Combined pill vs Patch

Need help choosing? Speak to a doctor
Combined pill

£From £0.16/day

Patch

£From £0.32/day

Overview

Rated 2.8

2510 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.5

104 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

32% somewhat negative

48% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

36% no impact on mood

35% lighter periods

51% no impact

48% no impact

44% no impact on skin

Cycle return

35% in 1 month

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

Try it now

£From £0.16/day

Try it now

£From £0.32/day

Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2510 reviews

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

Yasmin pill  

It works better for me than others

Read more

Improved skin

1 more effect

0 helpful

0 comments

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

Drovelis pill  

I was on hormonal birth control methods for 10 years with nothing had bad experiences. I’d come off all methods and had given up until I saw Drovelis on The Lowdown and decided to give it a shot because of the low side effects listed. And I’m so glad I did. No breakthrough bleeding, weight loss, no changes to my sex drive, only minimal breakouts which is a miracle compared to the other methods. The Lowdown has given me my bodily autonomy back with their suggestions and articles and I can certainly say I’ll never go back off this pill!


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Drovelis pill  

I started taking it on the first day of my period, it lasted 13 days (normally would last 5 days)then gave me a break for 4 days then bled the whole time on that pill, 24 days bleeding in total, once i started the white sugar pills my bleeding died down and finally stopped, im off of it now (only for a month) and i havent bled once, not even spotting, ill go back on it next month to see if i bleed again from it


Very negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

It works better for me than others


Improved skin

1 more effect

0 helpful

0 comments

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

Drovelis pill  

I was on hormonal birth control methods for 10 years with nothing had bad experiences. I’d come off all methods and had given up until I saw Drovelis on The Lowdown and decided to give it a shot because of the low side effects listed. And I’m so glad I did. No breakthrough bleeding, weight loss, no changes to my sex drive, only minimal breakouts which is a miracle compared to the other methods. The Lowdown has given me my bodily autonomy back with their suggestions and articles and I can certainly say I’ll never go back off this pill!


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Drovelis pill  

I started taking it on the first day of my period, it lasted 13 days (normally would last 5 days)then gave me a break for 4 days then bled the whole time on that pill, 24 days bleeding in total, once i started the white sugar pills my bleeding died down and finally stopped, im off of it now (only for a month) and i havent bled once, not even spotting, ill go back on it next month to see if i bleed again from it


Very negative mood

1 more effect

0 helpful

0 comments


Patch reviews

104 reviews

Patch  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

Overall positive experience. The longer Ive been on it, the more irregular the periods have become. I often use the whole cycle before having a break rather than the 3 doses


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I think I’ve nearly tried every possible contraceptive pill there is out there. I really had high hopes when first started the patch. It was really convenient not having to take a pill every morning and the patch would stay on really well even in the shower/pool when on holiday. Easy enough to hide too! After a couple weeks I noticed lots of little bumps under my skin particularly in my jaw area. This would then quickly turn into really painful acne and take a long time to heal. I seen a massive difference in my skin when having patch free days compared to when I was on it. Unfortunately had to stop it due to how badly my skin reacted to it whilst on it.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  9th Nov 24

Evra patch  

I mean, it did its job and I'm not pregnant. However, after 6 months of use, my periods started being irregular, I was starting them on the patch and stopping midway through patch free week, which was very annoying. The biggest issue was when I bled for a month constantly. They run all the tests, nothing was wrong with my body - it was the patch causing it and I was told to change the method. Now I'm on a Ring, let's see how it goes...


Very negative mood

1 helpful

0 comments

Patch  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

Overall positive experience. The longer Ive been on it, the more irregular the periods have become. I often use the whole cycle before having a break rather than the 3 doses


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I think I’ve nearly tried every possible contraceptive pill there is out there. I really had high hopes when first started the patch. It was really convenient not having to take a pill every morning and the patch would stay on really well even in the shower/pool when on holiday. Easy enough to hide too! After a couple weeks I noticed lots of little bumps under my skin particularly in my jaw area. This would then quickly turn into really painful acne and take a long time to heal. I seen a massive difference in my skin when having patch free days compared to when I was on it. Unfortunately had to stop it due to how badly my skin reacted to it whilst on it.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  9th Nov 24

Evra patch  

I mean, it did its job and I'm not pregnant. However, after 6 months of use, my periods started being irregular, I was starting them on the patch and stopping midway through patch free week, which was very annoying. The biggest issue was when I bled for a month constantly. They run all the tests, nothing was wrong with my body - it was the patch causing it and I was told to change the method. Now I'm on a Ring, let's see how it goes...


Very negative mood

1 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  31st Aug 24

Evra patch  

After switching from the combined pill due to depression, I was interested in the patch as I could change it weekly instead of remembering to take a pill everyday. I started the patch and my periods became regular and my mood increased greatly, I do experience bad PMS but It is much better compared to when I was on the pill. I do get cramps sometimes between periods but nothing too bad. You can also use the patch to skip periods but I enjoy having a regular “cycle” and when I did use it to skip a period for a holiday I ended up spotting for a month! Overall the patch is great for me and I don’t plan on changing as it has helped my mental health so much.


Somewhat positive mood

1 more effect

1 helpful

0 comments

Patch  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  24th Aug 24

Patch  

I had near constant breakthrough bleeding the entire time


Somewhat negative mood

1 more effect

1 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  7th Aug 24

Patch  

It’s convenient to only change once a week. I’ve found when I’ve been on holiday if you are in the water it does loosen and sometimes come off in the water which is not helpful. I have experienced a lot of breakthrough bleeding very randomly but it has helped with my skin. My sex drive has basically gone it’s that low which I have struggled with but my mood and endometriosis pain during periods has helped


Somewhat positive mood

3 more effects

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  29th Jul 24

Evra patch  

New boobs, same me. Generally a good experience- my periods are less painful which is a plus and my breasts went up a cup size or two (a plus for the boyfriend apparently). I became more emotionally sensitive to start with but that quickly settled down. I'm still trying to discover the best place to stick the patch as it does become unstuck in areas that often crease but I haven't got pregnant yet so it must be doing its job. So far, upper arm is the best. I recommend to anyone not wanting to take a pill every day.


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  5th Jun 24

Evra patch  

This has been the best contraception I've ever used. I have had no side effects and would recommend this to anyone who struggles with the pill or with typically reacts poorly to oestrogen.


Improved skin

1 more effect

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  26th May 24

Evra patch  

After years of fighting with GPs about my period concerns and being put on and off different contraceptions that my body reacted horribly to, I decided to go private and do my research into what could be a possible solution. The girls at The Lowdown have been so helpful throughout the year and a bit that i’ve been with them. The website is so easy and efficient in helping you choose what’s best for your body, and if you have any further questions the girls are quick to respond through emails and whatsapp. I decided a little over a year ago that I’d make the change to go on the Evra patch. After years of different pills not working with my body or making things worse, I was desperate for a solution that was easy but was still in my control (a non intrusive method). The patch has been a life saver and within 3/4 months my periods were at the same time every month, shorter, lighter and less painful. I’m sure it won’t work for everyone but it works great for me, and i’d much rather pay for the product and the service The Lowdown provides, than spend one more minute arguing with my GP.


Very positive mood

1 more effect

1 helpful

0 comments

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  22nd May 24

Evra patch  

I have noticed I am feeling a lot hotter than normal and my vigina has become dry. I was becoming worried


Somewhat negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Combined pill with other contraceptives

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