Contraception Reviews

Birth control implant vs Mini pill

Birth control implant

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Mini pill

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Overview

Rated 3.2

42 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

19 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control implant ingredients

Main hormones in Birth control implant


Mini pill ingredients

Main hormones in Mini pill

progestin

What Lowdown reviewers say

Mood

29% no impact on mood

Bleeds

50% spotting

Sex drive

38% lost sex drive

Weight

43% gained weight

Skin

33% no impact on skin

Cycle return

60% don’t know impact

Mood

26% very positive

Bleeds

37% stopped periods

Sex drive

37% no impact

Weight

47% no impact

Skin

47% no impact on skin

Cycle return

50% don’t know impact

Benefits: What this birth control can help with

Period pain

Period pain

Heavy menstrual bleeding

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Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Birth control implant reviews

42 reviews

Birth control implant  
Used for 3 - 5 yr
24 years old
🇺🇸 US
  •  1 day ago

Nexplanon implant  

I loved having Nexplanon. Light periods for 6 months then stopped having periods entirely. My periods didn't return for a year after I had it removed, though. No side effects other than acne & weight gain. I lost all that acne & weight as soon as it was removed.

Read more

Very positive mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
27 years old
🇺🇸 US
  •  2 days ago

Nexplanon implant  

I don't even know we're to start. Not having a period has been amazing. However, the side effects are horrible. The first month I had tingling in my hands and feet, that went away though. The first month I also experienced sever virtago/ dizziness. This issue has been on going for the past year. Its more annoying then a actually issue. I've had several acne that won't go away, mood swings are horrible, and my eye sight is bad. I've never been sick or had any health issue until getting nexplanon. Although not having a period is great, I will be getting mine removed next week after only 1 year do to issue..


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 5 - 8 yr
26 years old
🇺🇸 US
  •  3 days ago

Nexplanon implant  

I am 27, and I have been on some form of hormonal birth control since I turned 15. I have used Nexplanon for the last 5 years. Overall, it was a good pick for me because of my irregular schedule and my inability to remember to take something at the same time every day. An IUD was not an option for me because of some family medical history, and at the time that I was looking, I was told that I was not a candidate for Nuvaring. Nexplanon did make my periods significantly lighter, and for a while I didn’t have a period at all. Now my cycles are very irregular (anywhere from 29-44 days in between period start dates) it lasts 2-3 days, and I can survive with light and regular tampons. Before the implant, I had heavy periods that would last at least a week, and I would go through boxes of the super and super plus tampons. I usually had minimal cramping with Nexplanon, although, as I am nearing the end of this second implant, I do think my cramps are starting to become stronger. I have gained quite a bit of weight while I’ve been on it. I'm 5’6” tall, and I started out at 195 lbs in August of 2018. I was at 225 lbs By December of 2019 (16 months/30 lbs), and 250lbs by January 2022 (41 months/55 lbs). My heaviest was in November of 2023 at 271lbs (51 months/76lbs). I’m currently weighing in at 265 lbs (61 months/70lbs). I do not think that all of my weight is attributed to the implant. I think I have some other factors that have contributed to my specific scenario, but I am curious to see how my weight changes once I have this one removed. I think my plan is to go hormone-free after this implant to give my body some time to regulate itself, and see how hormone-free feels.


Gained weight

0 helpful

0 comments

Birth control implant  
Used for 3 - 5 yr
24 years old
🇺🇸 US
  •  1 day ago

Nexplanon implant  

I loved having Nexplanon. Light periods for 6 months then stopped having periods entirely. My periods didn't return for a year after I had it removed, though. No side effects other than acne & weight gain. I lost all that acne & weight as soon as it was removed.


Very positive mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 12 - 18 mo
27 years old
🇺🇸 US
  •  2 days ago

Nexplanon implant  

I don't even know we're to start. Not having a period has been amazing. However, the side effects are horrible. The first month I had tingling in my hands and feet, that went away though. The first month I also experienced sever virtago/ dizziness. This issue has been on going for the past year. Its more annoying then a actually issue. I've had several acne that won't go away, mood swings are horrible, and my eye sight is bad. I've never been sick or had any health issue until getting nexplanon. Although not having a period is great, I will be getting mine removed next week after only 1 year do to issue..


Somewhat negative mood

2 more effects

0 helpful

0 comments

Birth control implant  
Used for 5 - 8 yr
26 years old
🇺🇸 US
  •  3 days ago

Nexplanon implant  

I am 27, and I have been on some form of hormonal birth control since I turned 15. I have used Nexplanon for the last 5 years. Overall, it was a good pick for me because of my irregular schedule and my inability to remember to take something at the same time every day. An IUD was not an option for me because of some family medical history, and at the time that I was looking, I was told that I was not a candidate for Nuvaring. Nexplanon did make my periods significantly lighter, and for a while I didn’t have a period at all. Now my cycles are very irregular (anywhere from 29-44 days in between period start dates) it lasts 2-3 days, and I can survive with light and regular tampons. Before the implant, I had heavy periods that would last at least a week, and I would go through boxes of the super and super plus tampons. I usually had minimal cramping with Nexplanon, although, as I am nearing the end of this second implant, I do think my cramps are starting to become stronger. I have gained quite a bit of weight while I’ve been on it. I'm 5’6” tall, and I started out at 195 lbs in August of 2018. I was at 225 lbs By December of 2019 (16 months/30 lbs), and 250lbs by January 2022 (41 months/55 lbs). My heaviest was in November of 2023 at 271lbs (51 months/76lbs). I’m currently weighing in at 265 lbs (61 months/70lbs). I do not think that all of my weight is attributed to the implant. I think I have some other factors that have contributed to my specific scenario, but I am curious to see how my weight changes once I have this one removed. I think my plan is to go hormone-free after this implant to give my body some time to regulate itself, and see how hormone-free feels.


