Contraception Reviews

Birth control patch vs Combination birth control pill

Birth control patch

Want to switch birth control?

Combination birth control pill

Want to switch birth control?

Overview

Rated 3.1

10 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.3

136 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Birth control patch ingredients

Main hormones in Birth control patch

progestin


Combination pill ingredients

Main hormones in Combination pill

estrogen

What Lowdown reviewers say

Mood

50% somewhat negative

Bleeds

50% spotting

Sex drive

60% no impact

Weight

50% no impact

Skin

30% improved skin

Cycle return

100% don’t know impact

Mood

28% no impact on mood

Bleeds

32% lighter periods

Sex drive

38% lost sex drive

Weight

43% no impact

Skin

40% improved skin

Cycle return

35% in 1 month

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Try it now

Want to switch birth control?

Try it now

Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Birth control patch reviews

10 reviews

Birth control patch  
Used for 12 - 18 mo
19 years old
🇺🇸 US
  •  3 weeks ago

Xulane patch  

Very good Basically got me out of depression and made me feel more confident

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
20 years old
🇺🇸 US
  •  11th Nov 25

Xulane patch  

I was on Depo and the pill before this and this is the best one so far. I'm still in the adjustment phase. The main issue is that this month (month 2) I've felt uncomfortable in my skin and I've been dizzy. Not extreme but noticeable. I appreciate the ease of only dealing with it once a week. The adhesive is slightly irritating only because of sweat, but after the first month it's stopped itching and I don't notice it anymore.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 12 - 18 mo
32 years old
🇺🇸 US
  •  30th Oct 25

Xulane patch  

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.


Very negative mood

0 helpful

0 comments

Birth control patch  
Used for 12 - 18 mo
19 years old
🇺🇸 US
  •  3 weeks ago

Xulane patch  

Very good Basically got me out of depression and made me feel more confident


Very positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
20 years old
🇺🇸 US
  •  11th Nov 25

Xulane patch  

I was on Depo and the pill before this and this is the best one so far. I'm still in the adjustment phase. The main issue is that this month (month 2) I've felt uncomfortable in my skin and I've been dizzy. Not extreme but noticeable. I appreciate the ease of only dealing with it once a week. The adhesive is slightly irritating only because of sweat, but after the first month it's stopped itching and I don't notice it anymore.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 12 - 18 mo
32 years old
🇺🇸 US
  •  30th Oct 25

Xulane patch  

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.


Very negative mood

0 helpful

0 comments


Combination birth control pill reviews

136 reviews

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

Yaz birth control pill  

The loss of sex drive and vaginal dryness is affecting my relationship


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
15 years old
🇺🇸 US
  •  1 month ago

Nikki birth control pill  

The head aches are not to bad but the font go away with meds


Very positive mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  5th Jan 26

Loryna birth control pill  

This birth control has been GAME CHANGER for me. My periods are almost non-existent, seriously, so light I barely notice! My cramps are also almost NEVER there when my period comes. Before, I would have crippling pain and a heavy, inconsistent period. In the first month or two of taking the pill, I did notice a frequent occurrence of headaches, but nothing major or unbearable. Also, no weight gain!! I used to occasionally have acne, but that seems completely gone now too. I do feel my mood has improved considerably as well. Endlessly grateful for this pill, I hope it works for many others when they try it!


Very positive mood

1 more effect

0 helpful

0 comments

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

Yaz birth control pill  

The loss of sex drive and vaginal dryness is affecting my relationship


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
15 years old
🇺🇸 US
  •  1 month ago

Nikki birth control pill  

The head aches are not to bad but the font go away with meds


Very positive mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  5th Jan 26

Loryna birth control pill  

This birth control has been GAME CHANGER for me. My periods are almost non-existent, seriously, so light I barely notice! My cramps are also almost NEVER there when my period comes. Before, I would have crippling pain and a heavy, inconsistent period. In the first month or two of taking the pill, I did notice a frequent occurrence of headaches, but nothing major or unbearable. Also, no weight gain!! I used to occasionally have acne, but that seems completely gone now too. I do feel my mood has improved considerably as well. Endlessly grateful for this pill, I hope it works for many others when they try it!


Very positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
28 years old
🇺🇸 US
  •  28th Dec 25

Junel Fe 1.5/30 birth control pill  

I got on this birth control because I was having mood swings and was feeling irritable and not like myself on the birth control pill I was on before. This one helped my mood a lot and my periods have been short and light on it (bleeding for 2-3 days and spotting for 1-2 days).


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
16 years old
🇺🇸 US
  •  18th Dec 25

Yaz birth control pill  

good for me


Improved skin

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 6 - 12 mo
19 years old
🇺🇸 US
  •  11th Dec 25

Combination birth control pill  

Discharge throws off my mood and for sex..


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
19 years old
🇺🇸 US
  •  17th Nov 25

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
  •  5th Nov 25

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
  •  30th Oct 25

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

Birth control alternatives and comparisons

Compare the Birth control patch with other birth control

Don’t keep it on the DL.Put it on the LD.

Slide into our DMs

hello@thelowdown.com

Sitemap

©The Lowdown 2026