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

2605 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.7

1396 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

36% don’t know impact

31% 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

2605 reviews

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

Yasmin pill  

As soon as I started taking it, my first period whist on this pill came after a week and it was the most horrible period I’ve had in my entire life (it was a longer period then I ever had before (with really heavy cramps constantly) that was the first step in the negative journey. After that, I continued taking it and my acne got worse especially on my back. I had thought it would improve but was much worse event at month two. After two months of taking this pill, I’ve also gained weight which I noticed straight away but had put down to temporary water retention but seems to not budge and have had extreme weight fluctuations like never before and been feeling very off and not myself ever since taking it/depressed, also have lost all sex drive. I am at the point where it’s either stick it out for another month to see if symptoms ease up or stop and cut my losses. I’ve decided to stop.

Read more

Very negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

This was prescribed to me to help regulate my periods; however did the complete opposite and have made them worse. I have no clue when my periods are going to begin or end now, as well as if the bleeding will be light spotting or extremely heavy. I have become incredibly sensitive to many things that would never have bothered me pre-pill, as well have been bed bound due to negative mood changes that I have no explanation for. I have been sad before, however, these feelings I could not explain or combat so I have decided to switch pill.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  1 week ago

Ovranette pill  

My period was ok on it. My acne was very bad cystic nothing would get rid of it. Changed to Yasmin and I haven’t had cystic acne my skin is clearing. Hair thinned on top of my head too. This pill can cause high androgens which can cause bad hormonal acne and hair loss


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

As soon as I started taking it, my first period whist on this pill came after a week and it was the most horrible period I’ve had in my entire life (it was a longer period then I ever had before (with really heavy cramps constantly) that was the first step in the negative journey. After that, I continued taking it and my acne got worse especially on my back. I had thought it would improve but was much worse event at month two. After two months of taking this pill, I’ve also gained weight which I noticed straight away but had put down to temporary water retention but seems to not budge and have had extreme weight fluctuations like never before and been feeling very off and not myself ever since taking it/depressed, also have lost all sex drive. I am at the point where it’s either stick it out for another month to see if symptoms ease up or stop and cut my losses. I’ve decided to stop.


Very negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

This was prescribed to me to help regulate my periods; however did the complete opposite and have made them worse. I have no clue when my periods are going to begin or end now, as well as if the bleeding will be light spotting or extremely heavy. I have become incredibly sensitive to many things that would never have bothered me pre-pill, as well have been bed bound due to negative mood changes that I have no explanation for. I have been sad before, however, these feelings I could not explain or combat so I have decided to switch pill.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  1 week ago

Ovranette pill  

My period was ok on it. My acne was very bad cystic nothing would get rid of it. Changed to Yasmin and I haven’t had cystic acne my skin is clearing. Hair thinned on top of my head too. This pill can cause high androgens which can cause bad hormonal acne and hair loss


Somewhat negative mood

2 more effects

0 helpful

0 comments


Progestogen-only / Mini pill reviews

1396 reviews

Progestogen-only / Mini pill  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

Switched eventually to an implant because of having to remember to bring them everywhere each day. Overall a positive experience though - a reduction in headaches, and usually say it 'flattened' my mood. Whereas before there would be some very low mood points in my cycle, this greatly reduced those. Sometimes it felt a little dull as it seemed to also reduce some of the good spikes, but this was worth it to me to not have to deal with such mood swings.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  4 days ago

Cerelle pill  

Got pregnant on it because I wasn’t taking it properly, since having my son and ensuring to take it regularly I have had no issues


Improved skin

2 more effects

0 helpful

0 comments

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

Cerazette pill  

I really wanted to write about my positive experience as most people write reviews when they have a negative experience, for me the Cerazette has been really good, it improved my feeling of being in balance and lessened mood swings, it did not effect my libido, in fact in the beginning I noticed a higher libido, but most importantly I suffer from migraines with aura and since I started taking this a month ago I didn’t have an intense migraine, just one or two mild days and I normally have 2/3 days per week so in a month 8 at least. The only negative things are not too bad: I have very tender breasts which became a bit bigger but I heard this might go away after 3 months or so and I got a little bit of acne but nothing too crazy and this also usually settles after taking it consistently for a few month. All in all for me it’s truly been life changing.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

