The Lowdown, a Vira Health company

Birth control implant vs Contraceptive gel

Birth control implant

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Contraceptive gel

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Overview

Rated 3.2

82 reviews

Every 5 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

6 reviews

Before sex

Frequency

79% - 86%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control implant ingredients

Main hormones in Birth control implant

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

28% no impact on mood

Bleeds

52% spotting

Sex drive

35% lost sex drive

Weight

46% gained weight

Skin

32% worse skin

Cycle return

46% in 1 month

Mood

33% very positive

Bleeds

50% no change

Sex drive

50% increased sex drive

Weight

67% no impact

Skin

83% no impact on skin

Cycle return

100% don’t know impact

Benefits: What this birth control can help with

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

Birth control implant reviews

82 reviews

Birth control implant  
Used for 3 - 5 yr
22 years old
🇺🇸 US
  •  15th Jul 26

Nexplanon implant  

I always had heavy and irregular periods before starting Nexplanon (except for when I was on the pill). In my first three years, I had moderate flow irregular bleeding and took the pill to help regulate (did not work). I then got Nexplanon reinserted after 3 years, at which point I lost my period altogether for almost 2 years, and now only have light (but irregular) spotting. I believe my mood is more consistent without a regular cycle. It is possible that my sex drive went down, but I was not sexually active before starting, so it might not have decreased. I did not gain weight like I did on the pill, and I do not feel as puffy from water retention. I found the insertion to be very easy. Removal was more uncomfortable because of how they pry it out, but it was not bad. I like the piece of mind of having it always in and being able to touch it to check.

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Somewhat positive mood

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
31 years old
🇺🇸 US
  •  30th Jun 26

Nexplanon implant  

Overall very satisfied with it as a way of avoiding periods. In the beginning there was a lot of spotting, and then period right after, then spotting again, but once that was over it's all good. I have not had a period in 3 months, but when I do get one, they last for at least a week (my normal period is 4 days). But as a contraceptive it is kind of useless, as I have 0% sex drive. None existent. To the point where sex is a chore, which is not healthy for any relationship. Acne is also quite alot worse, despite using retinol and salsylic acid, I get a lot of blackheads and big yellow pimples. Probably going to get it removed soon, because of the two negatives.


Worse skin

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  3rd May 26

Nexplanon implant  

H


Very positive mood

3 more effects

0 helpful

0 comments

Birth control implant  
Used for 3 - 5 yr
22 years old
🇺🇸 US
  •  15th Jul 26

Nexplanon implant  

I always had heavy and irregular periods before starting Nexplanon (except for when I was on the pill). In my first three years, I had moderate flow irregular bleeding and took the pill to help regulate (did not work). I then got Nexplanon reinserted after 3 years, at which point I lost my period altogether for almost 2 years, and now only have light (but irregular) spotting. I believe my mood is more consistent without a regular cycle. It is possible that my sex drive went down, but I was not sexually active before starting, so it might not have decreased. I did not gain weight like I did on the pill, and I do not feel as puffy from water retention. I found the insertion to be very easy. Removal was more uncomfortable because of how they pry it out, but it was not bad. I like the piece of mind of having it always in and being able to touch it to check.


Somewhat positive mood

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
31 years old
🇺🇸 US
  •  30th Jun 26

Nexplanon implant  

Overall very satisfied with it as a way of avoiding periods. In the beginning there was a lot of spotting, and then period right after, then spotting again, but once that was over it's all good. I have not had a period in 3 months, but when I do get one, they last for at least a week (my normal period is 4 days). But as a contraceptive it is kind of useless, as I have 0% sex drive. None existent. To the point where sex is a chore, which is not healthy for any relationship. Acne is also quite alot worse, despite using retinol and salsylic acid, I get a lot of blackheads and big yellow pimples. Probably going to get it removed soon, because of the two negatives.


Worse skin

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  3rd May 26

Nexplanon implant  

H


Very positive mood

3 more effects

0 helpful

0 comments


Contraceptive gel reviews

6 reviews

Contraceptive gel  
Used for 6 - 12 mo
26 years old
🇺🇸 US
  •  1 month ago

Contraceptive gel  

Severe lower back pain at 7months using it coming to the front as well especially when laying down


Worse skin

0 helpful

0 comments

Contraceptive gel  
Used for 3 - 6 mo
29 years old
🇺🇸 US
  •  24th Jun 25

Phexxi gel  

It’s okay still having pain with the Slynd which is awful


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 8+ yr
Lowdown user
🇺🇸 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 6 - 12 mo
26 years old
🇺🇸 US
  •  1 month ago

Contraceptive gel  

Severe lower back pain at 7months using it coming to the front as well especially when laying down


Worse skin

0 helpful

0 comments

Contraceptive gel  
Used for 3 - 6 mo
29 years old
🇺🇸 US
  •  24th Jun 25

Phexxi gel  

It’s okay still having pain with the Slynd which is awful


Top side effects not reported

0 helpful

0 comments

Contraceptive gel  
Used for 8+ yr
Lowdown user
🇺🇸 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
Lowdown user
🇺🇸 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
Lowdown user
🇺🇸 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

2 helpful

0 comments

Contraceptive gel  
Used for 6 - 12 mo
Lowdown user
🇺🇸 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

2 helpful

0 comments

Birth control alternatives and comparisons

Compare the Birth control implant with other birth control

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