Combined pill vs Vaginal ring

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Combined pill

£From £0.16/day

Vaginal ring

£From £0.41/day

Overview

Rated 2.8

2675 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.6

55 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

43% improved skin

Cycle return

36% don’t know impact

51% no impact on mood

53% lighter periods

44% lost sex drive

67% 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

2675 reviews

Combined pill  
Used for 3 - 5 yr
30 years old
🇬🇧 UK
  •  today

Marvelon pill  

I was on marvelon for 5 years and it really worked for me. Unfortunately I developed severe migraines in my pill free week so I had to stop taking it. But it was the best pill I ever tried.

Read more

Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

This pill gave me severe emotional dysregulation (notably anger) to the point it almost felt like a fever dream. Granted, I only used it for a month, but that's because I genuinely couldn't tolerate it and had never experienced anything similar on other pills. I was angry to the point of having rage-inducing nightmares and feeling provoked by most harmless interactions. It also made me stress and ruminate a lot more. Frankly, I think it is appalling that such medication is deemed fit for use - which generally circles back to the issue of dismissal in women's healthcare. It was an absolute nightmare, and no one should have to tolerate going through that even if it does "get better eventually." To provide some perspective, the contraceptive pill in men's trials was shut down simply because it caused headaches. So why should we put up with symptoms that are a million times worse? Echoing other reviewers, I'd rather switch to a brand that doesn't come with the hassle (though ideally, the whole industry needs to fix up). Why this is the most commonly prescribed brand in the UK is beyond me.


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
24 years old
🇬🇧 UK
  •  2 days ago

Levest pill  

I used this quite a while ago, I do not notably recall any mood-altering changes (hence why I rated "poor" instead of "terrible" to be fair, since every individual is different). But I will list below effects from when I was actively taking it and afterwards: - Heavier and more painful periods. I already struggle with painful periods, but while using Levest, they became unbearably painful (OTC barely helped, sweating, dizziness & nausea due to the pain). - I subtly started gaining more weight, despite no lifestyle or dietary changes. - I believe I had increased bodily hair growth. - After a period of heavy and painful periods, I eventually stopped having my period altogether, despite the 7 day break each month. When I stopped using it altogether, my cycle didn't resume. At one point, I didn't get my period for half a year until eventually being diagnosed with PCOS. However, Levest did not mask my symptoms during use either, it felt like it induced them (weight gain, hair growth, cycle dysregulation). I read another comment on here on hyperandrogenism concerns - and this symptom also relates to PCOS. While the issue of "pill-induced PCOS" is controversial and unconfirmed, it's still relatively acknowledged that those predisposed to the condition may find that using certain birth controls can induce it when otherwise dormant (especially progestin dominant ones, such as Levest). Synthetic progestin is often structured very similarly to androgens, hence why the body may register it as such. I heard that more recent brands have improved upon its configuration, so it's less similar - but from experience, I would say Levest hasn't quite got it yet.


Gained weight

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
30 years old
🇬🇧 UK
  •  today

Marvelon pill  

I was on marvelon for 5 years and it really worked for me. Unfortunately I developed severe migraines in my pill free week so I had to stop taking it. But it was the best pill I ever tried.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

This pill gave me severe emotional dysregulation (notably anger) to the point it almost felt like a fever dream. Granted, I only used it for a month, but that's because I genuinely couldn't tolerate it and had never experienced anything similar on other pills. I was angry to the point of having rage-inducing nightmares and feeling provoked by most harmless interactions. It also made me stress and ruminate a lot more. Frankly, I think it is appalling that such medication is deemed fit for use - which generally circles back to the issue of dismissal in women's healthcare. It was an absolute nightmare, and no one should have to tolerate going through that even if it does "get better eventually." To provide some perspective, the contraceptive pill in men's trials was shut down simply because it caused headaches. So why should we put up with symptoms that are a million times worse? Echoing other reviewers, I'd rather switch to a brand that doesn't come with the hassle (though ideally, the whole industry needs to fix up). Why this is the most commonly prescribed brand in the UK is beyond me.


