Combined pill vs Implant

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Combined pill

£From £0.16/day

Implant

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Overview

Rated 2.8

2687 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

622 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen


Implant ingredients

Main hormones in Implant

progestogen

What Lowdown reviewers say

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

37% somewhat negative

49% irregular periods

50% lost sex drive

40% gained weight

56% no impact on skin

Cycle return

31% in 1 month

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Heavy periods

Ovulation pain

Period pain

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£From £0.16/day

Try it now

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Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2687 reviews

Combined pill  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  1 day ago

Yasmin pill  

This is an update as I have now been taking Yasmin for over 10 months. I changed to this pill specifically because another pill gave me terrible acne that did not go away after stopping it and trying an old pill I had been on, nor when I came off hormonal birth control all together to test if that would fix things. I know a lot of people wonder how long it will take for Yasmin to totally clear up acne and for me it was between 5-6 months. I remember I had one terrible, cystic spot for a birthday gathering I was attending in July this year (hence this being seared in my mind lol) and after that my skin cleared up, practically nothing since. Truly the only downside has been the quite considerable hit it’s taken on my libido — my husband is not the most pleased about that aspect but saw how down I was with the bad skin so appreciates that this was the right decision, haha. Unfortunately I moved back to Scotland late summer and Yasmin is not provided here, so I will be changing to another pill. Now begins the test to see if my clear skin remains after I finish this final pack and go back on an old reliable pill I was on from years before that had no side-effects. 🤞🏻

Read more

Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  3 days ago

Qlaira pill  

I have been prescribed Qlaira for heavy periods and excessive bleeding. I might have endometriosis but they didn't prove it yet. Qlaira stopped my excessive bleeding the very next day after taking the first pill. I also didn't notice any major side effects beside a little soreness in my breasts. My skin is crystal clear. I suffer from PMDD very bad and have bad pains in my abdomen during ovulation. It fixed all of these issues in the first month and I'm happy. My vaginal lubrication improved as well. Mood swings improved significantly.


Very positive mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
24 years old
🇬🇧 UK
  •  5 days ago

Yasmin pill  

Love this pill, I've been on it for nearly 10 years now and have noticed few changes and side effects. If anything, my skin is more clear and my periods are light (3-4 days instead of my usual 6-7). I feel more emotional than baseline but it does not bother my day-to-day activities.


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  1 day ago

Yasmin pill  

This is an update as I have now been taking Yasmin for over 10 months. I changed to this pill specifically because another pill gave me terrible acne that did not go away after stopping it and trying an old pill I had been on, nor when I came off hormonal birth control all together to test if that would fix things. I know a lot of people wonder how long it will take for Yasmin to totally clear up acne and for me it was between 5-6 months. I remember I had one terrible, cystic spot for a birthday gathering I was attending in July this year (hence this being seared in my mind lol) and after that my skin cleared up, practically nothing since. Truly the only downside has been the quite considerable hit it’s taken on my libido — my husband is not the most pleased about that aspect but saw how down I was with the bad skin so appreciates that this was the right decision, haha. Unfortunately I moved back to Scotland late summer and Yasmin is not provided here, so I will be changing to another pill. Now begins the test to see if my clear skin remains after I finish this final pack and go back on an old reliable pill I was on from years before that had no side-effects. 🤞🏻


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  3 days ago

Qlaira pill  

I have been prescribed Qlaira for heavy periods and excessive bleeding. I might have endometriosis but they didn't prove it yet. Qlaira stopped my excessive bleeding the very next day after taking the first pill. I also didn't notice any major side effects beside a little soreness in my breasts. My skin is crystal clear. I suffer from PMDD very bad and have bad pains in my abdomen during ovulation. It fixed all of these issues in the first month and I'm happy. My vaginal lubrication improved as well. Mood swings improved significantly.


Very positive mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
24 years old
🇬🇧 UK
  •  5 days ago

Yasmin pill  

Love this pill, I've been on it for nearly 10 years now and have noticed few changes and side effects. If anything, my skin is more clear and my periods are light (3-4 days instead of my usual 6-7). I feel more emotional than baseline but it does not bother my day-to-day activities.


Very negative mood

2 more effects

0 helpful

0 comments


Implant reviews

622 reviews

Implant  
Used for 18 mo - 3 yr
16 years old
🇬🇧 UK
  •  today

Nexplanon implant  

wish i knew got it honestly periods stopped completely so much weight loss rlly bad increase in my mh and mood makes me feel so not me


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

Apart for heavy long periods, I Became mean and short fused. My sex drive is zero. I am less excited and feeling empty. Had the implant for 8 months, the behaviour changes are not settling.I am generally miserable and its damaging my relationship.


Very negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

Safest and easiest contraception in my opinion. However does come with lots of side effects as any medication does, it is manageable but irritating at times (headaches, irregular bleeding every month and lower back pain). I also get rashes at the implant site quite frequently and heard this is very common- gets itchy but normal apparently


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
16 years old
🇬🇧 UK
  •  today

Nexplanon implant  

wish i knew got it honestly periods stopped completely so much weight loss rlly bad increase in my mh and mood makes me feel so not me


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

Apart for heavy long periods, I Became mean and short fused. My sex drive is zero. I am less excited and feeling empty. Had the implant for 8 months, the behaviour changes are not settling.I am generally miserable and its damaging my relationship.


