Combined pill vs Progestogen-only / Mini pill

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Combined pill

£From £0.16/day

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 2.8

2706 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.7

1457 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen


Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

progestogen

What Lowdown reviewers say

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

43% improved skin

Cycle return

37% don’t know impact

32% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

38% don’t know impact

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Period pain

Try it now

£From £0.16/day

Try it now

£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2706 reviews

Combined pill  
Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  3 days ago

Drovelis pill  

I always feel tired, no matter how much I sleep it feels like it's never enough. Most days I don't feels in control of my emotions. And my hair falls in clumps but my gyno tells me not to worry.

Read more

Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
38 years old
🇬🇧 UK
  •  2 weeks ago

Yasmin pill  

Ok


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Levest pill  

I switched to this pill after being on a mini pill and feeling a lack of emotion, not necessarily depression just nothingness. My doctor advised this pill would help with symptoms of PMS and I couldn’t disagree more, I am a usually very happy positive person. I felt angry, irritated, hopeless and then ultimately depressed in just 6 weeks on this pill. I ended up having a panic attack and it then dawned on me that the only thing that has changed recently is this new pill. I stopped taking it the day this happened and I have felt completely fine and back to my normal self since. Personally I would never recommend this pill, I never suffered from any mental health issues before the pill and it’s made me go off contraception completely. The ONLY thing I would say about this pill that is a positive is that my skin was flawless, but that isn’t worth it for me alone. My skin wasn’t bad before other than an occasional hormonal spot here and there.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  3 days ago

Drovelis pill  

I always feel tired, no matter how much I sleep it feels like it's never enough. Most days I don't feels in control of my emotions. And my hair falls in clumps but my gyno tells me not to worry.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
38 years old
🇬🇧 UK
  •  2 weeks ago

Yasmin pill  

Ok


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Levest pill  

I switched to this pill after being on a mini pill and feeling a lack of emotion, not necessarily depression just nothingness. My doctor advised this pill would help with symptoms of PMS and I couldn’t disagree more, I am a usually very happy positive person. I felt angry, irritated, hopeless and then ultimately depressed in just 6 weeks on this pill. I ended up having a panic attack and it then dawned on me that the only thing that has changed recently is this new pill. I stopped taking it the day this happened and I have felt completely fine and back to my normal self since. Personally I would never recommend this pill, I never suffered from any mental health issues before the pill and it’s made me go off contraception completely. The ONLY thing I would say about this pill that is a positive is that my skin was flawless, but that isn’t worth it for me alone. My skin wasn’t bad before other than an occasional hormonal spot here and there.


Very negative mood

1 more effect

0 helpful

0 comments


Progestogen-only / Mini pill reviews

1457 reviews

Progestogen-only / Mini pill  
Used for 1 - 3 mo
34 years old
🇬🇧 UK
  •  2 days ago

Zelleta pill  

Was put on zeletta 5 weeks ago had one normal period 2 weeks later, then 2 weeks ago I started heavily bleeding a week later it became even heavier especially at night where i get intense cramping and fill a pad or tampon every 1-2hrs losing significantly large blood clots, several phone calls to doctors who claimed "its normal" on zelleta then prescribed me tranexamic acid 4 days ago which has not helped at all the large blood clots, cramping and heavy bleeding still continues so today 2 weeks later my doctor has asked me to stop and up dosage of tranexamic acid. I also noticed a breakout with large spots on face that ive never had! Very low mood and loss of motivation crying over the most smallest of things! This pill has ruined me this past 2 weeks and wreaked havoc on my body hoping now ive stopped the bleeding and cramping will ease, I honestly wish id looked into this more before started but was told it was the same as the last brand cerelle (which I had no issues with) so started to take. I have never experienced anything like this and its really taken a toll on me.


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

Hi everyone, I’ve been on Cerazette since October. Before that I had a Mirena coil, but I was bleeding constantly and had it removed after 10 months. First month on Cerazette was great period on time, only 4 days. Since then it’s been a mess: weeks of spotting short breaks a few days of bleeding then spotting again now spotting again with very sore breasts, which feels like another period starting My GP says to wait 6 months for things to settle, but I was told the same with Mirena and it never improved. I can’t use other hormonal methods and coils don’t suit me, so I’m really stuck. This constant bleeding/spotting is physically and mentally exhausting, and it’s affecting my relationship too. Did anyone actually see improvement on Cerazette? If yes, how long did it take? Or did you eventually have to stop? Thanks for any honest experiences.


Increased sex drive

1 more effect

2 helpful

1 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
34 years old
🇬🇧 UK
  •  3 weeks ago

Noriday pill  

I felt satisfied until I came on here and realised my symptoms might be to do with this pill. I had a baby 14 months ago and have recently felt awful - low self esteem,anxiety, back pain, bad skin, weight gain, bloating, headaches, migraines... The list goes on. I thought it was part and parcel of having a small human but I'm starting to think it might be because of the noriday. In terms of my periods this is the best mini pill I've tried which is why I've still given it 3 stars. They're shorter and not too heavy or painful so an improvement for me. But due to the other symptoms I might have to look at an alternative. Maybe the dreaded coil.


