Implant vs Combined pill
Need help choosing? Speak to a doctor
Add your Implant review
£From £0.16/day
Overview
Rated 2.8
603 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2593 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
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
603 reviews
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 2 weeks ago
I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account
Somewhat positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 1 month ago
I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 7th May 25
I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.
Worse skin
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 2 weeks ago
I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account
Somewhat positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 1 month ago
I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 7th May 25
I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.
Worse skin
0 helpful
0 comments
Combined pill reviews
2593 reviews
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 1 week ago
I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.
Somewhat positive mood
2 more effects
1 helpful
0 comments
Used for 3 - 6 mo
18 years old
🇬🇧 UK
• 2 weeks ago
Used Rigevidon for 6 months, had to stop due to mood. It didn't make me depressed or anxious just a lot more sensitive, took my quite a while (another 6 months) for my hormones to finally balance out again. My weight didn't change a massive deal, I gained a little bit, probably more due to me being more upset than usual. Stopped period pain and made periods a lot lighter and easier and grew my boobs a bit. Also very clear skin which is a bonus. Overall okay pill I just didn't like the mood swings.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 1 week ago
I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.
Somewhat positive mood
2 more effects
1 helpful
0 comments
Used for 3 - 6 mo
18 years old
🇬🇧 UK
• 2 weeks ago
Used Rigevidon for 6 months, had to stop due to mood. It didn't make me depressed or anxious just a lot more sensitive, took my quite a while (another 6 months) for my hormones to finally balance out again. My weight didn't change a massive deal, I gained a little bit, probably more due to me being more upset than usual. Stopped period pain and made periods a lot lighter and easier and grew my boobs a bit. Also very clear skin which is a bonus. Overall okay pill I just didn't like the mood swings.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 2 weeks ago
sadly got swapped as my pharmacy isn’t stocking it anymore. it served me well for 5 years. can’t really complain
Improved skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 2 weeks ago
I’ve managed 10 days on this pill - but have stopped for my mental health. Never have I suffered with anxiety like I have on this pill. It has been horrendous. My mood is so low and I’ve not been able to function normally for days. I’ve not eaten or drank normally. The headaches and nausea are constant.
Very negative mood
1 more effect
0 helpful
1 comments
Used for 3 - 6 mo
32 years old
🇬🇧 UK
• 3 weeks ago
I used this pill a few years ago during a difficult period and wondered then if it impacted my mood, but it was a difficult time so it was hard to gauge. Tried again this time around and sadly no the pill was definitely a contributing factor. My pill free week I had a constant feeling of anxiety, which then followed into my next round. Im not really an anxious person but by week 4 on this I felt constantly on edge. Im a light sleeper anyway so I didn't make the connection last time between insomnia symptoms and night sweats but I think this contributed. I wonder if its linked to the heightened anxiety. A shame because otherwise no impact on skin, weight or periods sadly it just does not work with my mental health. I recently switched to Yasmin and it was like a light came on almost to the day I switched. I'd avoided it because of some negative stories id heard but for me its been much better so far. Sadly its a bit of trial and error to find the right one for you.
Very negative mood
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 3 weeks ago
Vagina is very dry and sex has become a chore as I also have a low sex drive now
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
22 years old
🇬🇧 UK
• 3 weeks ago
This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 1 month ago
Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 1 month ago
Gave me cystitis all the time and even after coming off I keep getting it after seeing a specialist they told me it’s due to the The pill, lowering my oestrogen
Somewhat negative mood
2 more effects
0 helpful
0 comments

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
Slide into our DMs
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