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
2739 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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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
• 3 days 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
• 3 days 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
• 4 days 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
• 3 days 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
• 3 days 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
• 4 days 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
2739 reviews
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 3 days 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
• 3 days 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
• 5 days 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 18 mo - 3 yr
24 years old
🇬🇧 UK
• 3 days 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
• 3 days 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
• 5 days 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
• 6 days 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
Used for 3 - 5 yr
34 years old
🇬🇧 UK
• 6 days ago
The pill made me most suicidal. Anxiety and depression were through the roof.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
35 years old
🇬🇧 UK
• 1 week ago
I started the combined pill Drovelis late in my cycle. On day nine of taking the pink pill I got a breakthrough bleed. It's been 10 days and it only increased the last maybe 4 days. I am currently taking iron though and since I'm using it mostly to manage menhorragia im hoping the breakthrough bleeding will taper soon. In contrast my periods were terrible. Dragged over 12 days. Haemorragic. I never went to hospital for them in years but probably barely saved myself on time. I also had them every 26 days which was less than ideal so timed apart. Its worrying but I'm told to continue and see how it goes into the next pack or I'll have to consult with my GP and consider changing brand if my situation doesn't improve. My moods are terrible. I get crying spells and am a lot quieter than I used to be. I'm usually outgoing and very opinionated. Might review again next month. But since it's my first experience I thought id give it a shot
Improved skin
1 more effect
0 helpful
0 comments
Used for 8+ yr
34 years old
🇬🇧 UK
• 1 week ago
The pill did what it was supposed to which is to stop pregnancy and knowing when my periods would be. I feel like my experience might be a little different to others as I started these pills when I was about 17 and only got off them when I was about 30. So I only know this type of contraception and also not really aware of my natural cycle/hormones until I got off them. I feel like being on them made me emotionless? When I got off them, I started crying a lot more at little things and realise I had a lot more emotional range. I experienced really bad hair loss when I got off them- clumps of hair was coming out when washing my hair. I am lucky I am asian so have thicker hair anyways so the hair loss made me have thinner hair but it’s not like I have none left. Right now I am doing more to get my hair to grow back and it is slowly growing as I have a lot of baby hairs which is a good sign. I also experienced adult acne when I got off the pill. I’ve had clear skin for as long as I can remember and when I got off the pill, I was experiencing really bad acne and still experience that now. Being clear of this pill for a few years now I am happier I feel like in general and my periods are regular as I track it using an app, periods aren’t as heavy as it used to be when I was on the pill and not as painful. Also can confirm fertility is back to normal as well. I am writing about my experience as I was on it a long time and I’m not sure whether as I’m getting older other factors would come into play in terms of my own experience
Somewhat negative mood
0 helpful
0 comments
Used for 1 - 3 mo
22 years old
🇬🇧 UK
• 2 weeks ago
The thing that surprised me the most was how my internal clock changed (backwards with 4 to 5 hours), while usually I'm not even sleepy until 1am, now I'm easily falling asleep at 8-9pm and waking up at 6-7am when before I was still cranky at 11am. My PMDD is also almost gone, and my endometriosis pain is the easiest it's ever been, but the breast tenderness/pain extended from the luteal phase to all throughout the month. Another surprising thing was the improved natural lubrication (vaginal discharge), while before it was almost inexistent even when turned on, now it's much more consistent.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
21 years old
🇬🇧 UK
• 2 weeks ago
Started on this pill when I was 18, all was well at the start, my skin cleared up and my periods were much lighter/less painful. I then started to not feel like myself and be quite emotionally dull, I started getting headaches on the week off and being more fatigued than normal. Good for those who are looking to lighten periods or reduce PMS
Very negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
25 years old
🇬🇧 UK
• 2 weeks ago
I have found my experience with Yasmin ok. I like that my mood is much better than on other pills and I feel more like myself, but I have completely lost my sex drive and experienced other negative symptoms unfortunately
Somewhat negative mood
2 more effects
0 helpful
0 comments
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