Somewhat negative mood

2 more effects

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
34 years old
🇬🇧 UK
  •  2 days ago

Zelleta pill  

Was put on zeletta 5 weeks ago had one normal period 2 weeks later, then 2 weeks ago I started heavily bleeding a week later it became even heavier especially at night where i get intense cramping and fill a pad or tampon every 1-2hrs losing significantly large blood clots, several phone calls to doctors who claimed "its normal" on zelleta then prescribed me tranexamic acid 4 days ago which has not helped at all the large blood clots, cramping and heavy bleeding still continues so today 2 weeks later my doctor has asked me to stop and up dosage of tranexamic acid. I also noticed a breakout with large spots on face that ive never had! Very low mood and loss of motivation crying over the most smallest of things! This pill has ruined me this past 2 weeks and wreaked havoc on my body hoping now ive stopped the bleeding and cramping will ease, I honestly wish id looked into this more before started but was told it was the same as the last brand cerelle (which I had no issues with) so started to take. I have never experienced anything like this and its really taken a toll on me.


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

Hi everyone, I’ve been on Cerazette since October. Before that I had a Mirena coil, but I was bleeding constantly and had it removed after 10 months. First month on Cerazette was great period on time, only 4 days. Since then it’s been a mess: weeks of spotting short breaks a few days of bleeding then spotting again now spotting again with very sore breasts, which feels like another period starting My GP says to wait 6 months for things to settle, but I was told the same with Mirena and it never improved. I can’t use other hormonal methods and coils don’t suit me, so I’m really stuck. This constant bleeding/spotting is physically and mentally exhausting, and it’s affecting my relationship too. Did anyone actually see improvement on Cerazette? If yes, how long did it take? Or did you eventually have to stop? Thanks for any honest experiences.


Increased sex drive

1 more effect

2 helpful

1 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
34 years old
🇬🇧 UK
  •  3 weeks ago

Noriday pill  

I felt satisfied until I came on here and realised my symptoms might be to do with this pill. I had a baby 14 months ago and have recently felt awful - low self esteem,anxiety, back pain, bad skin, weight gain, bloating, headaches, migraines... The list goes on. I thought it was part and parcel of having a small human but I'm starting to think it might be because of the noriday. In terms of my periods this is the best mini pill I've tried which is why I've still given it 3 stars. They're shorter and not too heavy or painful so an improvement for me. But due to the other symptoms I might have to look at an alternative. Maybe the dreaded coil.


Somewhat negative mood

2 more effects

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  3 weeks ago

Cerelle pill  

The good thing about Cerelle is that it stopped my periods. However, it triggered an androgenic response for me so I gained weight on it, got lots of stretch marks (which I have never had before), experienced hair loss, experience increased and darker body hair, and it gave me bad skin, also seemed to be more irritable all the time. I have been changed to a combined pill now so fingers crossed everything gets better!


Somewhat negative mood

2 more effects

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

it has helped massively with my cramps which is the reason i was put onto it. my tender breasts and spotting are what i have struggled with the most


Somewhat negative mood

1 more effect

0 helpful

3 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
18 years old
🇬🇧 UK
  •  18th Dec 25

Cerazette pill  

I started the pill 12 months ago and it was fine for the first 2 months,no pain or anything but then i started bleeding and i havnt stopped bleeding for 10 months straight,it ranges in how heavy it is but it is constant everyday


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
42 years old
🇬🇧 UK
  •  17th Dec 25

Desogestrel pill  

My overall experience on this pill was a very negative one. I was on this pill for 12 months. I'm hoping to switch to the coil in January, still deciding which one, the copper or Mirena. I am 42 years old. On the mini pill I was emotional, very irritable and anxiety was through the roof. I could be okay one minute then the next I could flip a switch and be kicking off over minor things. I had racing thoughts most of the time which led me to be crying and causing my anxiety to be out of control. The spotting and breakthrough bleeding were horrendous which led to heavy clotting and sometimes it would happen unexpectingly. Sex most of the time wasn't happening due to this. The stomach cramps are so painful and because of this I felt unmotivated to do any hobbies and lost interest. I describe my hair as fine but I noticed it started to really thin and fall out which has led me to have low self-esteem and not wanting to engage in social events.


Very negative mood

1 more effect

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
29 years old
🇬🇧 UK
  •  13th Dec 25

Slynd pill  

This pill made me feel emotionally empty and depressed. I know it wasn't placebo because I'm a pretty anxious person, and have tried everything to get rid of anxiety, without much success! A week on this pill and I had absolutely no anxiety because I had absolutely no emotions. I'm also a very motivated person normally, but I found it really hard to just get out of bed and function. It was wild. Took it for 2 weeks and then stopped, couldn't find any hard evidence that side effects improve after 3 months, and I genuinely didn't have time to be that unproductive and miserable for more than a couple of weeks.


Very negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  10th Dec 25

Cerelle pill  

Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly


Very negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  6th Dec 25

Norgeston pill  

I went on norgeston because although i didnt get many side effects on desogestrel, i did suffer from hairloss. I think it has given me less regulation over my anxiety and notnreally done anything to reduce pain from adenomyosis but other contraceptives disagree with me (to the point I have painfully expelled 2 mirena coils).


Somewhat negative mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Combined pill with other contraceptives

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