Implant vs Progestogen-only / Mini pill
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Overview
Rated 2.8
632 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1481 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Implant ingredients
Main hormones in Implant
progestogen
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Heavy periods
Ovulation pain
Period pain
Period pain
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Check out our latest reviews
Real life reviews from people like you
Implant reviews
632 reviews
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 1 day ago
Used for 5 years so far. No complaints really. I didnt feel much change to myself till recently. This has been mood swings and irritability but ive been on it 5 years and this only just started. Never fell pregnant. Little to no periods. Would recommend
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 3 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
• 3 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
21 years old
🇬🇧 UK
• 1 day ago
Used for 5 years so far. No complaints really. I didnt feel much change to myself till recently. This has been mood swings and irritability but ive been on it 5 years and this only just started. Never fell pregnant. Little to no periods. Would recommend
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 3 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
• 3 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
Progestogen-only / Mini pill reviews
1481 reviews
Used for 1 - 3 mo
26 years old
🇬🇧 UK
• today
I had my first postpartum period without any birth control and it was a bit heavier than normal (pre-pregnancy comparison) but not too bad honestly, the cramps weren’t horrible either. Then my second period I had been on Slynd for about a month and it was HORRIBLE, I’m a medical nurse and I have an relatively high pain tolerance but I considered going to the hospital. The first night I was having multiple medium sized clots that my coworker said looked like it was uterine lining, heavy heavy bright red bleeding and horrendous cramps that made me want to vomit. Plus my uterus was contracting so much I think I went #2 like 5x that day alone. Day 2 was slightly better with slightly less horrible cramps but still relatively heavy bleeding and some small clots every hour or so. Now day 3 and I’m heavy bleeding still and now have some sharp lower abdomen pain especially when in the motion of going to sit down or stand up. I’m hoping this stops soon because this has been the worst period I think I’ve ever had and pre-pregnancy I thought I had some pretty bad ones. I don’t think I will be continuing this birth control
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 3 weeks ago
I’ve had nothing but cystic acne, heavy bleeding for 2+ weeks at a time, hair growth is still the same rate if not even worse.
Very negative mood
3 more effects
0 helpful
1 comments
Used for 6 - 12 mo
31 years old
🇬🇧 UK
• 1 month ago
I’m generally happy but I was looking for a contraceptive that did not reduce my sex drive and that mission was failed. I tried the coil for 5 years and found that at the end, as it wore off, I started to get my sex drive back and was hoping to keep it. I was recommended the mini pill as a good option by my GP but it still doesn’t work for me. No interest in sex at all.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
26 years old
🇬🇧 UK
• today
I had my first postpartum period without any birth control and it was a bit heavier than normal (pre-pregnancy comparison) but not too bad honestly, the cramps weren’t horrible either. Then my second period I had been on Slynd for about a month and it was HORRIBLE, I’m a medical nurse and I have an relatively high pain tolerance but I considered going to the hospital. The first night I was having multiple medium sized clots that my coworker said looked like it was uterine lining, heavy heavy bright red bleeding and horrendous cramps that made me want to vomit. Plus my uterus was contracting so much I think I went #2 like 5x that day alone. Day 2 was slightly better with slightly less horrible cramps but still relatively heavy bleeding and some small clots every hour or so. Now day 3 and I’m heavy bleeding still and now have some sharp lower abdomen pain especially when in the motion of going to sit down or stand up. I’m hoping this stops soon because this has been the worst period I think I’ve ever had and pre-pregnancy I thought I had some pretty bad ones. I don’t think I will be continuing this birth control
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 3 weeks ago
I’ve had nothing but cystic acne, heavy bleeding for 2+ weeks at a time, hair growth is still the same rate if not even worse.
