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

2623 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.7

54 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

52% no impact on mood

54% lighter periods

44% lost sex drive

69% no impact

44% 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

2623 reviews

Combined pill  
Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  1 day ago

Eloine pill  

I decided to try Eloine due to negative experiences with other combined pills and the low-dose appealed to me. Unfortunately this turned out to be the worst decision I've ever made. In the first month I felt fine but soon after I began experiencing cramps, headaches and significant mood swings. After 4 months, I was suffering from daily severe headaches and migraines with aura. These migraines were consistent, occurring at the same time each week and lasting nearly two hours (something I had never dealt with before). I often had to take afternoons off work and isolated myself in a dark, quiet room until my vision returned and the dizziness subsided. The only times these migraines didn’t occur was the week I had off for my period. I also started experiencing regular spotting. Alongside the physical symptoms, my mood deteriorated. I became easily irritable, leading to frequent arguments with my partner… something that was rare for us before. This change in my behavior left me feeling down and my anxiety gradually worsened. My sex drive plummeted and eventually vanished altogether. The only positives from this pill was my heavy periods and awful period pain decreased and I lost weight. After discussing my symptoms with a doctor, I was advised to stop taking Eloine immediately. Since stopping, my headaches and migraines have ceased (I haven't had a migraine since) and I began feeling like my old self again within 6 months. The impact of this pill extended beyond my health; it affected my relationship as well. This experience has left me wary of contraceptive pills, making me hesitant to try another option.

Read more

Very negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
23 years old
🇬🇧 UK
  •  3 days ago

Marvelon pill  

I have tried about 4 different types of birth control. This one is the only one that has not made be spot for months at a time. This is the first time in my life I have a normal 5-7 day period once a month. My cystic acne has also improved a lot. My boobs did get bigger and it’s more difficult to maintain my weight but with more effort the weight gain is only minimal. Cramps were only bad the first couple months starting it. I also get a headache the entire time I am on my 7 days off the pill. I also get depressed close to my period. Overall the side effects are bad but better than any other I’ve tried and it actually regulates my cycle. I can’t wait until I’m old enough to get my tubes tied because I am over pumping my body with hormones


Improved skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  4 days ago

Femodene ED pill  

Tricycled Femodene for about three years, cleared my skin up but mood swings were apparent. Started having an increased and unusual discharge (with no infection) GP advised to stop taking this pill and change contraception. Just a heads up in case this happens to anyone else as was a very alarming thing to go through with no advice!


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  1 day ago

Eloine pill  

I decided to try Eloine due to negative experiences with other combined pills and the low-dose appealed to me. Unfortunately this turned out to be the worst decision I've ever made. In the first month I felt fine but soon after I began experiencing cramps, headaches and significant mood swings. After 4 months, I was suffering from daily severe headaches and migraines with aura. These migraines were consistent, occurring at the same time each week and lasting nearly two hours (something I had never dealt with before). I often had to take afternoons off work and isolated myself in a dark, quiet room until my vision returned and the dizziness subsided. The only times these migraines didn’t occur was the week I had off for my period. I also started experiencing regular spotting. Alongside the physical symptoms, my mood deteriorated. I became easily irritable, leading to frequent arguments with my partner… something that was rare for us before. This change in my behavior left me feeling down and my anxiety gradually worsened. My sex drive plummeted and eventually vanished altogether. The only positives from this pill was my heavy periods and awful period pain decreased and I lost weight. After discussing my symptoms with a doctor, I was advised to stop taking Eloine immediately. Since stopping, my headaches and migraines have ceased (I haven't had a migraine since) and I began feeling like my old self again within 6 months. The impact of this pill extended beyond my health; it affected my relationship as well. This experience has left me wary of contraceptive pills, making me hesitant to try another option.


Very negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
23 years old
🇬🇧 UK
  •  3 days ago

Marvelon pill  

I have tried about 4 different types of birth control. This one is the only one that has not made be spot for months at a time. This is the first time in my life I have a normal 5-7 day period once a month. My cystic acne has also improved a lot. My boobs did get bigger and it’s more difficult to maintain my weight but with more effort the weight gain is only minimal. Cramps were only bad the first couple months starting it. I also get a headache the entire time I am on my 7 days off the pill. I also get depressed close to my period. Overall the side effects are bad but better than any other I’ve tried and it actually regulates my cycle. I can’t wait until I’m old enough to get my tubes tied because I am over pumping my body with hormones


Improved skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  4 days ago

Femodene ED pill  

Tricycled Femodene for about three years, cleared my skin up but mood swings were apparent. Started having an increased and unusual discharge (with no infection) GP advised to stop taking this pill and change contraception. Just a heads up in case this happens to anyone else as was a very alarming thing to go through with no advice!


Somewhat negative mood

2 more effects

0 helpful

0 comments


Vaginal ring reviews

54 reviews

Vaginal ring  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  2 weeks ago

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 6 - 12 mo
22 years old
🇬🇧 UK
  •  2 weeks ago

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

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

Contraceptive alternatives and comparisons

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