Contraception Reviews

Birth control patch vs Contraceptive gel

Birth control patch

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Contraceptive gel

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Overview

Rated 2.9

9 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.8

5 reviews

Before sex

Frequency

79% - 86%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control patch ingredients

Main hormones in Birth control patch

progestin

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

56% somewhat negative

Bleeds

44% spotting

Sex drive

56% no impact

Weight

44% no impact

Skin

33% don’t know impact

Cycle return

100% don’t know impact

Mood

40% very positive

Bleeds

60% no change

Sex drive

60% increased sex drive

Weight

60% no impact

Skin

100% no impact on skin

Cycle return

100% don’t know impact

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

There are no benefits that are recognised in scientific research or guidelines for this birth control

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Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Birth control patch reviews

9 reviews

Birth control patch  
Used for 1 - 3 mo
20 years old
🇺🇸 US
  •  2 weeks ago

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.

Read more

Somewhat positive mood

1 more effect

0 helpful

0 comments

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

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
  •  1 month 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


Contraceptive gel reviews

5 reviews

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 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 patch with other birth control

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