Combined pill vs Patch
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Overview
Rated 2.8
2694 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.4
119 reviews
Weekly
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
Patch ingredients
Main hormones in Patch
progestogen
oestrogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
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£From £0.16/day
Try it now
Add your Patch review
Check out our latest reviews
Real life reviews from people like you
Combined pill reviews
2694 reviews
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 1 day ago
A week after starting to take this pill, I started having recurring UTIs triggered by sexual activity. I stopped taking the pill 6 months in for this reason, but still have constant issues. Aside from the recurrent UTIs, which have impacted both uni and work lives (I have to miss days due to the pain), I also get a frequent burning sensation with no trigger, which causes general discomfort in my day-to-day life. Due to the massive negative impact this pill has had, I am now extremely wary of any form of contraception and wish I had never started taking microgynon in the first place.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
19 years old
🇬🇧 UK
• 2 days ago
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 4 days ago
So I was prescribed the yasmin pill for my PCOS after being on desogestrel since I was about 14 for my periods. I’ve always had really really irregular periods, and bled very heavily. They would last for 2 weeks roughly and sometimes id have two in one month. In my particular case, I was told to take yasmin continuously, so all 3 packets in a row and then stop for a 7 day break, and start a new box. This has worked well for me i think (baring in mind i’ve only just started my 2nd box). At the beginning I had severe nausea, not to the point of throwing up but it was there constantly all day. I started taking the pill just before bed, so 11pm- midnight roughly and that seemed to help with the nausea. That was the side effect that has affected me the most, and since restarting after my 7 day break I am still experiencing nausea. I’m just praying it goes away after 1-2 weeks like it did before. Aside from that, my sex drive historically has been really high. I was down to do it whenever, and no issues whatsoever. Since being on yasmin, i literally could not think of ANYTHING worse than having sex with my partner. (it is nothing to do with him!!) I just have absolutely 0 sex drive, I can’t even get horny unless i really stick with it- so that’s been another big issue for me. I have also had quite bad acne since I was in school, and i’ve always struggled with it especially on my chin, forehead and back. I haven’t noticed a change in my acne yet but praying yasmin is able to clear some of it up! In terms of my PCOS management aswell, yasmin has made my first period during my 7 day break incredibly light, I hardly needed to wear a pad at all. I had cramps but nowhere near as bad as they used to be and it also seemed to completely stop around the 4 day mark out of 7. So if i’m being completely honest, my experience on yasmin so far has been okay- i’m struggling with the nausea and low sex drive but hoping as the weeks/ months go on my body will adapt to the hormones and i’ll be back to normal. If anyone out there is struggling with severe irregular periods and pcos symptoms I would recommend giving it a try and sticking it out for atleast 6 months to 1 year. for me personally my periods are so much easier to deal with, and i will do an update in a few months time to see if my skin and other side effects have cleared!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 1 day ago
A week after starting to take this pill, I started having recurring UTIs triggered by sexual activity. I stopped taking the pill 6 months in for this reason, but still have constant issues. Aside from the recurrent UTIs, which have impacted both uni and work lives (I have to miss days due to the pain), I also get a frequent burning sensation with no trigger, which causes general discomfort in my day-to-day life. Due to the massive negative impact this pill has had, I am now extremely wary of any form of contraception and wish I had never started taking microgynon in the first place.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
19 years old
🇬🇧 UK
• 2 days ago
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 4 days ago
So I was prescribed the yasmin pill for my PCOS after being on desogestrel since I was about 14 for my periods. I’ve always had really really irregular periods, and bled very heavily. They would last for 2 weeks roughly and sometimes id have two in one month. In my particular case, I was told to take yasmin continuously, so all 3 packets in a row and then stop for a 7 day break, and start a new box. This has worked well for me i think (baring in mind i’ve only just started my 2nd box). At the beginning I had severe nausea, not to the point of throwing up but it was there constantly all day. I started taking the pill just before bed, so 11pm- midnight roughly and that seemed to help with the nausea. That was the side effect that has affected me the most, and since restarting after my 7 day break I am still experiencing nausea. I’m just praying it goes away after 1-2 weeks like it did before. Aside from that, my sex drive historically has been really high. I was down to do it whenever, and no issues whatsoever. Since being on yasmin, i literally could not think of ANYTHING worse than having sex with my partner. (it is nothing to do with him!!) I just have absolutely 0 sex drive, I can’t even get horny unless i really stick with it- so that’s been another big issue for me. I have also had quite bad acne since I was in school, and i’ve always struggled with it especially on my chin, forehead and back. I haven’t noticed a change in my acne yet but praying yasmin is able to clear some of it up! In terms of my PCOS management aswell, yasmin has made my first period during my 7 day break incredibly light, I hardly needed to wear a pad at all. I had cramps but nowhere near as bad as they used to be and it also seemed to completely stop around the 4 day mark out of 7. So if i’m being completely honest, my experience on yasmin so far has been okay- i’m struggling with the nausea and low sex drive but hoping as the weeks/ months go on my body will adapt to the hormones and i’ll be back to normal. If anyone out there is struggling with severe irregular periods and pcos symptoms I would recommend giving it a try and sticking it out for atleast 6 months to 1 year. for me personally my periods are so much easier to deal with, and i will do an update in a few months time to see if my skin and other side effects have cleared!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Patch reviews
119 reviews
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 3 weeks ago
The Evra patch has been a good choice for me so far, and it’s my first time on birth control! I would say the only downfall is around the edge of the patch gets dirty from adhesive, and that it’s nerve racking to swim a lot in fear it will come off! I went on vacation and was nervous but I used a tagaderm to keep it on when swimming!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 9th Nov 25
The patch made me feel extremely unwell. I had nausea, heavy headed feeling, headaches, tiredness, sweating and soreness where the patch was placed. I ended up removing it before 24 hours was up because I couldn't sleep and felt so out of sorts.
