Implant vs Combined pill

Need help choosing? Speak to a doctor
Implant

Add your Implant review

Combined pill

£From £0.16/day

Overview

Rated 2.8

620 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2678 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

37% somewhat negative

49% irregular periods

50% lost sex drive

40% gained weight

57% no impact on skin

Cycle return

31% in 1 month

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

43% improved skin

Cycle return

36% don’t know impact

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

Try it now

Add your Implant review

Try it now

£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Implant reviews

620 reviews

Implant  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  3 days ago

Nexplanon implant  

Safest and easiest contraception in my opinion. However does come with lots of side effects as any medication does, it is manageable but irritating at times (headaches, irregular bleeding every month and lower back pain). I also get rashes at the implant site quite frequently and heard this is very common- gets itchy but normal apparently

Read more

Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  4 days ago

Nexplanon implant  

Of all the contraceptives I tried I was most satisfied with the implant. I had mostly no side effects and it stopped my period completely after 1 year (had some spotting irregularly in the first year). It was a very effective method, with painless insertion and changes (had 3 implants in 7 years). I removed it because I wanted to give my body a break before potentially trying for a baby. The main side effect and reason I took off one star is the loss of libido and vaginal dryness. My libido was very low and when I did get into sex, the dryness made things painful. Overall the sensation and pleasure of sex took a hit, but it was manageable. Now that I am off the implant I notice a resurgence in libido and feel more connected to my body and sexual self.


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  1 week ago

Nexplanon implant  

I had the implant for 19 months and got it taken out today after being a little fed up of the side effects. For the first couple of months, I had my period as normal and pretty much no other symptoms except being a bit more emotional. Then over the next year or so i had completely stopped bleeding and had no issues. Then I started to get migraines maybe 2 a week for a couple weeks (I had 5 in the space of a month?) and they were so unbearable. And then I started bleeding again but it was so irregular. I could have a period twice in 2 weeks but not have one for like 6-8 weeks and then get spotting for a few days. It was so frustrating. That and having incredibly sore nipples and tender breasts that I couldn’t wear anything without it hurting. Ever since getting it inserted I have gained around 30kg which is very noticeable on someone who is barely 5ft tall. So because of that my self confidence has completely dropped. It felt like I was buying a bigger bra every 2 months. And none of my clothes that I had a year and a half ago fit me anymore. Overall the beginning was pretty great but about a year in I didn’t like it anymore.


Gained weight

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  3 days ago

Nexplanon implant  

Safest and easiest contraception in my opinion. However does come with lots of side effects as any medication does, it is manageable but irritating at times (headaches, irregular bleeding every month and lower back pain). I also get rashes at the implant site quite frequently and heard this is very common- gets itchy but normal apparently


Very negative mood

3 more effects

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  4 days ago

Nexplanon implant  

Of all the contraceptives I tried I was most satisfied with the implant. I had mostly no side effects and it stopped my period completely after 1 year (had some spotting irregularly in the first year). It was a very effective method, with painless insertion and changes (had 3 implants in 7 years). I removed it because I wanted to give my body a break before potentially trying for a baby. The main side effect and reason I took off one star is the loss of libido and vaginal dryness. My libido was very low and when I did get into sex, the dryness made things painful. Overall the sensation and pleasure of sex took a hit, but it was manageable. Now that I am off the implant I notice a resurgence in libido and feel more connected to my body and sexual self.


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  1 week ago

Nexplanon implant  

I had the implant for 19 months and got it taken out today after being a little fed up of the side effects. For the first couple of months, I had my period as normal and pretty much no other symptoms except being a bit more emotional. Then over the next year or so i had completely stopped bleeding and had no issues. Then I started to get migraines maybe 2 a week for a couple weeks (I had 5 in the space of a month?) and they were so unbearable. And then I started bleeding again but it was so irregular. I could have a period twice in 2 weeks but not have one for like 6-8 weeks and then get spotting for a few days. It was so frustrating. That and having incredibly sore nipples and tender breasts that I couldn’t wear anything without it hurting. Ever since getting it inserted I have gained around 30kg which is very noticeable on someone who is barely 5ft tall. So because of that my self confidence has completely dropped. It felt like I was buying a bigger bra every 2 months. And none of my clothes that I had a year and a half ago fit me anymore. Overall the beginning was pretty great but about a year in I didn’t like it anymore.


