Combined pill vs Progestogen-only / Mini pill
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Overview
Rated 2.8
2776 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 2.7
1496 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
Benefits: What this contraceptive can help with
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
Period pain
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Check out our latest reviews
Real life reviews from people like you
Combined pill reviews
2776 reviews
Used for 8+ yr
31 years old
🇬🇧 UK
• 1 day ago
been on femodette for nearly a decade to control my endometriosis and it’s been fantastic. i used to take it with breaks and had minimal cramps from the endo. i now take back to back and have only had one instance for breakthrough bleeding. it’s been so long that i can’t say for sure the impact on mood, weight etc.
Gained weight
0 helpful
0 comments
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 1 day ago
Improved pain endomyosis symptoms at the expense of mood. Still had issues with breakthrough bleeding but periods were better.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
18 years old
🇬🇧 UK
• 3 days ago
overall this pill is pretty great. on the website there is a lot of negative reviews and i have not shared many. i began this pill in year 10 to clear my acne. i didn’t have terrible acne but i was pretty self conscious about it especially when most of my friends didn’t get acne like mine and i covered it up with concealer and foundation which isn’t good for my skin. my experience with my doctor was extremely positive, he told me that i could either continue a stronger acne cream (which didnt work for me and only dried my skin) begin the pill or take accutane. unlike many of my other friends who were forced to take the pill or some kind of contraceptive, i chose to take the pill and he even let me research which one i would take and we then discussed together which would be suitable for me. in the first couple of months, i stopped breaking out when i had periods and my acne began clearing up very quickly which boosted my confidence a lot. in month three, i began to have stomach cramps when i wasnt on my period so i told my doctor and he said i should try taking it at night and after food which seemed to help. i also began skipping my periods which obviously stopped cramping on and before periods. he also told me it could just be my body reacting the the changes so im not saying this is the solution for everyone. about halfway through year 11, i no longer had any visible pimple and it was mainly just my skin texture that needed improving, but i felt much more confident especially as i moved to a new school in year 11 and was surrounded by new people and a new environment. my skin was so good that by the end of year 11, we went on a school trip to heron island and i didn’t cover my acne at all. while my main issues were fixed, i experienced much more discharge, not in amount but every day i had discharge which made me feel a bit unhygienic down there but i didnt want to stop or switch the pill as it had improved my skin so much. now i have been on it for almost three years i find that this issue has been improved which is a plus for me but it was uncomfortable around the halfway mark where it peaked. i do reccomend this pill besides the low reviews, but i do think that the first couple of months i experienced changes (the cramping) that only reduced by letting my body get used to the medication. this is just my experience and not medical advice :)) thanks yazmin :b
Improved skin
1 more effect
0 helpful
0 comments
Used for 8+ yr
31 years old
🇬🇧 UK
• 1 day ago
been on femodette for nearly a decade to control my endometriosis and it’s been fantastic. i used to take it with breaks and had minimal cramps from the endo. i now take back to back and have only had one instance for breakthrough bleeding. it’s been so long that i can’t say for sure the impact on mood, weight etc.
Gained weight
0 helpful
0 comments
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 1 day ago
Improved pain endomyosis symptoms at the expense of mood. Still had issues with breakthrough bleeding but periods were better.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
18 years old
🇬🇧 UK
• 3 days ago
overall this pill is pretty great. on the website there is a lot of negative reviews and i have not shared many. i began this pill in year 10 to clear my acne. i didn’t have terrible acne but i was pretty self conscious about it especially when most of my friends didn’t get acne like mine and i covered it up with concealer and foundation which isn’t good for my skin. my experience with my doctor was extremely positive, he told me that i could either continue a stronger acne cream (which didnt work for me and only dried my skin) begin the pill or take accutane. unlike many of my other friends who were forced to take the pill or some kind of contraceptive, i chose to take the pill and he even let me research which one i would take and we then discussed together which would be suitable for me. in the first couple of months, i stopped breaking out when i had periods and my acne began clearing up very quickly which boosted my confidence a lot. in month three, i began to have stomach cramps when i wasnt on my period so i told my doctor and he said i should try taking it at night and after food which seemed to help. i also began skipping my periods which obviously stopped cramping on and before periods. he also told me it could just be my body reacting the the changes so im not saying this is the solution for everyone. about halfway through year 11, i no longer had any visible pimple and it was mainly just my skin texture that needed improving, but i felt much more confident especially as i moved to a new school in year 11 and was surrounded by new people and a new environment. my skin was so good that by the end of year 11, we went on a school trip to heron island and i didn’t cover my acne at all. while my main issues were fixed, i experienced much more discharge, not in amount but every day i had discharge which made me feel a bit unhygienic down there but i didnt want to stop or switch the pill as it had improved my skin so much. now i have been on it for almost three years i find that this issue has been improved which is a plus for me but it was uncomfortable around the halfway mark where it peaked. i do reccomend this pill besides the low reviews, but i do think that the first couple of months i experienced changes (the cramping) that only reduced by letting my body get used to the medication. this is just my experience and not medical advice :)) thanks yazmin :b
Improved skin
1 more effect
0 helpful
0 comments
Progestogen-only / Mini pill reviews
1496 reviews
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• today
It's stopped my period completely which is great, not that i had bad periods to begin with but it was definitely convenient. i've become quite irritable since being on cerazette and just overall heightened negative emotions. in the first couple months i had lots of nausea but that went away pretty quickly. overall it's been an alright experience, not bad but not amazing
Somewhat negative mood
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• today
This is my second time using Cerelle and I’m about a month into it. The first time, about a year ago, I decided to stop using it because I was constantly bleeding. However this time round my periods seem to have stopped all together.
