Patch vs Combined pill

Need help choosing? Speak to a doctor
Patch

£From £0.32/day

Combined pill

£From £0.16/day

Overview

Rated 3.5

115 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2633 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Patch ingredients

Main hormones in Patch

progestogen

oestrogen


Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

What Lowdown reviewers say

36% no impact on mood

35% lighter periods

50% no impact

50% no impact

43% no impact on skin

Cycle return

37% don’t know impact

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Try it now

£From £0.32/day

Try it now

£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Patch reviews

115 reviews

Patch  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  6th Aug 25

Evra patch  

I love using the patch. It has made using contraceptive so much easier and I went through a phase of recommending it too everyone I know. I've had a few symptoms recently, but not sure if that is related to the Patch or a different medical issue. In the last year, I've had more hormonal acne than I did before, but that's the main side effect that I would say I've been affected by. We are coming off contraceptive soon, so hoping it is a smooth process

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  5th Jul 25

Evra patch  

I found this much more convenient than a pill as it only has to be thought about each week. The patch cover seemed to often slip leaving the adhesive to get dirty through the week however, and I was told to stop using them after a short time as they brought back migranes that I had not experienced in years.


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  30th Jun 25

Evra patch  

I really liked the patch with my moods, periods, only having to remember once a week to change it, etc, but it gave me a rash. I went to my doctor and was hoping they’d be able to say the rash isn’t a big deal or offer me a patch for more sensitive skin but there isn’t any other patch so sadly I had to come off it and go on the pill


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  6th Aug 25

Evra patch  

I love using the patch. It has made using contraceptive so much easier and I went through a phase of recommending it too everyone I know. I've had a few symptoms recently, but not sure if that is related to the Patch or a different medical issue. In the last year, I've had more hormonal acne than I did before, but that's the main side effect that I would say I've been affected by. We are coming off contraceptive soon, so hoping it is a smooth process


Very positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  5th Jul 25

Evra patch  

I found this much more convenient than a pill as it only has to be thought about each week. The patch cover seemed to often slip leaving the adhesive to get dirty through the week however, and I was told to stop using them after a short time as they brought back migranes that I had not experienced in years.


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  30th Jun 25

Evra patch  

I really liked the patch with my moods, periods, only having to remember once a week to change it, etc, but it gave me a rash. I went to my doctor and was hoping they’d be able to say the rash isn’t a big deal or offer me a patch for more sensitive skin but there isn’t any other patch so sadly I had to come off it and go on the pill


Top side effects not reported

0 helpful

0 comments


Combined pill reviews

2633 reviews

Combined pill  
Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  1 day ago

Zoely pill  

I’ve been on this for 2 1/2 months for perimenopause. My mood has been so bad I’ve had to have 2 weeks off work. I’m tired to the point even the smallest of things seem overwhelming. No sex drive whatsoever and unable to orgasm. I’m crying all the time and my poor husband doesn’t know what to do. The worst pill I’ve ever had.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  5 days ago

Rigevidon  

I have had a positive experience overall with minimal side effects. The most notable was becoming more emotional (crying more easily) but I haven’t minded that.


Somewhat negative mood

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  2 weeks ago

Gedarel 20/150 pill  

I started this pill to help with my hormonal acne that had come on when i was on a different pill so decided i needed a change. Everything was fine for the first week or so, I went abroad and accidentally missed a pill due to different timezones. I bled consistently for 3 weeks after missing one pill. My anxiety has been increased and i am extremely fatigued all the time. I have painful sex, due to hormonal changes and vaginal dryness. I am now coming off this pill for a week to bleed and then i am going back on the pill i was on previously.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  1 day ago

Zoely pill  

I’ve been on this for 2 1/2 months for perimenopause. My mood has been so bad I’ve had to have 2 weeks off work. I’m tired to the point even the smallest of things seem overwhelming. No sex drive whatsoever and unable to orgasm. I’m crying all the time and my poor husband doesn’t know what to do. The worst pill I’ve ever had.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  5 days ago

Rigevidon  

I have had a positive experience overall with minimal side effects. The most notable was becoming more emotional (crying more easily) but I haven’t minded that.


