Contraception Reviews

Birth control patch vs Mini pill

Birth control patch

Want to switch birth control?

Mini pill

Want to switch birth control?

Overview

Rated 2.9

9 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.4

32 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control patch ingredients

Main hormones in Birth control patch

progestin


Mini pill ingredients

Main hormones in Mini pill

progestin

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

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

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

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 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


Mini pill reviews

32 reviews

Mini pill  
Used for 18 mo - 3 yr
32 years old
🇺🇸 US
  •  2 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

Mini pill  
Used for 18 mo - 3 yr
32 years old
🇺🇸 US
  •  2 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

Mini pill  
Used for 18 mo - 3 yr
37 years old
🇺🇸 US
  •  15th Aug 25

Slynd birth control pill  

I am on Slynd for heavy period and clotting. It stopped the heaviness and clotting. I do have some dryness in my mouth and apparently my vagina. It may have contributed to acne but not sure.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  26th May 25

Mini pill  

I lost so much hair. I’m done using this. My periods are more painful, I’m so tired now


Improved skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  21st Apr 25

Mini pill  

Best bc pill experience I've had


Worse skin

1 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  16th Apr 25

Slynd birth control pill  

Really love it! I can skip my periods, don't experience migraines and my acne cleared up!


Improved skin

1 more effect

0 helpful

0 comments

Mini pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  31st Mar 25

Slynd birth control pill  

I gained 30 pounds after starting this birth control. Could not figure out what was going on with my body until I found a reddit thread where other people were experiencing the same.


Worse skin

2 more effects

0 helpful

0 comments

Mini pill  
Used for 6 - 12 mo
27 years old
🇺🇸 US
  •  21st Feb 25

Slynd birth control pill  

I’m hoping it gets better. Switched from Errin to Slynd 6 months ago. Hair loss stopped. Acne got better. Those were an immediate win. Month 1 - bled for 1 week. Month 2 - bled for 3 weeks. Month 3 - bled for 2.5 weeks. Month 4 - bled for 2 weeks. Month 5 - bled for 1.5 weeks. Month 6 - bled for 1 week. I naturally have a short cycle, and in the process of trying to force my cycle into a 30 day cadence, I’ve gotten 1-2 days per month of severe headaches before my period (thought my head would blow off without Tylenol) and minor dull headaches for ~1 week before each period. The headaches didn’t happen with Errin - but they are happening with Slynd (and also happened a few year back when I took the combo pill).


Top side effects not reported

0 helpful

0 comments

Mini pill  
Used for 1 - 3 mo
21 years old
🇺🇸 US
  •  15th Feb 25

Slynd birth control pill  

It does what it needs to do, pregnancy prevention. Intense emotional fluctuations following the “usual” postpartum journey is definitely a downside


Very negative mood

3 more effects

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Birth control patch with other birth control

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