Implant vs Combined pill
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£From £0.16/day
Overview
Rated 2.8
631 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2745 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Implant ingredients
Main hormones in Implant
progestogen
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Heavy periods
Ovulation pain
Period pain
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
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£From £0.16/day
Check out our latest reviews
Real life reviews from people like you
Implant reviews
631 reviews
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I originally had the implant inserted in May 2025, but I had a difficult experience with heavy bleeding. I had it removed and switched back to the mini-pill, which has always worked well for me. I decided to try the implant again and had it re-inserted around August 18, 2025. Here is the updated timeline of my experience: Initial Recovery (August 2025) • Wound Care: I removed the bandage and plaster early to let the area breathe. I applied a new plaster on the second day, eventually removing it once I was sure the insertion site had finished bleeding. • Healing: There was some minor bruising around the site, but nothing too bad. • Early Symptoms: I noticed some clear, yellowish vaginal discharge shortly after insertion, but no spotting or bleeding during this initial stage. Follow-up Symptoms (A few months later) After I had the implant in for a few months, I began experiencing some changes: • Spotting: I had spotting/light bleeding for a few days. • Discharge: This was followed by a period of reddish and brown discharge that lasted for a few weeks. Current Status Aside from that specific window of spotting and colored discharge a few months in, I have had no other issues. It has been working well since then, and I’m hopeful it stays this way!
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
26 years old
🇬🇧 UK
• 2 weeks ago
(I had it inserted roughly around August 18th 205, and couldn’t remember how long ago it was when filling this out) , I took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/would stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues besides having a bit of reddish and brown discharge for a few weeks after a few months of having it put in, I did try having it a while ago before August of 2025, say May 2025, had horrible bleeding and such, but then had it taken out and went on mini pill which has always worked ok for me, then decided to go back on the implant and have had it since then and no other problems, so let’s hope it stays this way.
Somewhat negative mood
0 helpful
3 comments
Used for 3 - 5 yr
24 years old
🇬🇧 UK
• 2 weeks ago
Nexplanon has changed my life by taking away my PMS/PMDD mental health symptoms. I have a lot of trust in the evidence that it works effectively to prevent pregnancy. I found both the original insertion and the replacement to be non painful procedures. The replacement took a bit longer because it was fiddly for them to get the rod out. This was not painful but slightly uncomfortable but the nurses were so friendly that it was okay. It completely randomises my periods. I still get a slight breast tenderness before my periods which helps me to know when it is coming. It feels like my PMS is quiet and slow where as before it was fast and brutal. Recently after my new insertion I’ve had a bit of dizziness here and there, but I am still working out why… it could be due to my diet. Generally I prefer my experience on Nexplanon to what my natural experience was like and would continue to use it even if I stopped being sexually active.
Very positive mood
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I originally had the implant inserted in May 2025, but I had a difficult experience with heavy bleeding. I had it removed and switched back to the mini-pill, which has always worked well for me. I decided to try the implant again and had it re-inserted around August 18, 2025. Here is the updated timeline of my experience: Initial Recovery (August 2025) • Wound Care: I removed the bandage and plaster early to let the area breathe. I applied a new plaster on the second day, eventually removing it once I was sure the insertion site had finished bleeding. • Healing: There was some minor bruising around the site, but nothing too bad. • Early Symptoms: I noticed some clear, yellowish vaginal discharge shortly after insertion, but no spotting or bleeding during this initial stage. Follow-up Symptoms (A few months later) After I had the implant in for a few months, I began experiencing some changes: • Spotting: I had spotting/light bleeding for a few days. • Discharge: This was followed by a period of reddish and brown discharge that lasted for a few weeks. Current Status Aside from that specific window of spotting and colored discharge a few months in, I have had no other issues. It has been working well since then, and I’m hopeful it stays this way!
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
26 years old
🇬🇧 UK
• 2 weeks ago
(I had it inserted roughly around August 18th 205, and couldn’t remember how long ago it was when filling this out) , I took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/would stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues besides having a bit of reddish and brown discharge for a few weeks after a few months of having it put in, I did try having it a while ago before August of 2025, say May 2025, had horrible bleeding and such, but then had it taken out and went on mini pill which has always worked ok for me, then decided to go back on the implant and have had it since then and no other problems, so let’s hope it stays this way.
Somewhat negative mood
0 helpful
3 comments
Used for 3 - 5 yr
24 years old
🇬🇧 UK
• 2 weeks ago
Nexplanon has changed my life by taking away my PMS/PMDD mental health symptoms. I have a lot of trust in the evidence that it works effectively to prevent pregnancy. I found both the original insertion and the replacement to be non painful procedures. The replacement took a bit longer because it was fiddly for them to get the rod out. This was not painful but slightly uncomfortable but the nurses were so friendly that it was okay. It completely randomises my periods. I still get a slight breast tenderness before my periods which helps me to know when it is coming. It feels like my PMS is quiet and slow where as before it was fast and brutal. Recently after my new insertion I’ve had a bit of dizziness here and there, but I am still working out why… it could be due to my diet. Generally I prefer my experience on Nexplanon to what my natural experience was like and would continue to use it even if I stopped being sexually active.
