  31st Mar 25

Slynd birth control pill  

I gained 30 pounds after starting this birth control. Could not figure out what was going on with my body until I found a reddit thread where other people were experiencing the same.


Worse skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 6 - 12 mo
27 years old
🇺🇸 US
  •  21st Feb 25

Slynd birth control pill  

I’m hoping it gets better. Switched from Errin to Slynd 6 months ago. Hair loss stopped. Acne got better. Those were an immediate win. Month 1 - bled for 1 week. Month 2 - bled for 3 weeks. Month 3 - bled for 2.5 weeks. Month 4 - bled for 2 weeks. Month 5 - bled for 1.5 weeks. Month 6 - bled for 1 week. I naturally have a short cycle, and in the process of trying to force my cycle into a 30 day cadence, I’ve gotten 1-2 days per month of severe headaches before my period (thought my head would blow off without Tylenol) and minor dull headaches for ~1 week before each period. The headaches didn’t happen with Errin - but they are happening with Slynd (and also happened a few year back when I took the combo pill).


Top side effects not reported

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  15th Feb 25

Slynd birth control pill  

It does what it needs to do, pregnancy prevention. Intense emotional fluctuations following the “usual” postpartum journey is definitely a downside


Very negative mood

3 more effects

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  31st Dec 24

Slynd birth control pill  

N/A


Top side effects not reported

0 helpful

0 comments

Mini pill  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  29th Dec 24

Slynd birth control pill  

My experience thus far has been great with minor concerns for acne.


Worse skin

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  19th Nov 24

Norethindrone 0.35 birth control pill  

started taking it about a week and a half ago. i missed a day on sunday, so i took two on monday. today is tuesday and im having terrible cramps. other than that, emotionally its better than the combination pill.


Worse skin

1 more effect

0 helpful

0 comments

Mini pill  
Used for 12 - 18 mo
Lowdown user
🇺🇸 US
  •  2nd Nov 24

Norethindrone 0.35 birth control pill  

This pill improved my sex drive which had been very reduced by the combination pill. It allowed me to put on more muscle too! The weight gain was mostly muscle, which I was so happy about. It was just hard to take the same exact time everyday.


Somewhat positive mood

3 more effects

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Combination birth control pill with other birth control

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