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
24 years old
🇬🇧 UK
  •  2 days ago

Levest pill  

I used this quite a while ago, I do not notably recall any mood-altering changes (hence why I rated "poor" instead of "terrible" to be fair, since every individual is different). But I will list below effects from when I was actively taking it and afterwards: - Heavier and more painful periods. I already struggle with painful periods, but while using Levest, they became unbearably painful (OTC barely helped, sweating, dizziness & nausea due to the pain). - I subtly started gaining more weight, despite no lifestyle or dietary changes. - I believe I had increased bodily hair growth. - After a period of heavy and painful periods, I eventually stopped having my period altogether, despite the 7 day break each month. When I stopped using it altogether, my cycle didn't resume. At one point, I didn't get my period for half a year until eventually being diagnosed with PCOS. However, Levest did not mask my symptoms during use either, it felt like it induced them (weight gain, hair growth, cycle dysregulation). I read another comment on here on hyperandrogenism concerns - and this symptom also relates to PCOS. While the issue of "pill-induced PCOS" is controversial and unconfirmed, it's still relatively acknowledged that those predisposed to the condition may find that using certain birth controls can induce it when otherwise dormant (especially progestin dominant ones, such as Levest). Synthetic progestin is often structured very similarly to androgens, hence why the body may register it as such. I heard that more recent brands have improved upon its configuration, so it's less similar - but from experience, I would say Levest hasn't quite got it yet.


Gained weight

0 helpful

0 comments


Vaginal ring reviews

55 reviews

Vaginal ring  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

NuvaRing  

I had a terrible reaction to this unfortunately, despite my optimism. Main symptoms were intense nausea that caused me to not eat for several days, insane anxiety with some panic attacks (especially as I slept) and some depressive thoughts. I took sick days from work believing it was the flu. I thought there is no way birth control could cause these side effects. After a call with my GP, we suspected it could be the ring. I tried to stick with it but on only day 14, awake at 5am due to recurrent panic attacks, I took it out. The next days were perfect. I ate all the food I could and was so grateful for a restful night's sleep. The difference in how I feel is night and day. I understand that this reaction is probably rare but this is what happened to me.


Very negative mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  3rd Aug 25

SyreniRing  

I suffer with PMDD, making my periods a very awful time for me due to how depressed I feel. I was on the combined pill before, but found this was worsening my emotions and making me feel horrendous. The ring was an idea my GP suggested, thinking that because the ring is a gradual release, that stays in your body for the duration you don’t wish to bleed, it would affect me less. This is absolutely what’s happened and I’m much happier on the ring. I’ve never had any problems with feeling it, I’ve noticed a few reviews stating they bleed through when taking it back to back and from my experience this is the case with most contraception. I wouldn’t recommend if you want to take back to back as you do bleed through.


Very positive mood

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  17th Jun 25

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 1 - 3 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

NuvaRing  

I had a terrible reaction to this unfortunately, despite my optimism. Main symptoms were intense nausea that caused me to not eat for several days, insane anxiety with some panic attacks (especially as I slept) and some depressive thoughts. I took sick days from work believing it was the flu. I thought there is no way birth control could cause these side effects. After a call with my GP, we suspected it could be the ring. I tried to stick with it but on only day 14, awake at 5am due to recurrent panic attacks, I took it out. The next days were perfect. I ate all the food I could and was so grateful for a restful night's sleep. The difference in how I feel is night and day. I understand that this reaction is probably rare but this is what happened to me.


Very negative mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  3rd Aug 25

SyreniRing  

I suffer with PMDD, making my periods a very awful time for me due to how depressed I feel. I was on the combined pill before, but found this was worsening my emotions and making me feel horrendous. The ring was an idea my GP suggested, thinking that because the ring is a gradual release, that stays in your body for the duration you don’t wish to bleed, it would affect me less. This is absolutely what’s happened and I’m much happier on the ring. I’ve never had any problems with feeling it, I’ve noticed a few reviews stating they bleed through when taking it back to back and from my experience this is the case with most contraception. I wouldn’t recommend if you want to take back to back as you do bleed through.


Very positive mood

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  17th Jun 25

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

Contraceptive alternatives and comparisons

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