Contraception Reviews

Mini pill vs Combination birth control pill

Mini pill

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Combination birth control pill

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Overview

Rated 3.4

32 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.3

130 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Mini pill ingredients

Main hormones in Mini pill

progestin


Combination pill ingredients

Main hormones in Combination pill

estrogen

What Lowdown reviewers say

Mood

31% no impact on mood

Bleeds

38% stopped periods

Sex drive

41% no impact

Weight

47% no impact

Skin

38% no impact on skin

Cycle return

57% don’t know impact

Mood

29% no impact on mood

Bleeds

32% lighter periods

Sex drive

37% lost sex drive

Weight

44% no impact

Skin

39% improved skin

Cycle return

36% in 1 month

Benefits: What this birth control can help with

Period pain

Heavy menstrual bleeding

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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Check out our latest reviews

Real life reviews from people like you

Mini pill reviews

32 reviews

Mini pill  
Used for 18 mo - 3 yr
32 years old
🇺🇸 US
  •  4 days ago

Norethindrone 0.35 birth control pill  

I have had no issues with Norethindrone! I have been on it for two years with no weight gain, irregular periods, or acne. I have noticed that I get a little bit more emotional the week before my period that I did not use to have, and sometimes I feel a little nauseous in the mornings. Neither of which have caused any major discomfort or problems. Norethindrone has been great!

Read more

Somewhat negative mood

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
39 years old
🇺🇸 US
  •  10th Oct 25

Slynd birth control pill  

I gained weight on slynd when I stopped nursing my baby. I gained weight in areas I normally don't gain weight in despite dieting and intense workouts. Weight is not really coming off despite being off the birth control.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Mini pill  
Used for 3 - 6 mo
28 years old
🇺🇸 US
  •  16th Aug 25

Slynd birth control pill  

i was on the traditional mini pill for almost a year before switching to slynd. slynd fixed all of the issues I had on the other POP. I did not have breakthrough bleeding, irregular periods or a depressed mood with Slynd. it was a major win-at first. I suddenly noticed I was gaining weight, by month two on slynd I had gained 3-4 pounds, and by the time I quit in month 5 I had gained 11 pounds. 11 pounds in 5 months is insane! I did not change my eating or workouts, so I believe it really was this pill.


Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
32 years old
🇺🇸 US
  •  4 days ago

Norethindrone 0.35 birth control pill  

I have had no issues with Norethindrone! I have been on it for two years with no weight gain, irregular periods, or acne. I have noticed that I get a little bit more emotional the week before my period that I did not use to have, and sometimes I feel a little nauseous in the mornings. Neither of which have caused any major discomfort or problems. Norethindrone has been great!


Somewhat negative mood

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
39 years old
🇺🇸 US
  •  10th Oct 25

Slynd birth control pill  

I gained weight on slynd when I stopped nursing my baby. I gained weight in areas I normally don't gain weight in despite dieting and intense workouts. Weight is not really coming off despite being off the birth control.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Mini pill  
Used for 3 - 6 mo
28 years old
🇺🇸 US
  •  16th Aug 25

Slynd birth control pill  

i was on the traditional mini pill for almost a year before switching to slynd. slynd fixed all of the issues I had on the other POP. I did not have breakthrough bleeding, irregular periods or a depressed mood with Slynd. it was a major win-at first. I suddenly noticed I was gaining weight, by month two on slynd I had gained 3-4 pounds, and by the time I quit in month 5 I had gained 11 pounds. 11 pounds in 5 months is insane! I did not change my eating or workouts, so I believe it really was this pill.


Improved skin

2 more effects

0 helpful

0 comments


Combination birth control pill reviews

130 reviews

Combination birth control pill  
Used for 12 - 18 mo
19 years old
🇺🇸 US
  •  6 days ago

Vienva birth control pill  

I really like it! I take it daily and bae no bad side effects, and actually feel my mood has improved


Very positive mood

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  3 weeks ago

Junel 21 1/20 birth control pill  

I started taking this pill post partial hysterectomy for worsening PMDD symptoms. Within week 1 I totally lost my libido (I generally have a super high drive and have sex daily with my partner). I have had a couple of headaches as well since starting which is not a frequent thing for me. After the first few days I felt bloated as well. I do not have to worry about pregnancy since having a partial hysterectomy, however the other side effects are uncomfortable enough I do not want to continue this pill.


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
25 years old
🇺🇸 US
  •  1 month ago

Junel Fe 1.5/30 birth control pill  

It was fine, but not the best. I noticed feeling increasingly agitated often and it made my cramps a lot worse when I had a pill period. Overall wasn't a bad med, but not my favorite. Main symptom that made me get off it was really bad hot flashes everyday.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
19 years old
🇺🇸 US
  •  6 days ago

Vienva birth control pill  

I really like it! I take it daily and bae no bad side effects, and actually feel my mood has improved


Very positive mood

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  3 weeks ago

Junel 21 1/20 birth control pill  

I started taking this pill post partial hysterectomy for worsening PMDD symptoms. Within week 1 I totally lost my libido (I generally have a super high drive and have sex daily with my partner). I have had a couple of headaches as well since starting which is not a frequent thing for me. After the first few days I felt bloated as well. I do not have to worry about pregnancy since having a partial hysterectomy, however the other side effects are uncomfortable enough I do not want to continue this pill.


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
25 years old
🇺🇸 US
  •  1 month ago

Junel Fe 1.5/30 birth control pill  

It was fine, but not the best. I noticed feeling increasingly agitated often and it made my cramps a lot worse when I had a pill period. Overall wasn't a bad med, but not my favorite. Main symptom that made me get off it was really bad hot flashes everyday.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
27 years old
🇺🇸 US
  •  21st Oct 25

Junel Fe 1/20 birth control pill  

It’s worked and been totally fine.


Top side effects not reported

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
18 years old
🇺🇸 US
  •  27th Sep 25

Hailey Fe 1/20 birth control pill  

hey readers! i’m 18 and have been on it since 15. my periods were 50-70 days late and now i can pin it down on a calander! i’ve always been slimmer due to my sickness (cvs) and this has helped it tremendously too, i haven’t noticed much weight gain. (shoutout to my gyno) that being said my friends have had some other feedback so it is very personal to your body. but for me it has been life changing! i am considering maybe a shorter period length now that mine are 4 days and not 7.


Very positive mood

1 more effect

1 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
44 years old
🇺🇸 US
  •  16th Sep 25

Vienva birth control pill  

Irregular periods and it's got worse.


Decreased sex drive

1 more effect

1 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
50 years old
🇺🇸 US
  •  8th Sep 25

Junel 21 1.5/30 birth control pill  

weight gain. nausea. migraine


Very negative mood

2 more effects

1 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
28 years old
🇺🇸 US
  •  24th Aug 25

Junel Fe 1.5/30 birth control pill  

Made my chin area have uncontrollable hormonal acne. Breakthrough bleeding from intimacy and pretty bad PMS symptoms for days before.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 6 mo
28 years old
🇺🇸 US
  •  24th Aug 25

Yasmin birth control pill  

Went on Yasmin for helping acne and breakthrough bleeding. Completely cleared my skin. I did have a full heavy period for 3 weeks out of 4. Waited out incase it would go away. It did not


Improved skin

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
48 years old
🇺🇸 US
  •  3rd Aug 25

Altavera birth control pill  

I loved this for helping prevent migraines (taking continuously) and helping even out my moods. But I just realized it is probably what is causing my hair loss. Looking to change to a lower androgen pill like Yasmin


Very positive mood

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Mini pill with other birth control

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