Injection vs Vaginal ring

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Injection

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Vaginal ring

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Overview

Rated 2.9

307 reviews

Every 2-3 months

Frequency

94% - 99+%

Effectiveness

None

Blood clot risk

Short term

Effect on fertility

Rated 3.6

57 reviews

Every 3 weeks

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Injection ingredients

Main hormones in Injection

progestogen


Vaginal ring ingredients

Main hormones in Vaginal ring

progestogen

oestrogen

What Lowdown reviewers say

31% somewhat negative

70% stopped periods

57% lost sex drive

48% gained weight

46% no impact on skin

Cycle return

42% don’t know impact

49% no impact on mood

53% lighter periods

44% lost sex drive

67% no impact

43% no impact on skin

Cycle return

47% in 1 month

Benefits: What this contraceptive can help with

Endometriosis

Heavy periods

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

Injection reviews

307 reviews

Injection  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Depo-Provera injection  

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

Read more

Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  14th Feb 26

Noristerat injection  

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

Injection  
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
  •  3rd Feb 26

Sayana Press injection  

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

Injection  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Depo-Provera injection  

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

Injection  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  14th Feb 26

Noristerat injection  

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

Injection  
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
  •  3rd Feb 26

Sayana Press injection  

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


Vaginal ring reviews

57 reviews

Vaginal ring  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  4 days ago

NuvaRing  

Have used the ring for a year. In terms of admin it’s an absolute dream. Put it in and set a reminder on my phone to replace in a few weeks. Been absolutely fine for my moods and body and skin, no obvious changes. I take it back to back and have a breakthrough bleed every 3 months. However after about a year on it I’ve developed hormonal post nasal drip, which is driving me absolutely nuts because it’s constant. It’s like I’ve got hayfever. So I’m going to try stopping and see if this resolves. I’m gutted as it was such an easy contraception otherwise.


Somewhat positive mood

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  10th Nov 25

NuvaRing  

This has been one of the worst experiences of my life. It killed my mood completely, I never felt worse about myself and had worse mood swings. Low libido, feeling ugly, body pain... overall, never again.


Very negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  26th Oct 25

NuvaRing  

I had a terrible reaction to this unfortunately, despite my optimism. Main symptoms were intense nausea that caused me to not eat for several days, insane anxiety with some panic attacks (especially as I slept) and some depressive thoughts. I took sick days from work believing it was the flu. I thought there is no way birth control could cause these side effects. After a call with my GP, we suspected it could be the ring. I tried to stick with it but on only day 14, awake at 5am due to recurrent panic attacks, I took it out. The next days were perfect. I ate all the food I could and was so grateful for a restful night's sleep. The difference in how I feel is night and day. I understand that this reaction is probably rare but this is what happened to me.


Very negative mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  4 days ago

NuvaRing  

Have used the ring for a year. In terms of admin it’s an absolute dream. Put it in and set a reminder on my phone to replace in a few weeks. Been absolutely fine for my moods and body and skin, no obvious changes. I take it back to back and have a breakthrough bleed every 3 months. However after about a year on it I’ve developed hormonal post nasal drip, which is driving me absolutely nuts because it’s constant. It’s like I’ve got hayfever. So I’m going to try stopping and see if this resolves. I’m gutted as it was such an easy contraception otherwise.


Somewhat positive mood

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  10th Nov 25

NuvaRing  

This has been one of the worst experiences of my life. It killed my mood completely, I never felt worse about myself and had worse mood swings. Low libido, feeling ugly, body pain... overall, never again.


Very negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  26th Oct 25

NuvaRing  

I had a terrible reaction to this unfortunately, despite my optimism. Main symptoms were intense nausea that caused me to not eat for several days, insane anxiety with some panic attacks (especially as I slept) and some depressive thoughts. I took sick days from work believing it was the flu. I thought there is no way birth control could cause these side effects. After a call with my GP, we suspected it could be the ring. I tried to stick with it but on only day 14, awake at 5am due to recurrent panic attacks, I took it out. The next days were perfect. I ate all the food I could and was so grateful for a restful night's sleep. The difference in how I feel is night and day. I understand that this reaction is probably rare but this is what happened to me.


Very negative mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  3rd Aug 25

SyreniRing  

I suffer with PMDD, making my periods a very awful time for me due to how depressed I feel. I was on the combined pill before, but found this was worsening my emotions and making me feel horrendous. The ring was an idea my GP suggested, thinking that because the ring is a gradual release, that stays in your body for the duration you don’t wish to bleed, it would affect me less. This is absolutely what’s happened and I’m much happier on the ring. I’ve never had any problems with feeling it, I’ve noticed a few reviews stating they bleed through when taking it back to back and from my experience this is the case with most contraception. I wouldn’t recommend if you want to take back to back as you do bleed through.


Very positive mood

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  17th Jun 25

SyreniRing  

I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.


Very positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  13th May 25

NuvaRing  

The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  15th Apr 25

NuvaRing  

I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  22nd Jan 25

NuvaRing  

NuvaRing greatly affected my mood, at one point I thought I had depression and got prescribed antidepressants by incompetent doctors. The second I stopped using NuvaRing (based on INTERNET RECOMMENDATIONS), all my mental problems went away


Very negative mood

1 more effect

1 helpful

0 comments

Vaginal ring  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  29th Nov 24

NuvaRing  

I used the NuvaRing/Syreni ring for over a year without any apparent issues until I began experiencing severe stomach cramps. The pain was so intense that it often woke me up at night, leaving me unable to move or sleep for hours. Despite multiple doctor appointments, my concerns were repeatedly dismissed, and I was left feeling anxious and on edge, uncertain about the cause of my pain. Frustrated with the lack of answers, I decided to take matters into my own hands and removed the ring myself. Remarkably, after five months of excruciating cramps, they stopped immediately upon removal of the ring. It's been five weeks now, and I remain cramp-free. While I cannot say with absolute certainty that the vaginal ring was the cause, the timing feels far too coincidental to ignore.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  29th Aug 24

NuvaRing  

No side effects at all but the ring kept falling out so i always felt it while standing up


Increased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

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