Combined pill vs Implant
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£From £0.16/day
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Overview
Rated 2.8
2710 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 2.8
627 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
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
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Add your Implant review
Check out our latest reviews
Real life reviews from people like you
Combined pill reviews
2710 reviews
Used for 3 - 6 mo
37 years old
🇬🇧 UK
• 3 days ago
Started off well on this pill, good for PMS management. Had bleeding for weeks and breasts got bigger and were painful. Some of these effects subsided after a few weeks. On my 3rd pack i noticed i wasnt full after meals and was constantly feeling hungry and thinking about food. This continued through the fourth month. I have definitely gained weight and clothes not fitting properly, which is an unacceptable side effect for me personally.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
28 years old
🇬🇧 UK
• 6 days ago
It is a balancing act, but, overall, I am happy with the results. I take the pill back to back as my cramps were so bad that they were effecting my personal and work life terribly and I could no longer stand the pain. Unlike other pills I have tried before, this stops my periods. After 3 or 4 months I get heavy spotting and take a break for 7 days which sorts it out - the breaks are fine with only mild cramping and nothing like my periods before. It has saved my ability to work. I have had negative side effects - weight gain and mood. I have no history of depression, anxiety or struggling to process things until I started taking this pill but I now struggle with these things most days. Compared to the pain, for me, the impact on my mental health is a trade off I've accepted.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
26 years old
🇬🇧 UK
• 1 week ago
Zoely was brilliant for managing my cyclical mood symptoms and essentially stopped my periods which was great in the context of endometriosis. I had no period pain on this pill. However unfortunately I struggled with significant vaginal dryness which honestly felt like perimenopause and made sex intolerable. I also noticed significant hair loss, but I can’t say 100% if this was Zoely or due to life stress.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
37 years old
🇬🇧 UK
• 3 days ago
Started off well on this pill, good for PMS management. Had bleeding for weeks and breasts got bigger and were painful. Some of these effects subsided after a few weeks. On my 3rd pack i noticed i wasnt full after meals and was constantly feeling hungry and thinking about food. This continued through the fourth month. I have definitely gained weight and clothes not fitting properly, which is an unacceptable side effect for me personally.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
28 years old
🇬🇧 UK
• 6 days ago
It is a balancing act, but, overall, I am happy with the results. I take the pill back to back as my cramps were so bad that they were effecting my personal and work life terribly and I could no longer stand the pain. Unlike other pills I have tried before, this stops my periods. After 3 or 4 months I get heavy spotting and take a break for 7 days which sorts it out - the breaks are fine with only mild cramping and nothing like my periods before. It has saved my ability to work. I have had negative side effects - weight gain and mood. I have no history of depression, anxiety or struggling to process things until I started taking this pill but I now struggle with these things most days. Compared to the pain, for me, the impact on my mental health is a trade off I've accepted.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
26 years old
🇬🇧 UK
• 1 week ago
Zoely was brilliant for managing my cyclical mood symptoms and essentially stopped my periods which was great in the context of endometriosis. I had no period pain on this pill. However unfortunately I struggled with significant vaginal dryness which honestly felt like perimenopause and made sex intolerable. I also noticed significant hair loss, but I can’t say 100% if this was Zoely or due to life stress.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Implant reviews
627 reviews
Used for 1 - 3 mo
14 years old
🇬🇧 UK
• 3 weeks ago
It's my first time on birth control and I get way angrier then I used to but all I'm seeing from my body is positive things
Improved skin
2 more effects
1 helpful
0 comments
Used for 3 - 5 yr
24 years old
🇬🇧 UK
• 1 month ago
Was previously on the progesterone only pill but did not want to have to remember it daily. Have had no issues with Nexplanon and had it changed recently after having the first for three years.
Very positive mood
1 helpful
0 comments
Used for 12 - 18 mo
17 years old
🇬🇧 UK
• 27th Dec 25
I would recommend getting the implant. There has been little to no difference in my body while using it and it has been a positive experience. I did notice my periods have gone from Light and regular every month to continue being light but very irregular and can last anything from 4 days to 3 months at a time. I also had one other negative experience a few weeks into having the implant. (I do think it was just my body adjusting as I haven’t had anything the same since). Where I was continuously being sick for 2 days, There was no signs of me being ill or have eaten anything unusual. I do think the implant has made very little changes to my body. Obviously a 3 month period is annoying but it does end you just need to be patient. I’m coming up to 2 years on my implant so I do feel as though my input is helpful as some people aren’t patient enough to wait out the symptoms like a long period.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 1 - 3 mo
14 years old
🇬🇧 UK
• 3 weeks ago
It's my first time on birth control and I get way angrier then I used to but all I'm seeing from my body is positive things
Improved skin
2 more effects
1 helpful
0 comments
Used for 3 - 5 yr
24 years old
🇬🇧 UK
• 1 month ago
Was previously on the progesterone only pill but did not want to have to remember it daily. Have had no issues with Nexplanon and had it changed recently after having the first for three years.
Very positive mood
1 helpful
0 comments
Used for 12 - 18 mo
17 years old
🇬🇧 UK
• 27th Dec 25
I would recommend getting the implant. There has been little to no difference in my body while using it and it has been a positive experience. I did notice my periods have gone from Light and regular every month to continue being light but very irregular and can last anything from 4 days to 3 months at a time. I also had one other negative experience a few weeks into having the implant. (I do think it was just my body adjusting as I haven’t had anything the same since). Where I was continuously being sick for 2 days, There was no signs of me being ill or have eaten anything unusual. I do think the implant has made very little changes to my body. Obviously a 3 month period is annoying but it does end you just need to be patient. I’m coming up to 2 years on my implant so I do feel as though my input is helpful as some people aren’t patient enough to wait out the symptoms like a long period.
Very positive mood
1 more effect
1 helpful
0 comments
Used for 1 - 3 mo
15 years old
🇬🇧 UK
• 18th Dec 25
I got this because I have very bad periods. I’ve had worse cramps then before and they go on for longer however the bleeding is lighter
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
15 years old
🇬🇧 UK
• 18th Dec 25
I got this because I have very bad periods. I’ve had worse cramps then before and they go on for longer however the bleeding is lighter
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
16 years old
🇬🇧 UK
• 7th Dec 25
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
Used for 6 - 12 mo
30 years old
🇬🇧 UK
• 25th Nov 25
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
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 15th Nov 25
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
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 14th Nov 25
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
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 11th Nov 25
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
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