Top side effects not reported
0 helpful
1 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 3 weeks ago
The Evra patch has been a good choice for me so far, and it’s my first time on birth control! I would say the only downfall is around the edge of the patch gets dirty from adhesive, and that it’s nerve racking to swim a lot in fear it will come off! I went on vacation and was nervous but I used a tagaderm to keep it on when swimming!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 9th Nov 25
The patch made me feel extremely unwell. I had nausea, heavy headed feeling, headaches, tiredness, sweating and soreness where the patch was placed. I ended up removing it before 24 hours was up because I couldn't sleep and felt so out of sorts.
Top side effects not reported
0 helpful
1 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 25th Oct 25
Went on the patch having been on the implant previously. On the implant I had lots of spotting which thankfully went away on the patch. However I have definitely noticed a distinct rise in anxiety since being on the patch over the last year - enough to stop me wanting to go to things like the theatre or going on tours without getting sweaty. I also think it's killed my sex drive so I'm going to go off it and seek alternative contraception. Its a shame because I do find it convenient and have felt very protected on it. My period increased its flow a lot during the period week and I also got bad headaches around that week which I wasn't used to. Sad to have to change but dont like the quality of life.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 6th Aug 25
I love using the patch. It has made using contraceptive so much easier and I went through a phase of recommending it too everyone I know. I've had a few symptoms recently, but not sure if that is related to the Patch or a different medical issue. In the last year, I've had more hormonal acne than I did before, but that's the main side effect that I would say I've been affected by. We are coming off contraceptive soon, so hoping it is a smooth process
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 5th Jul 25
I found this much more convenient than a pill as it only has to be thought about each week. The patch cover seemed to often slip leaving the adhesive to get dirty through the week however, and I was told to stop using them after a short time as they brought back migranes that I had not experienced in years.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 30th Jun 25
I really liked the patch with my moods, periods, only having to remember once a week to change it, etc, but it gave me a rash. I went to my doctor and was hoping they’d be able to say the rash isn’t a big deal or offer me a patch for more sensitive skin but there isn’t any other patch so sadly I had to come off it and go on the pill
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 29th Jun 25
I think the patch works fine for me, it doesn’t fall off and has never peeled away. I’ve had a couple of headaches since starting a month ago but don’t know if they’re related, I don’t usually get any headaches so it’s likely. Pretty sure it’s decreased my sex drive.
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 27th May 25
I would highly recommend using the patch if you want a form of contraception that can easily fit around your life. Doctors will be very quick to try and prescribe the pill or the coil and will rarely mention the patch. The patch makes it easier to absorb hormones instead of digesting them like you do with the pill. It’s great not having a luteal phase which makes me feel really low anymore. My mood is stable and my skin has improved a lot. The only negative side effects I would say I’ve experienced is more difficulty in my vagina lubricating itself and water retention making me feel like I’m more bloated/ added on weight. However the latter could be due to other factors and I’ve found that I can manage it with exercising more.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 6th May 25
Been using the patch for 1 month now. The first 2 weeks weren’t great, I was having intense mood swings and irritability which was not like myself. I also experienced headaches during the first 2 weeks which now seem to be a lot better. By the third week things started to settle and my moods became better and less intense. On the patch free week I experienced bleeding and stomach pain (similar to a normal period) I’ve also noticed my skin has gotten worse as I very rarely get spots but have had quite a few breakouts since beginning the patch. I haven’t noticed any weight gain but slight breast enlargement. Overall, I would recommend the patch due to quite a lot of the side effects being temporary and as someone who struggles with contraception this has been the best one so far.
Somewhat negative mood
2 more effects
1 helpful
0 comments
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