Somewhat negative mood

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  2 weeks ago

Gedarel 20/150 pill  

I started this pill to help with my hormonal acne that had come on when i was on a different pill so decided i needed a change. Everything was fine for the first week or so, I went abroad and accidentally missed a pill due to different timezones. I bled consistently for 3 weeks after missing one pill. My anxiety has been increased and i am extremely fatigued all the time. I have painful sex, due to hormonal changes and vaginal dryness. I am now coming off this pill for a week to bleed and then i am going back on the pill i was on previously.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
22 years old
🇬🇧 UK
  •  2 weeks ago

Millinette 20/75 pill  

Ugh...honestly so sad to be going off this pill. If it weren't for the fact I've completely lose sensation and sex drive I would stay on this for as long as necessary. Made my mood so stable with no other side effects apart from breast tenderness and enlargment, but I'm used to having tender breasts anyway. A lot of spotting in the beginning which was fine, nothing major just wore panty liners.


Very positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Rigevidon  

Amazing compared to the progesterone only pill and progesterone only implant I was on previously. Less mood swings, no depression. Perfect for timing my irregular periods, except the breakthough bleed a couple days before I end my pill packet. DEFINITELY GAINED WEIGHT. Before I was living a bit sedentary, and even when I joined the gym, I was still heavy/gaining weight. Led to breasts and tummy increasing 4 inches each. Will be going back to the gym daily for cardio to maintain / decrease this. My migraines had stopped prior to taking the combined pill, but since having it, I am getting a few more headaches, and sometimes a migraine, but not daily like I used to.


Decreased sex drive

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Lucette pill  

All good so far just really tender breasts but no weight gain and even cleared up my skin!


Improved skin

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
41 years old
🇬🇧 UK
  •  2 weeks ago

Drovelis pill  

When started, my gynecologist said that some spotting is expected. I bled for a whole month, seriously like on a heavy period. Had to treat anemia for months after that. Later everything normalised and my period lasts now 2-3 days which I'm extremely happy about. If you accidentally miss a pill be ready to have period like cramps for a day. Skin became clearer, breasts enlarged a bit, no mood swings. Overall, happy with this pill.


Improved skin

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
41 years old
🇬🇧 UK
  •  2 weeks ago

Drovelis pill  

Was told by my gynaecologist that some spotting in the first month was to be expected and normal. I bled for a month, every day, even more than during my usual period. Had to treat anemia for months after that but it was ok later on. Now my period is bately there, 2-3 days and I'm very happy about it.


Improved skin

0 helpful

0 comments

Combined pill  
Used for 8+ yr
28 years old
🇬🇧 UK
  •  3 weeks ago

Millinette 30/75 pill  

I loved this pill at first and didn’t have any issues. After 4.5 years I started getting severe sharp head pains as well as lower back and pelvic pain which my gp said was from the pill. I swapped to Desogestril which I didn’t like to came off the pill and the pains stopped. I started back on Millinette after a couple of months and have been fine for 5 years until this year I have had an upset stomach and severe dizziness which has been put down to Vestibular Migraines. I have also had severe anxiety. I came off the pill and my stomach has gone back to normal but the constant dizziness, vertigo and severe anxiety is ongoing


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  3 weeks ago

Yasmin pill  

Don’t listen to everyone fear mongering about the combined pill . As a young adult , I’ve had zero issues with taking it . I was at first so so scared of the side effects but I have had zero !! Literally no changed whatsoever. I have endometriosis and pcos and the pill so far hasn’t made a huge difference but then again I don’t have very many symptoms or pain for either of the conditions . No mood swings , no anxiety depression or anything . I feel exactly as before , more balanced maybe ? No weight gain at all , didn’t kill my libido either . Actually I would say it made my libido a bit stronger . No change in personality , sense of smell taste or anything else . I’ve had literally zero effects and feel just like before . So honestly if you’re thinking of going on it , try it for a month , you can always quit if you don’t like it . Remember everyone’s body is different though and may react in a different way.


Increased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

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