Combined pill vs Implant

Need help choosing? Speak to a doctor
Combined pill

£From £0.16/day

Implant

Add your Implant review

Overview

Rated 2.8

2586 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

602 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

57% 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

Try it now

£From £0.16/day

Try it now

Add your Implant review

Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2586 reviews

Combined pill  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  today

Brevinor pill  

This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.

Read more

Top side effects not reported

0 helpful

0 comments

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

Marvelon pill  

Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  6 days ago

Microgynon 30 pill  

Gave me cystitis all the time and even after coming off I keep getting it after seeing a specialist they told me it’s due to the The pill, lowering my oestrogen


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  today

Brevinor pill  

This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.


Top side effects not reported

0 helpful

0 comments

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

Marvelon pill  

Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  6 days ago

Microgynon 30 pill  

Gave me cystitis all the time and even after coming off I keep getting it after seeing a specialist they told me it’s due to the The pill, lowering my oestrogen


Somewhat negative mood

2 more effects

0 helpful

0 comments


Implant reviews

602 reviews

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  6 days ago

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

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

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments

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

Nexplanon implant  

Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  6 days ago

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

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

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments

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

Nexplanon implant  

Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  27th Apr 25

Nexplanon implant  

Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.


Very negative mood

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  26th Apr 25

Nexplanon implant  

my periods stopped but i noticed when i wanted to have sex i wasn’t able to get wet easily. i also developed acne for the first time after i stopped due to the sudden loss of hormones. overall it worked and i enjoyed no periods and no other symptoms outside of sex.


Improved skin

1 more effect

0 helpful

0 comments

Implant  
Used for 1 - 3 mo
25 years old
🇬🇧 UK
  •  17th Mar 25

Nexplanon implant  

took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!


Worse skin

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
27 years old
🇬🇧 UK
  •  13th Mar 25

Nexplanon implant  

I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  6th Mar 25

Nexplanon implant  

Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  28th Feb 25

Nexplanon implant  

Normal for me I’m a U.S. bodybuilder nothing has change a lot of women gain weight because it can be an appetite enhancing affect. I’ve stayed the same tracking calories my spotting is normals as other off and on some missed periods and most lighter and little do not heavy. Experiencing hard sore nipples. And depression seems more there but not to bad. Do feel tired though out the day.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 12 - 18 mo
21 years old
🇬🇧 UK
  •  12th Feb 25

Nexplanon implant  

Used this for 1,5 years and I love it. The implant completely stopped my period this whole time, except 1 small break-thru bleeding 1yr ago. Insertion was not painful. Started using due to painful periods. Now living pain-free!


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Combined pill with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them