Combined pill vs Progestogen-only / Mini pill
Need help choosing? Speak to a doctor
£From £0.16/day
£From £0.22/day
Overview
Rated 2.8
2774 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 2.7
1494 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
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
2774 reviews
Used for 18 mo - 3 yr
18 years old
🇬🇧 UK
• today
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 3 - 6 mo
19 years old
🇬🇧 UK
• 4 days ago
I was on this pill for my periods as they were very irregular and acne and in the beginning it worked very well but after a few months I had intense break through bleeding and I was basically on my period for months. My acne cleared then got worse, I gained alot of weight and I started having horrible migraines
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
34 years old
🇬🇧 UK
• 5 days ago
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
18 years old
🇬🇧 UK
• today
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 3 - 6 mo
19 years old
🇬🇧 UK
• 4 days ago
I was on this pill for my periods as they were very irregular and acne and in the beginning it worked very well but after a few months I had intense break through bleeding and I was basically on my period for months. My acne cleared then got worse, I gained alot of weight and I started having horrible migraines
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
34 years old
🇬🇧 UK
• 5 days ago
Somewhat negative mood
1 more effect
0 helpful
0 comments
Progestogen-only / Mini pill reviews
1494 reviews
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• today
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
• 6 days 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
• 2 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 1 - 3 mo
33 years old
🇬🇧 UK
• today
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
• 6 days 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
• 2 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
• 3 weeks 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
Used for 12 - 18 mo
31 years old
🇬🇧 UK
• 8th May 26
I love this pill. I was struggling with mood and physical symptoms around pms, I have tried several oral contraceptives intermittently over the last 15 years but had other side effects to them, I was using a Kyleena coil which worked really well for contraception and period control but as this did not stop me ovulating, PMS became my main concern. I tried Slynd when it became available in the UK and I love it. My cyclical mood, bloating and skin issues have basically completely resolved and the longer missed pill window works much better for me.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 7th May 26
this was my first contraception ever. i had read up on it so had an idea of what to expect but after a week of taking it i could already see the affect it was having on my body. i was easily gaining much more weight than i would when eating the same foods, same amount of foods. i was never one to have spots and noticed my skin getting loads around my forehead and cheeks. my mood was terrible, always angry and irritated causing a lot of arguments between me and my boyfriend. decreased sex drive. i decided to stop it as i just didn’t feel like myself anymore, im 4 days off it and im feeling a lot better than i was taking it.
Very negative mood
3 more effects
0 helpful
0 comments
Women's health, reviewed.
Get the best women’s health info in your inbox
You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy
Slide into our DMs
Built by doctors and experts
Our tools are made by medical professionals for your peace of mind
Our website uses affiliate links and we may earn a small commission if you click on them
