Combined pill vs Vaginal ring

Need help choosing? Speak to a doctor
Combined pill

£From £0.16/day

Vaginal ring

£From £0.41/day

Overview

Rated 2.8

2594 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.7

53 reviews

Every 3 weeks

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen


Vaginal ring ingredients

Main hormones in Vaginal ring

progestogen

oestrogen

What Lowdown reviewers say

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

53% no impact on mood

55% lighter periods

45% lost sex drive

68% no impact

42% no impact on skin

Cycle return

47% in 1 month

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Try it now

£From £0.16/day

Try it now

£From £0.41/day

Check out our latest reviews

Real life reviews from people like you

Combined pill reviews

2594 reviews

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

Microgynon 30 pill  

Absolutely legendary pill, I’ve been on a few others this one by far is the best. Haven’t had any changes in my emotions and most importantly not pregnant! And I really do push that to the test weekly. I was A cup before taking and now I’m pushing B cup so for me that’s great

Read more

Improved skin

0 helpful

0 comments

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

Dretine pill  

Low mood, caused depression anxiety and lethargy


Very negative mood

0 helpful

0 comments

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

Eloine pill  

I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.


Somewhat positive mood

2 more effects

1 helpful

0 comments

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

Microgynon 30 pill  

Absolutely legendary pill, I’ve been on a few others this one by far is the best. Haven’t had any changes in my emotions and most importantly not pregnant! And I really do push that to the test weekly. I was A cup before taking and now I’m pushing B cup so for me that’s great


Improved skin

0 helpful

0 comments

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

Dretine pill  

Low mood, caused depression anxiety and lethargy


Very negative mood

0 helpful

0 comments

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

Eloine pill  

I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.


Somewhat positive mood

2 more effects

1 helpful

0 comments


Vaginal ring reviews

53 reviews

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  2 days ago

SyreniRing  

I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.


Very positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  13th May 25

NuvaRing  

The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  15th Apr 25

NuvaRing  

I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  2 days ago

SyreniRing  

I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.


Very positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  13th May 25

NuvaRing  

The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  15th Apr 25

NuvaRing  

I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  22nd Jan 25

NuvaRing  

NuvaRing greatly affected my mood, at one point I thought I had depression and got prescribed antidepressants by incompetent doctors. The second I stopped using NuvaRing (based on INTERNET RECOMMENDATIONS), all my mental problems went away


Very negative mood

1 more effect

1 helpful

0 comments

Vaginal ring  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  29th Nov 24

NuvaRing  

I used the NuvaRing/Syreni ring for over a year without any apparent issues until I began experiencing severe stomach cramps. The pain was so intense that it often woke me up at night, leaving me unable to move or sleep for hours. Despite multiple doctor appointments, my concerns were repeatedly dismissed, and I was left feeling anxious and on edge, uncertain about the cause of my pain. Frustrated with the lack of answers, I decided to take matters into my own hands and removed the ring myself. Remarkably, after five months of excruciating cramps, they stopped immediately upon removal of the ring. It's been five weeks now, and I remain cramp-free. While I cannot say with absolute certainty that the vaginal ring was the cause, the timing feels far too coincidental to ignore.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  29th Aug 24

NuvaRing  

No side effects at all but the ring kept falling out so i always felt it while standing up


Increased sex drive

0 helpful

0 comments

Vaginal ring  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  8th Jul 24

NuvaRing  

I really loved using the ring, compared to the pill the side effects were minimal and absolutely no bother in remembering it. Unfortunately my doctor just made me come off it as my blood pressure has steadily gone up over 3 years of using it. I did experience loss of sex drive, and vaginal dryness which led to thrush infections. But no changes in mood or skin!


Decreased sex drive

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  15th May 24

NuvaRing  

Love the Nuvaring. Hardly have to think about changing it. I can get the odd bit of breakthrough bleeding if I don't take my 7 day break. Overall, I'm a big fan!


Top side effects not reported

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  18th Nov 23

SyreniRing  

Things started out really well. No side effects and I didn't take ring breaks so no periods. My skin got less greasy so I got fewer spots, and I had 3 months blissfully free of painful period diarrhoea. Sadly after 3 months I started to get breakthrough bleeding every day and minor versions of my old period symptoms like back pain, cramps, and digestive upsets started to flare up. I tried removing my ring but that just made it worse and within 4 hours I was having a bad time on the loo and put a new ring in just to make it stop. The new ring helped, but now I feel kind of trapped having a constant mini period all the time with no alternative since the only pill that worked for me in the past has been discontinued, and progesterone only contraceptives have never agreed with me, so nothing else seems as convenient as the ring. All in all, bit of a mixed bag.


Improved skin

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  7th Oct 23

SyreniRing  

Switched to the vaginal ring after using the pill. When first trying it I could feel some pressure in my lower abdomen but this feeling passed after 1 day and havent had it again since using it. The first 2 periods I had were shorter but heavier than usual but after each period (basically the break week) each period got lighter and my 3rd period was lighter than my usual. Apart from that no other side effects - the above ones I experienced I would say linked to my body adjusting to a new contraception (similar to the pill where they tell you the first 3 months you may experience some side effects). I dont feel as moody as when I was on the pill and the great thing is I dont need to remember to take something everyday so the peace of mind is an additional benefit.


Somewhat positive mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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