Combined pill vs Progestogen-only / Mini pill

I actually find this to be pretty good, very few side effects, but the increased blood clot risk does concern me.

Started off well on this pill, good for PMS management. Had bleeding for weeks and breasts got bigger and were painful. Some of these effects subsided after a few weeks. On my 3rd pack i noticed i wasnt full after meals and was constantly feeling hungry and thinking about food. This continued through the fourth month. I have definitely gained weight and clothes not fitting properly, which is an unacceptable side effect for me personally.

It is a balancing act, but, overall, I am happy with the results. I take the pill back to back as my cramps were so bad that they were effecting my personal and work life terribly and I could no longer stand the pain. Unlike other pills I have tried before, this stops my periods. After 3 or 4 months I get heavy spotting and take a break for 7 days which sorts it out - the breaks are fine with only mild cramping and nothing like my periods before. It has saved my ability to work. I have had negative side effects - weight gain and mood. I have no history of depression, anxiety or struggling to process things until I started taking this pill but I now struggle with these things most days. Compared to the pain, for me, the impact on my mental health is a trade off I've accepted.

I’ve been using Desogestrel for over 6 months now it’s the first pill I tried as I didn’t like the fact that the combined pill affected your blood pressure. I struggled with heavy periods, cramping and always hated when my period came around as I had to use heavy flow tampons/towels continuously for 5-6 days. Since going on the pill I haven’t noticed any unusual side effects I take it in the evening at about 9pm I wouldn’t recommend it if you have spot prone skin as I didn’t originally I haven’t noticed a difference other than small breakouts before my period is due however I know it can make others worse if you already have spots. It hasn’t changed my weight at all however it does increase your appetite so as long as you keep on top of it stay active and eat healthy it shouldn’t affect you either. I’m very sexually active with my partner and so far we have had no pregnancy scares and we don’t use condoms. Overall the pill has made my periods much lighter I tend to either not bleed or bleed very little and I no longer have any cramping. It does cause breakthrough bleeding occasionally so if you want to stay regular I wouldn’t recommend this pill. I’m really happy with my decision to go on this form of contraception,

The side effects I experienced on this pill were awful. I can’t take estrogen so have limited options. My mood dipped, and I had the worst breakouts of my life. Giant painful spots all over my chin which tanked my confidence, and I was bleeding almost constantly. Changed to Slynd after 3 months and can’t recommend that pill enough!

This pill has been a game changer! I can’t tolerate estrogen, and I had previously been taking Zelleta which was causing near constant bleeding and my skin looked horrendous. I started taking Slynd in April 2025 and my periods are lighter than without contraception, and my skin has almost completely cleared up. I still get some spots around my period, but that was normal for me before contraception. I haven’t noticed any other side effects 9 months into taking it. My periods were irregular the first 3 months, but now are normal every 4-5 weeks.

I used zelleta for 2 months within a few days of starting the pill my period started it lasted for 3 weeks with heavy bleeding then it stopped for 5 days the started again for 3 weeks and stopped for 3 days then started again for 3 weeks when I phoned the doctor they said it was normal when I told them I was using 1 to 2 pads in an 1 and a half they said it was normal I then stopped the pill in December my period started lasted 5 days and stopped now my next period is due to start. I would not recommend to anyone.

Completely ruined my skin and gave me awful acne after already suffering with it for years. Also gave me horrible headaches and migraines. Would never recommend this to anyone.

Been on Desogestrel for just over 3 months now, started October. Had a good run with no side effects until 6th Jan and have been spotting ever since with no sign of it stopping. Told by nurse it can take 3+ months for body to get used to it. Also have a big increase in spots on face, majority chin and neck but can be all over which is really annoying. Lower back pain and some cramps experienced also. Unsure how long I’ll leave it before asking GP to change as spotting everyday is a little annoying.

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.

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.

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.

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!