Contraception Reviews

Birth control patch vs Combination birth control pill

Birth control patch

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Combination birth control pill

Want to switch birth control?

Overview

Rated 2.8

8 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.3

129 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

63% somewhat negative

Bleeds

38% regular periods

Sex drive

63% no impact

Weight

50% don’t know impact

Skin

38% don’t know impact

Cycle return

100% don’t know impact

Mood

29% no impact on mood

Bleeds

31% lighter periods

Sex drive

37% lost sex drive

Weight

43% no impact

Skin

40% improved skin

Cycle return

36% 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

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Check out our latest reviews

Real life reviews from people like you

Birth control patch reviews

8 reviews

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

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.

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Very negative mood

0 helpful

0 comments

Birth control patch  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  5th Apr 25

Xulane patch  

Breakthrough bleeding lasted for 3 mos


Somewhat negative mood

1 more effect

1 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  1st Apr 25

Xulane patch  

Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

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 3 - 6 mo
33 years old
🇺🇸 US
  •  5th Apr 25

Xulane patch  

Breakthrough bleeding lasted for 3 mos


Somewhat negative mood

1 more effect

1 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
19 years old
🇺🇸 US
  •  1st Apr 25

Xulane patch  

Currently on my 3rd month of the patch and hoping to switch to an IUD soon, I'm using it to treat my PCOS, not relying on the patch alone for contraception due to my weight. Here's a list of all of the symptoms I've noticed: Pros - Regular periods: though I experienced about 3 weeks of straight bleeding during the first month on the patch (it appeared during my second patch of the box) since then I've only gotten my period during the week it's been off, compared to only getting my period 2-3 times a year pre-patch - Lighter bleeding: before the patch I would bleed for a week at minimum, and for the first 3 days I would consistently bleed through pads within just a couple hours. On the patch i only bleed a notable amount for about 4 days and have had far less blood flow - Stronger fingernails: really wasn't expecting this one, but I'd say its a good change - Darker body hair: probably a con for most, but I enjoy being hairy Cons: - Increase in facial acne: didn't get acne very much before the patch, now I consistently have a couple cysts on my face - Harder to reach orgasm: I've found it slightly harder to orgasm on the patch, but it's not a huge difference and the orgasms are about the same - Increased depression: my mood is completely fine during my weeks with the patch on, but during my off weeks I feel very depressed and irritable, and my anxiety skyrockets


Somewhat negative mood

1 more effect

0 helpful

0 comments


Combination birth control pill reviews

129 reviews

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

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 1 - 3 mo
Lowdown user
🇺🇸 US
  •  2 days 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
  •  2 weeks 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
  •  3 weeks ago

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

Combination birth control pill  
Used for 1 - 3 mo
23 years old
🇺🇸 US
  •  2nd Aug 25

Combination birth control pill  

Stopped eating for 2 days


Top side effects not reported

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Birth control patch with other birth control

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