Very negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

Safest and easiest contraception in my opinion. However does come with lots of side effects as any medication does, it is manageable but irritating at times (headaches, irregular bleeding every month and lower back pain). I also get rashes at the implant site quite frequently and heard this is very common- gets itchy but normal apparently


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

Of all the contraceptives I tried I was most satisfied with the implant. I had mostly no side effects and it stopped my period completely after 1 year (had some spotting irregularly in the first year). It was a very effective method, with painless insertion and changes (had 3 implants in 7 years). I removed it because I wanted to give my body a break before potentially trying for a baby. The main side effect and reason I took off one star is the loss of libido and vaginal dryness. My libido was very low and when I did get into sex, the dryness made things painful. Overall the sensation and pleasure of sex took a hit, but it was manageable. Now that I am off the implant I notice a resurgence in libido and feel more connected to my body and sexual self.


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I had the implant for 19 months and got it taken out today after being a little fed up of the side effects. For the first couple of months, I had my period as normal and pretty much no other symptoms except being a bit more emotional. Then over the next year or so i had completely stopped bleeding and had no issues. Then I started to get migraines maybe 2 a week for a couple weeks (I had 5 in the space of a month?) and they were so unbearable. And then I started bleeding again but it was so irregular. I could have a period twice in 2 weeks but not have one for like 6-8 weeks and then get spotting for a few days. It was so frustrating. That and having incredibly sore nipples and tender breasts that I couldn’t wear anything without it hurting. Ever since getting it inserted I have gained around 30kg which is very noticeable on someone who is barely 5ft tall. So because of that my self confidence has completely dropped. It felt like I was buying a bigger bra every 2 months. And none of my clothes that I had a year and a half ago fit me anymore. Overall the beginning was pretty great but about a year in I didn’t like it anymore.


Gained weight

0 helpful

0 comments

Implant  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  13th Oct 25

Nexplanon implant  

Really easy insertion process, nothing to be worried about as a local anesthetic is used. Luckily so far I haven't had a single bleed on this (touch wood) although I had this fitted 2 months postpartum and my periods hadn't properly come back yet. I kept forgetting to take my pill and so I love the implant so far as it's automated contraception that requires no effort for 3 years! Perfect for a busy mama!!!


Somewhat negative mood

0 helpful

1 comments

Implant  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  13th Oct 25

Nexplanon implant  

can be such hell sometimes my mood is literally allover the place all the time (i do also have PMDD) i also have baby fever all the time i just want a baby so bad have wanted to come off it a few times just so i could be a mother but the weight it’s on and off sometimes ill gain it sometimes ill lose it i’ve also gained stretch marks but its effective does the job and doesn’t interfere with my day to day life all the time


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  5th Oct 25

Nexplanon implant  

At first stopped my periods for 1 year but after periods came back much lighter but at random times. Now periods are more regular and still light rather than random spotting. Recently the doctor found a cyst in my ovary they think was caused by the implant.


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  12th Sep 25

Nexplanon implant  

I really didn’t like this. I felt I was always bleeding and the first 3 months are brutal emotionally.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  20th Aug 25

Nexplanon implant  

To me, the implant feels like a very fair tradeoff, where inconsistent spotting and occasional sore boobs is a price I am willing to pay to ensure I have the best protection from pregnancy. That is why I have rated it 5 stars, despite mild side effects. I have had the implant for six months now, and I can honestly say that it has been immense. My copper IUD gave me heavy periods and back pain which would ruin my day, and caused me lots of stress when it randomly decided to dislodge itself after 3 months. The implant cannot dislodge, so this was a welcome improvement. My partner and I used condoms but were worried about the risk of "human error". I was hesitant to start hormonal birth control because I heard stories about people losing their libido or experiencing emotional/personality changes, but these changes have thankfully not occured for me! I may cry slightly more (at films and such) since getting the implant, but I don't actually feel any sadder if that makes sense. Prior to contraception I always had easy, regular periods. Since getting the implant, I have only experienced two physical side effects. One of these is irregular spotting for ~7 days at a time, once or twice a month. This spotting sometimes becomes period-like in terms of the bleeding, and occasionally comes with period-like cramps. I have found this to be easily manageable, but some people find it very frustrating and everyone will have a different experience. It's up to you which side effects you are and aren't willing to put up with. The second side effect for me is sore boobs, although I haven't experienced this for a while. I am hoping that this side effect has run its course now that I have had the implant for 6 months. In terms of the insertion process, it was a ridiculously easy procedure (although I only have an IUD insertion to compare it to). If you're scared of needles I would recommend taking a friend with you because they inject your arm to numb it (mild pain for under 10 seconds, then it's numb). As someone who isn't bothered by needles and had such a friendly doctor, getting the implant was nothing more than an excuse to be taken out for a celebratory dinner. Please don't let the insertion process put you off! Whilst the insertion may sound more inconvenient than picking up a box of condoms or a prescription, it is very straightforward and will only require a 10-minute doctors oppointment every 3 years. I had the implant in my dominant arm and I was able to do normal everyday things, although I had to be cautious about lifting things or raising my arm for the first few days. The bruise took about a month to fully fade, but the mild-moderate aching was gone within a week and a half. In summary, it is so easy to read these reviews and make asssumptions about the implant based on peoples stories of irregular bleeding, painful insertions and hormonal side effects. BUT it is not a negative experience for everyone, and I am so glad to have the implant!


Top side effects not reported

0 helpful

0 comments

Contraceptive alternatives and comparisons

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