Switched eventually to an implant because of having to remember to bring them everywhere each day. Overall a positive experience though - a reduction in headaches, and usually say it 'flattened' my mood. Whereas before there would be some very low mood points in my cycle, this greatly reduced those. Sometimes it felt a little dull as it seemed to also reduce some of the good spikes, but this was worth it to me to not have to deal with such mood swings.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  4 days ago

Cerelle pill  

Got pregnant on it because I wasn’t taking it properly, since having my son and ensuring to take it regularly I have had no issues


Improved skin

2 more effects

0 helpful

0 comments

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

Cerazette pill  

I really wanted to write about my positive experience as most people write reviews when they have a negative experience, for me the Cerazette has been really good, it improved my feeling of being in balance and lessened mood swings, it did not effect my libido, in fact in the beginning I noticed a higher libido, but most importantly I suffer from migraines with aura and since I started taking this a month ago I didn’t have an intense migraine, just one or two mild days and I normally have 2/3 days per week so in a month 8 at least. The only negative things are not too bad: I have very tender breasts which became a bit bigger but I heard this might go away after 3 months or so and I got a little bit of acne but nothing too crazy and this also usually settles after taking it consistently for a few month. All in all for me it’s truly been life changing.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
21 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

The first 3-5 months were a bit rough, having sex would cause me to get a period and sometimes was painful. I also was definitely more emotional than before. It all calms down over time, I’ve been on it for almost 3 years now and it was the best decision i get very occasionally spotting and cramps if i miss a pill or two but overall I like it


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  2 weeks ago

Zelleta pill  

Went on the mini pill at 16 for 3 years. The first 9 months I bled pretty constantly (no cramps at least) then bled randomly most months. Bleeding was usually light and unpainful. My mood swings were awful and my skin broke out and got so much worse (quite discouraging after being on accutane). Didn’t notice any weight gain or other side effects. I later changed to the combined pill to try and help my skin but this caused other issues (high blood pressure, recurrent yeast infections) so last week I got the copper IUD! Would not recommend. As a 16 year old the doctor did not give me much information about my choice and the impact it would have on me. She just said “if you trust your boyfriend you don’t need to use condoms now” …


Very negative mood

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

I was on Microgynon 30 for almost 8 years and I never had any issues! I changed 3 months ago to the progesterone only pill (Desogesterel) due to my friend getting a blood clot from microgynon, and within a month I began getting spots all over my jawline! I have now had constant spots for 2 months. I also have breakthrough bleeding which I never had on Microgynon. I will be heading back to the pharmacy to discuss my options


Worse skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
38 years old
🇬🇧 UK
  •  1 month ago

Slynd pill  

I started using slynd around 6 months ago for period control due to heavy flow and pain Initially I felt optimistic I never took the placebo green pills as I was on tricycling method I still had a period every month with ovarian pain I had a 4 week spotting episode I’ve had 3 utis which I never had in my life every month for the last 3 My sex drive dropped off the earth and there was none My mood went from frantic cycling cleaning the house and obsessing over things to emotionally crying before feeling stupid and back to normal The biggest thing for me was hair loss at least half my hair fell Out in week one I stayed commuted thinking it would get better until bald patches started to appear in month 5 that’s when I jd enough I also had graphic nightmares waking up with sweating so bad my sheets were soaked Since finished this pill I feel like I’m getting back to me with no mood swings or low mood I am 38 and maybe I needed some Oestrogen to balance it out this pill was not for me


Very negative mood

2 more effects

0 helpful

0 comments

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

Cerazette pill  

I swapped from the combined pill to Cerazette because I was having anxiety, dizziness and low libido. These have both improved since changing. The most annoying thing has been inconsistent bleeding and spotting. I won’t bleed for 3 months then will have spotting out of nowhere for 3 weeks. I have also got acne on my chin which I didn’t have before. Overall though these extra inconveniences have far outweighed the reduced anxiety, dizziness and libido issues.


Very positive mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
43 years old
🇬🇧 UK
  •  6th Jun 25

Desogestrel pill  

I’m very satisfied with the pill. I only been taking it for few weeks but my mental health improved so much ! I can’t actually believe it. I used to suffer mood swings due to hormonal fluctuations . None of this is happening . Very happy. No side effects either


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
26 years old
🇬🇧 UK
  •  1st Jun 25

Desogestrel pill  

I was so concerned about weight gain and mood changes but have not experienced this. I have barely any side effects and have had a really positive experience!


Decreased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Combined pill with other contraceptives

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