Very negative mood
3 more effects
0 helpful
1 comments
Used for 6 - 12 mo
31 years old
🇬🇧 UK
• 1 month ago
I’m generally happy but I was looking for a contraceptive that did not reduce my sex drive and that mission was failed. I tried the coil for 5 years and found that at the end, as it wore off, I started to get my sex drive back and was hoping to keep it. I was recommended the mini pill as a good option by my GP but it still doesn’t work for me. No interest in sex at all.
Decreased sex drive
0 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 13th Mar 26
I feel like the mini-pill has changed my life. I used to get so many painful spots on my chin, but now they are cleared up. I have noticed my boobs getting bigger and a bit more sore, and I don't if it is linked, but I am getting cystitis more, but honestly, the impact it has had on my moods has been positive. My periods are non-existence and I just feel like a whole different person (in a good way). I have looked at photos of me when I was off hormonal contraception and I just don't even recognise her. I kind of feel like the mini pill has balanced my hormones (even though the intention of using it was to not get pregnant)
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 12th Mar 26
Started to take them again and noticed that I've been having breast pain for weeks now, alongside this I'm much more tearful. Period cramps were somewhat unbearable.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
31 years old
🇬🇧 UK
• 10th Mar 26
I’ve tried pretty much every form of contraception within 15 years. Implant x3, injection, mini pills, copper coil. The hormonal ones gave me irregular periods and vaginal dryness and the copper coil gave me chronic BV. Since taking Slynd I’ve had none of this. Skin is fine, weight is fine, periods are regular, lighter, shorter. They do not align with the sugar pills but that’s fine. Initially they were a bit irregular but they settled down. Easy to use and remember due to the little packs and stickers they give you. Overall very happy, and can’t say I’ve noticed any side effects. I do already have some symptoms for other health concerns I’m looking into but it’s not made anything worse, and this was pre existing stuff anyway. Might not work for everyone but if you’ve had issues with other contraceptives like me and you don’t want to rely on condoms then I’d give it a go.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 6th Mar 26
I was constantly bleeding and around the third month I started seeing a pattern emerging that essentially flipped my natural cycle: three weeks of bleeding, 4–5 days off, three weeks of bleeding, a couple of days off. It had a bad impact on my mental health, made me feel exhausted most of the time and killed my sex drive, ultimately leading to a breakup.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 8+ yr
30 years old
🇬🇧 UK
• 1st Mar 26
When I was on it I was really pleased with how it was going. I felt balanced due to no periods and lack of mood swings etc. It felt great to not have periods and have that interruption on my life each month. What I didn’t realise until after I came off it after many years of using this pill, the implant and another pill previously was the affect it had had on my arousal/libido, I had always put this down to anxiety, but I feel very confident in saying now that having a true cycle has made a huge difference to this. When on the pill (especially the mini pill) I felt broken as to why I didn’t ever think about sex, but that changed almost instantly when I stopped. I wish I had known how much this would have impacted this. I would use it again, but I would be cautious of this change.
Somewhat positive mood
1 more effect
1 helpful
0 comments
Used for 6 - 12 mo
31 years old
🇬🇧 UK
• 1st Mar 26
I have suspected endometriosis and this has been life-changing for me because it's completely stopped my periods! However, it's also given me spotting after sex and bouts of stubborn thrush. The thrush almost made me quit, but the benefits (no periods or crippling cramps) outweigh the cons. I'm also happy that it hasn't affected my mood at all because previous pills made me extremely depressed.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
18 years old
🇬🇧 UK
• 28th Feb 26
I was so scared to go on this pill because of the mounds of negative stuff on it online as well as my own medical anxiety but it’s the best thing I ever did. Went on it at 17 due to heavy painful long periods and for the first like 6 months? I spotted every day. Which no isn’t ideal but it wasn’t painful. After those 6 months I have not bled or had any period since. My general anxiety has decreased so much after being on the pill and my overall mood. No side effects except maybe a small weight gain. Don’t let bad reviews put you off, this pill works for so many people, it changed me and my friends life for the better
Gained weight
0 helpful
0 comments
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