Gained weight

0 helpful

0 comments


Combined pill reviews

2678 reviews

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

Zoely pill  

This contraception is highly effective, but for me the main side-effect is major hair loss and irregular periods.


Top side effects not reported

0 helpful

0 comments

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

Rigevidon  

My legs randomly ache, I have. 0 sex drive, the thought of being touched is making me sick. I have severe anxiety and I’m borderline suicidal. This is not the right pill for me but going back to my gp and getting another one seems exhausting.


Very negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

I am 26. Have been on yasmin pill 7 months, I take in the evening just after food. I have PCOS and PMDD. I have found it to be good- it has really stabilised my mood as im not getting hormone fluctuations and has helped with insomnia and mood swings. The side effects: Breasts getting bigger [they might be slightly tender but also have large breasts to begin] and potentially more anxious/irritable but I also have more stress in my life so I think this is due to that. I have not noticed changes to skin [pimple every so often like before]. I also do 3 pill packs back to back without a break week and this caused some intermittent bleeding so now I do 2 pills back to back and this has gone away. I would recommend, once you get into the rhythm of taking a pill is easier.


Top side effects not reported

0 helpful

0 comments

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

Zoely pill  

This contraception is highly effective, but for me the main side-effect is major hair loss and irregular periods.


Top side effects not reported

0 helpful

0 comments

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

Rigevidon  

My legs randomly ache, I have. 0 sex drive, the thought of being touched is making me sick. I have severe anxiety and I’m borderline suicidal. This is not the right pill for me but going back to my gp and getting another one seems exhausting.


Very negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

I am 26. Have been on yasmin pill 7 months, I take in the evening just after food. I have PCOS and PMDD. I have found it to be good- it has really stabilised my mood as im not getting hormone fluctuations and has helped with insomnia and mood swings. The side effects: Breasts getting bigger [they might be slightly tender but also have large breasts to begin] and potentially more anxious/irritable but I also have more stress in my life so I think this is due to that. I have not noticed changes to skin [pimple every so often like before]. I also do 3 pill packs back to back without a break week and this caused some intermittent bleeding so now I do 2 pills back to back and this has gone away. I would recommend, once you get into the rhythm of taking a pill is easier.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
30 years old
🇬🇧 UK
  •  2 weeks ago

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

Levest pill  

Before I started contraception, I used to feel horribly sad around four days before I started my period. I knew it was my hormones making me feel this way, and I felt powerless. Since starting Levest, that has gone! My skin feels clearer too, I still get the occasional spot but they don’t seem to get as bad as they did before. I get tender breasts and light crawling around a week before going on my break week, which is similar to before, but now my breasts don’t get as painful. My periods now are more painful than they used to be on the first day, but the cramps are sorted quickly with a big breakfast and paracetamol, with no pain after the first day. They also come on the same day each cycle, are shorter than before, and tail off quicker. I also get a headache for a day or two during my break week - in the first couple of months of taking Levest, the headaches were almost unbearable, lasting a up to three days, but have got less painful and last a shorter amount of time as each month passed. On month seven, the headache was only mild and only lasted a day, which I’m counting as a win. My breasts seem to have got bigger, and I’ve put on about half a stone in six months - which is neither here nor there really, but I do feel like I’ve changed shape more than putting on weight? Some of my jeans no longer fit, but they did when I was a similar weight previously… I may try a tablet with a lower dose of oestrogen after this box of pills, to try to eliminate the headaches completely if they don’t go themselves, but they are nowhere near as bad as they were at the start.


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
25 years old
🇬🇧 UK
  •  2 weeks ago

Gedarel 20/150 pill  

Reduced my period pains massively. I used to get really really bad period pains before I got put on this pill, once I was put on it, I still got pains but nowhere near as bad as they were.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Lucette pill  

I have been on this pill for about 2 months and already have had a far better experience then I had on my pervious on.How ever the only think I have really noticed a difference is my appetite has increased quite a bit .surprisingly I was preparing myself for my sex drive to completely change and lose it all but it has actually been somewhat the same


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  3 weeks ago

Yasmin pill  

Overall a good experience. Main side effects were becoming more irritable and increased body odour


Somewhat negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Implant 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