Very positive mood
0 helpful
0 comments
Combined pill reviews
2745 reviews
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 days ago
My overall experience on Yasmin has been awful from the very first day I started taking it, made me lose my personality within one week, my sex drive is usually medium-high but it’s decreased and I’ve lost my appetite along with other side effects which weren’t pleasant. I would not recommend Yasmin if you have a history of mental health like myself too!!
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 2 days ago
When I first started taking Regividon I had a good experience, minimal side effects and had no changes to my skin, sex drive or weight. However, 3 months into taking Regividon my moods changed, I was snappy and frustrated even over little things 24/7 which affected my relationship so I came off it and went onto a different pill.
Very negative mood
0 helpful
0 comments
Used for 5 - 8 yr
25 years old
🇬🇧 UK
• 4 days ago
pros - clear skin, less oily, went up a cup size, lighter periods and option to skip them entirely cons - after a few years it just got rid of my sparkle. I’ve noticed whenever i stopped using it i was more outgoing, more horny, enjoyed sex more. One of the main reasons was just how dry it was down there making sex feel like a chore.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 days ago
My overall experience on Yasmin has been awful from the very first day I started taking it, made me lose my personality within one week, my sex drive is usually medium-high but it’s decreased and I’ve lost my appetite along with other side effects which weren’t pleasant. I would not recommend Yasmin if you have a history of mental health like myself too!!
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 2 days ago
When I first started taking Regividon I had a good experience, minimal side effects and had no changes to my skin, sex drive or weight. However, 3 months into taking Regividon my moods changed, I was snappy and frustrated even over little things 24/7 which affected my relationship so I came off it and went onto a different pill.
Very negative mood
0 helpful
0 comments
Used for 5 - 8 yr
25 years old
🇬🇧 UK
• 4 days ago
pros - clear skin, less oily, went up a cup size, lighter periods and option to skip them entirely cons - after a few years it just got rid of my sparkle. I’ve noticed whenever i stopped using it i was more outgoing, more horny, enjoyed sex more. One of the main reasons was just how dry it was down there making sex feel like a chore.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 4 days ago
It's good, it stopped ovulation and didn't have an effect on my body except mental health. The first month was also a challenge, I bled every day (small amount but it was so annoying). Gave me really bad mood swings. It also made my periods somewhat irregular. When i would take placebo pills, even though theres 4 of them for 4 days of period, it would always be longer and never the same amount of days.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 4 days ago
Worked well as a contraceptive. I didn’t get pregnant. However I noticed extreme mood swings/anxiety. I had a series of panic attacks whilst on this pill relating to things that normally wouldn’t have pushed me to a panic attack and the weight gain from this pill. The weight gain wasn’t too extreme but it was noticeable in a way that I didn’t like (very bloated, pregnant looking).
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
31 years old
🇬🇧 UK
• 5 days ago
I was tri-cycling this pill and passed a a decidual cast after the first 6 weeks with no bleeding ( was not painful to pass). My periods were lighter when breaking between 3 packs. I did get some breakthrough bleeding during my second tri-cycle. I had really tender breasts in the first few months with some breast enlargement but that passed and no other issues.
Improved skin
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 2 weeks ago
I was switched from taking the Yasmin pill to Dretine. I was told they had the exact same hormones. I have polycystic ovaries and Yasmin had been working perfectly for me. The first few months on Dretine were hell. I became severely depressed. Crying every day, anxious and mood swings. This lasted 2-3 months. This did get better. But it shouldn’t be the case that you have to go through this when taking the pill. I’ve taken the pill in different ways to help control pain and breakthrough bleeding but nothing something seems to stop the breakthrough bleeding. It’s always dark brown and clots. I also experienced a major increase in my blood pressure. My skin has been clear and pain levels are low.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
35 years old
🇬🇧 UK
• 2 weeks ago
I didn't start it on day 1 of my period. So this month I got my period anyway. I went to my GP (who prescribed it to me) and we determined it's my period due to timing, consistency etc. Good to note however that since I took it to control menhorragia. 10 days into taking it, my cycle lengthened to a week (minus spotting) and it's a lot less heavy than I know it. I'm hoping to feel better next month and thinking to skip the placebo entirely but I was told it can lengthen the spotting/breakthrough bleeds. There doesn't seem to be a right or wrong. Just trial and error then adjust. Note : Don't take it mid cycle. Take it as they tell you day 1 of your period. I did this because of severe reasons at the time and was also very sick. I hoped it would prevent the usual mess. In a way I succeeded somehow, just not the way I'd have liked. But then I'm too hard on myself too.
Lost weight
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 3 weeks ago
Zero libido and very painful to have sex when I tried. Stopped periods which was great for endometriosis but slowed my digestion so much the bloating and endo belly was uncomfortable all the time, caused pain in hips, lower abdomen and lower back. Had constant reflux unless I slept upright which wasn’t ideal.
Decreased sex drive
0 helpful
0 comments
Used for 8+ yr
45 years old
🇬🇧 UK
• 3 weeks ago
It was very convenient and I was on it for 28 years. Im not sure if it mighf have been a causal factor in my low sex libido and recurring depressive episodes.
Decreased sex drive
0 helpful
0 comments
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