Implant vs Injection
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Overview
Rated 2.8
631 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.9
307 reviews
Every 2-3 months
Frequency
94% - 99+%
Effectiveness
None
Blood clot risk
Short term
Effect on fertility
Implant ingredients
Main hormones in Implant
progestogen
Injection ingredients
Main hormones in Injection
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Heavy periods
Ovulation pain
Period pain
Endometriosis
Heavy periods
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
• 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
Injection reviews
307 reviews
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 weeks ago
This has made my sex life a living hell .I get scared to have sex with my partner since I associate the vaginal dryness with this Depo shot ,the sex is always pain towards the end as there’s not enough lubrication
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
22 years old
🇬🇧 UK
• 14th Feb 26
This was bad experience my stretch marks even increased and low libido is the worst
Very negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 3rd Feb 26
I would have rated this 5 stars last year. I used to be on the depo jab that had to be done at the doctors but I work 12 hour shifts meaning it was a struggle to attended every 12 weeks. So I was over the moon when I found out about sayana press that I could do myself. I usually do the injection around 11 weeks but the last 3 times I get to 10 weeks and get crippling period pain that completely debilitates me. Even after I’ve done the injection this will continue for about a week afterwards. I’ve never experienced child birth but the pain is horrendous. It will wake me up in the middle of the night, happen at work and is just completely random spouts of unbearable pain until at whatever point doesn’t happen again until I am next at the 10 week mark. I’ve recently learned that it’s a lower strength to Depo-Provera and maybe that’s why however I’m confused as to why it’s only started happening. My gp surgery is useless and it the whole process of going back to having the higher strength at the surgery is going to take some time but being able to do it at home is not worth this horrendous ordeal. I would not recommend switching
Top side effects not reported
0 helpful
1 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 weeks ago
This has made my sex life a living hell .I get scared to have sex with my partner since I associate the vaginal dryness with this Depo shot ,the sex is always pain towards the end as there’s not enough lubrication
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
22 years old
🇬🇧 UK
• 14th Feb 26
This was bad experience my stretch marks even increased and low libido is the worst
Very negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 3rd Feb 26
I would have rated this 5 stars last year. I used to be on the depo jab that had to be done at the doctors but I work 12 hour shifts meaning it was a struggle to attended every 12 weeks. So I was over the moon when I found out about sayana press that I could do myself. I usually do the injection around 11 weeks but the last 3 times I get to 10 weeks and get crippling period pain that completely debilitates me. Even after I’ve done the injection this will continue for about a week afterwards. I’ve never experienced child birth but the pain is horrendous. It will wake me up in the middle of the night, happen at work and is just completely random spouts of unbearable pain until at whatever point doesn’t happen again until I am next at the 10 week mark. I’ve recently learned that it’s a lower strength to Depo-Provera and maybe that’s why however I’m confused as to why it’s only started happening. My gp surgery is useless and it the whole process of going back to having the higher strength at the surgery is going to take some time but being able to do it at home is not worth this horrendous ordeal. I would not recommend switching
Top side effects not reported
0 helpful
1 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 3rd Jan 26
Great if you’re looking to prevent pregnancy with less admin. Having the year’s supply ant home and not needing to see a doctor every few months was handy. Stopped my periods aside from some very minimal spotting and my skin was great - I barely had any spots over the years I was on it. I did feel like I was quite numb emotions wise. I didn’t experience mood swings but it was alarming that I often didn’t really feel anything! My libido was extremely low too.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 1st Dec 25
I experience mood swings, low libido, aura migraine, my face got darker than usual and I stopped seeing my period.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 18th Nov 25
I had a very bad experience using this contraceptive. Bad moods, bad skin, bad body image, depression, sweating, low libido. Just bad.
Very positive mood
3 more effects
1 helpful
0 comments
Used for 3 - 5 yr
23 years old
🇬🇧 UK
• 16th Oct 25
It's a good injection for me, I have been using it for longest time since I was 16 years started to use it. Who recommended it? Clinic nurse.
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
17 years old
🇬🇧 UK
• 11th Oct 25
took some time before i ever come here mainly because i was scared , shy , & hated myself for what im about to talk about here❤️ trust me when i say it’s hard ( im even trying not to cry ) shap so i started my pregnancy prevention journey this year on April it’s been 6 months now & never missed even a single dose (big ups!!) Starting it was so fun & games bcs i would notice some changes & that for me was a game changer bcs I’ve always wanned to gain weight so badzzzz ( i lost weight before so starting this journey for me was a bounce back ) may started eating a lot!! , June my periods desappeared July i got some pimples , august i experienced painful headaches, September my mood swings would change here & there & all that came unoticed to me because that one thing I’ve always wanned does not happen im not gaining still , bro im so drained i feel like it’s so useless for me to inject i don’t know but yeah hey i just hope god pulls through im even thinking of leaving it
Very negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
• 11th Oct 25
I have had no negative side effects with Sayana Press and my periods have stopped completely, of the four different contraceptives I've tried over the years, this one is my favourite.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
• 11th Oct 25
Depo-Provera was great for me and it stopped my periods completely. I liked not having to take a pill everyday and I didn't want to get another copper coil so this worked well for me. However after being on it for quite a while I got unlucky and ended up with an abscess at the injection site which eventually had to be operated on, however this could have happened with any kind of injection and was just bad luck. I have since switched to Sayana Press so that I can do my own injections at home and clean the injection site beforehand to prevent another abscess.
Top side effects not reported
0 helpful
0 comments
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