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

2493 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.7

48 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

32% somewhat negative

45% lighter periods

47% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

58% no impact on mood

52% lighter periods

46% lost sex drive

67% no impact

37% no impact on skin

Cycle return

53% 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

2493 reviews

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

Microgynon 30 pill  

I am using microgynon to manage endometriosis. Before starting I was having significant pain, nausea, and depression due to the pain. I am taking this pill without breaks, so not having periods is really helping reduce my endo symptoms. I have had a lot of mood problems with other pills, but if anything my mood is slightly better. I think it was just that my endo pain was so bad it was making me feel really low. I am still having some breakthrough bleeding with this pill, but much less than other pills.

Read more

Somewhat positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
18 years old
🇬🇧 UK
  •  1 week ago

Levest pill  

No real bad side effects although I would say it’s given me more of a low mood but nothing too serious. No weight gain at all and sex drive still the same.


Somewhat negative mood

0 helpful

0 comments

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

Qlaira pill  

I was prescribed this by a gynecologist to treat PMDD. It has worked amazingly, my mood has been very stable since I started it 10 months ago. My symptoms are gone, my energy levels are normal, I’ve been more patient with the kids. The only issues are hair loss when I started (which sorted itself out after a few months), low sex drive (but it was low any way). The only issue is the slight clotting risk due to oestrogen, it fills me with fear. It is supposed to be lower than other combined pills but due to my age and other risk factors it concerns me. I am considering trying Slynd to see if it has a similar effect, but I’d happily go back to this if need be. A very good pill!


Very positive mood

3 more effects

0 helpful

0 comments

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

Microgynon 30 pill  

I am using microgynon to manage endometriosis. Before starting I was having significant pain, nausea, and depression due to the pain. I am taking this pill without breaks, so not having periods is really helping reduce my endo symptoms. I have had a lot of mood problems with other pills, but if anything my mood is slightly better. I think it was just that my endo pain was so bad it was making me feel really low. I am still having some breakthrough bleeding with this pill, but much less than other pills.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
18 years old
🇬🇧 UK
  •  1 week ago

Levest pill  

No real bad side effects although I would say it’s given me more of a low mood but nothing too serious. No weight gain at all and sex drive still the same.


Somewhat negative mood

0 helpful

0 comments

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

Qlaira pill  

I was prescribed this by a gynecologist to treat PMDD. It has worked amazingly, my mood has been very stable since I started it 10 months ago. My symptoms are gone, my energy levels are normal, I’ve been more patient with the kids. The only issues are hair loss when I started (which sorted itself out after a few months), low sex drive (but it was low any way). The only issue is the slight clotting risk due to oestrogen, it fills me with fear. It is supposed to be lower than other combined pills but due to my age and other risk factors it concerns me. I am considering trying Slynd to see if it has a similar effect, but I’d happily go back to this if need be. A very good pill!


Very positive mood

3 more effects

0 helpful

0 comments


Vaginal ring reviews

48 reviews

Vaginal ring  
Used for 1 - 3 mo
20 years old
🇬🇧 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
29 years old
🇬🇧 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
29 years old
🇬🇧 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 1 - 3 mo
20 years old
🇬🇧 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
29 years old
🇬🇧 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
29 years old
🇬🇧 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
33 years old
🇬🇧 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
29 years old
🇬🇧 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

Vaginal ring  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  10th Sep 23

NuvaRing  

I've been using the ring for almost a year now and so far it's been working rlly well for me. I pretty much forget it's there when it's in and its rlly easy to change. It's the first hormonal contraceptive I've used so I was extremely apprehensive about it but slowly I've got used to the idea and now it's just a normal part of my routine. The side effects I've experience are minimal and very manageable. A slight decrease in sex drive particularly a couple of months in, and a very slight increase in weight but both are managable and Ive gotten used to. My periods are really regular and I have very little period pain which is great. I would really recommend giving this method a go, overall I'm very glad I did.


Top side effects not reported

1 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
31 years old
🇬🇧 UK
  •  9th Sep 23

NuvaRing  

I didn't have any bad experience with the nuvaring while using it but I stopped 6 years ago and i've had problems with my periods ever since... when I stopped, i was having spotting for 9-10 days before my period, my doctor told me everything would be back to normal after about 3 months, but it's been 6 years. It gradually got better, now i only have 1 to 3 days of spotting before my period. I don't know if the ring caused it but it's getting better and better since i stopped using hormones that's why i think it might be linked.


Improved skin

1 more effect

0 helpful

1 comments

Vaginal ring  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  11th Aug 23

NuvaRing  

Unfortunately this contraception made me feel very sad! It led to a continuous low mood, of which I have experienced with the pill previously. I basically just cried a lot for two months and so decided to stop using it. I liked that this could be a short term solution (more short term than the coil) and it was easy to insert/remove. It was not uncomfortable.


Very negative mood

1 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  8th Aug 23

SyreniRing  

My mood spiralled quite rapidly - by week three I was in what I would describe as a state of depression and had to remove it a few days early. I felt as though there was a grey cloud over my head constantly and I was randomly crying several times a day. It was actually interesting tracking my mood because it was a stark difference to how I was feeling prior to using the ring. It's a shame it didn't work out for me as it was quite convenient method of protection but I couldn't endure the feelings for more than one cycle.


Very negative mood

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
36 years old
🇬🇧 UK
  •  1st Aug 23

NuvaRing  

Best contraceptive I’ve tried so far, and love that I only need to change every 3 weeks!! Unlike the pill, no mood disturbance, weight changes, skin changes! (had previously used the 3rd gen pills, which were much better than the others which made me hungry and depressed. I used gestodene, for 10 years, then switched to yaz for 5 - was better than gestodene - then a GP friend told me about the nuvaring)


Improved skin

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Combined pill with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

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

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