Gained weight

0 helpful

0 comments


Mini pill reviews

19 reviews

Mini pill  
Used for 12 - 18 mo
34 years old
🇺🇸 US
  •  3 weeks ago

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

Mini pill  
Used for 3 - 6 mo
40 years old
🇺🇸 US
  •  3 weeks ago

Slynd birth control pill  

Much better than other mini pills


Very positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
38 years old
🇺🇸 US
  •  26th Sep 24

Slynd birth control pill  

10/10 highly recommend. Stopped my periods which increased my quality of life!


Very positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 12 - 18 mo
34 years old
🇺🇸 US
  •  3 weeks ago

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

Mini pill  
Used for 3 - 6 mo
40 years old
🇺🇸 US
  •  3 weeks ago

Slynd birth control pill  

Much better than other mini pills


Very positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
38 years old
🇺🇸 US
  •  26th Sep 24

Slynd birth control pill  

10/10 highly recommend. Stopped my periods which increased my quality of life!


Very positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
25 years old
🇺🇸 US
  •  30th Aug 24

Mini pill  

I just feel as if Norinthdrone isn’t agreeing with me but this is my second time being prescribed this particular birthcontrol for my Endo since it’s progestin only and I’m trying to make it work to be healthy and no get pregnant but it’s really taking a toll on me and my new marriage…I don’t know if I should stay and deal with the side effects and Endo or get off of it and deal with Endo pain and maybe a pregnancy.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Mini pill  
Used for 3 - 6 mo
14 years old
🇺🇸 US
  •  3rd Aug 24

Mini pill  

I’m on Desorex and I’ve had no changes to my body at all or no life threatening things (e.g. blood clots). I feel the same and i’d definitely recommend if you’ve spoken to your GP or sexual health clinic about family history!


Very positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 3 - 6 mo
21 years old
🇺🇸 US
  •  18th Jul 24

Slynd birth control pill  

I was on this pill for about 4-5 months. I’m just going to try to sum this up the best way I can; No change with boobs, no change with weight, acne cleared up, no change with hair growth or loss. Dizziness, several headaches a week. Fatigue, low mood and feeling numb. First 3 months was constant spotting and bleeding with about a week to week and half of nothing in between. Then I stopped taking placebos and zero bleeding or spotting for two months. Also around this time I experienced a huge drop in libido, barely able to get turned on and unable to get wet. The few times I tried to have sex I kept getting a perineal tear in the same spot and this was with a significant amount of lube. Finally found a doctor who told me this was because of my birth control. It impacted my hormones and changed my hormones down there to the point I was unable to have sex. My lips also looked like a prune and were wrinkly. I’ve been off the pill for over a week and my lips are pink, full and plush, and I was able to get wet when kissing my husband which had not happened in months. I feel like I’m coming alive again. Personally done with hormones, we are doing nfp and condoms. I don’t want to scare anyone but this was my experience if you happen to go through the same it may be this pill causing the tearing issue and other sexual function issues (which is listed as a side affect)


Very negative mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
16 years old
🇺🇸 US
  •  25th Jun 24

Norethindrone 0.35 birth control pill  

I like it, helps me a lot with my cramps


Very positive mood

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
31 years old
🇺🇸 US
  •  5th Jun 24

Norethindrone 0.35 birth control pill  

Had a terrible experience with a combined BC pill (depression, exhaustion, weight gain), the mini-pill has been GREAT. I get my period only twice a year, and the only side effects are some breast tenderness an occasionally ovarian cysts before my period, but never serious. No mood side effects.


Top side effects not reported

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
38 years old
🇺🇸 US
  •  28th May 24

Mini pill  

Took OPill after pregnancy, to fill the gap before going back to IUD. Ease of access is a big plus (picked up at grocery store, no prescription needed). First period was weird: started spotting at around the normal time of month, but just stayed like that for about a week before starting "in earnest", at which point it was fairly normal. Feeling a reduction in libido and sexual sensitivity, but could also be related to post-pregnancy hormone fluctuations.


Decreased sex drive

1 more effect

0 helpful

0 comments

Mini pill  
Used for 12 - 18 mo
38 years old
🇺🇸 US
  •  9th May 24

Norethindrone 0.35 birth control pill  

I used to be able to skip periods but my old birth control gave me monthly migraines so I switched to the mini pill. My migraines are decreasing and my periods are regular now.


Very positive mood

1 more effect

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Birth control implant with other birth control

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