Worse skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 3 days ago
Had to stop after a month - constant headaches that turned into migraines every few days. Near constant bleeding for two weeks, cystitis and some swelling. I’m very sensitive to hormones and felt that even if I could get through the settling in phase this one wouldn’t work for me.
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• today
It's stopped my period completely which is great, not that i had bad periods to begin with but it was definitely convenient. i've become quite irritable since being on cerazette and just overall heightened negative emotions. in the first couple months i had lots of nausea but that went away pretty quickly. overall it's been an alright experience, not bad but not amazing
Somewhat negative mood
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• today
This is my second time using Cerelle and I’m about a month into it. The first time, about a year ago, I decided to stop using it because I was constantly bleeding. However this time round my periods seem to have stopped all together.
Worse skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 3 days ago
Had to stop after a month - constant headaches that turned into migraines every few days. Near constant bleeding for two weeks, cystitis and some swelling. I’m very sensitive to hormones and felt that even if I could get through the settling in phase this one wouldn’t work for me.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
27 years old
🇬🇧 UK
• 2 weeks ago
Feel like the mini pill has levelled out my mood after years of going literally crazy 1-2 days before my period. Having no periods is a welcome relief but I have experienced a slight drop in libido and some dryness which isn’t ideal.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
32 years old
🇬🇧 UK
• 3 weeks ago
Slynd started off great no period was a bonus, water retention went down. Then after 2 months it made me very irritable and my mood very very low. Within a week of stopping both returned to normal.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
22 years old
🇬🇧 UK
• 1 month ago
went on cerazette after trying out microgynon30ED and noriday (which both caused frequent irregular bleeding). My GP told me cerazette was fantastic for people who experience frequent bleeding on other mini-pills and often their periods stop. i started it back in late september 2025, and experienced bleeding every second week. fine, i thought, it’s just my body getting used to it! by november i was having just one period a month again! yay!! this was short lived however, as by december i was back to having it every 2nd week. in january i bled for 25 days straight. i was told that the first 3-5 months are expected to see changes in bleeding, so i stuck it out a bit longer. unfortunately the bleeding never stopped, and i continued to get my period now every week and a half, or sometimes even more frequently with only 3 days break in between cycles. :( it’s end of may now and have been on cerazette for 9 months. i am still bleeding every week and a half and honestly im sick of it. i have stopped taking cerazette now. hopefully there’s another one out there for me :(
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
38 years old
🇬🇧 UK
• 14th May 26
I was on the depo shot for 22 years and really started to worry about my bone density as my mother has osteoporosis and I was also struggling to inject in certain bits of my stomach from scar nodules. So I swapped to the mini pill as its the same but with less side effects. I originally came to this site to read the reviews and as usual, people always tend to leave a review for the negatives. I can honestly say Ive had absolutely no side effects, my period still hasn't returned after being on the shot and I've actually lost weight. Hopefully someone needs to read this.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 14th May 26
Not a good experience, lots of weight gain, more emotional/moody. cant wear contacts anymore
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 14th May 26
I was a bit more emotional my first 1-2 months on it but then I was fine. Completely took away my debilitating period pains, I get one very mild cramp about once a month and that's it. No side effects except for some constant spotting. I Googled it and started taking 2 pills instead of 1 and the spotting has since stopped. My weight, sex drive, skin, and mood are unaffected as of now (8 months of taking it daily)
Lost weight
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 10th May 26
I'm in months 2 and hoping things get a little better. Pro: No periods or period pain/endo pain! (HURRAY) And no weightgain (which i had on another pill) Con: I'm feeling down, sleep bad, hair loss, forgetful, spotting, BV, vaginal dryness, heart pains and rising anxiety. I want to give it a month extra or so but the side effects are getting me down. This is the 2nd pill I've tried this year. The first one was a combined pill but made my uterine lining super thick and that gave me massive cramps and hurt. So let's see but kinda sceptical.
Somewhat negative mood
1 more effect
0 helpful
0 comments
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