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

102 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2485 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

35% no impact on mood

35% lighter periods

51% no impact

47% no impact

44% no impact on skin

Cycle return

36% in 1 month

32% somewhat negative

48% 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

102 reviews

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Evra patch  

I mean, it did its job and I'm not pregnant. However, after 6 months of use, my periods started being irregular, I was starting them on the patch and stopping midway through patch free week, which was very annoying. The biggest issue was when I bled for a month constantly. They run all the tests, nothing was wrong with my body - it was the patch causing it and I was told to change the method. Now I'm on a Ring, let's see how it goes...

Read more

Very negative mood

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  31st Aug 24

Evra patch  

After switching from the combined pill due to depression, I was interested in the patch as I could change it weekly instead of remembering to take a pill everyday. I started the patch and my periods became regular and my mood increased greatly, I do experience bad PMS but It is much better compared to when I was on the pill. I do get cramps sometimes between periods but nothing too bad. You can also use the patch to skip periods but I enjoy having a regular “cycle” and when I did use it to skip a period for a holiday I ended up spotting for a month! Overall the patch is great for me and I don’t plan on changing as it has helped my mental health so much.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  24th Aug 24

Patch  

I had near constant breakthrough bleeding the entire time


Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Evra patch  

I mean, it did its job and I'm not pregnant. However, after 6 months of use, my periods started being irregular, I was starting them on the patch and stopping midway through patch free week, which was very annoying. The biggest issue was when I bled for a month constantly. They run all the tests, nothing was wrong with my body - it was the patch causing it and I was told to change the method. Now I'm on a Ring, let's see how it goes...


Very negative mood

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  31st Aug 24

Evra patch  

After switching from the combined pill due to depression, I was interested in the patch as I could change it weekly instead of remembering to take a pill everyday. I started the patch and my periods became regular and my mood increased greatly, I do experience bad PMS but It is much better compared to when I was on the pill. I do get cramps sometimes between periods but nothing too bad. You can also use the patch to skip periods but I enjoy having a regular “cycle” and when I did use it to skip a period for a holiday I ended up spotting for a month! Overall the patch is great for me and I don’t plan on changing as it has helped my mental health so much.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  24th Aug 24

Patch  

I had near constant breakthrough bleeding the entire time


Somewhat negative mood

1 more effect

0 helpful

0 comments


Combined pill reviews

2485 reviews

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

Drovelis pill  

Drovelis was my first ever contraceptive pill. While I experienced very slight dizziness during the first month of taking it, this no longer persists and the only major side effect I got was breast enlargement and tenderness which started during 2nd month of taking this pill (which - enlargement - I actually absolutely loved).


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
39 years old
🇬🇧 UK
  •  4 days ago

Qlaira pill  

Start of it was great, made my periods less painful and lighter. After a while periods came back to lasting a long time, got extreme period pains, discharge in my nipple, blood clot in my leg and they said it was dangerous to continue it’s use since I’m a smoker.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Gedarel 20/150 pill  

At the start all was going great but in the last 2/3 months things have started going really downhill, I have started shedding hair at an alarming rate, I have gained weight, I have developed thrush on my boob, my eczema is awful, the skin on my face is so oily, I constantly feel down and sad which I used to only experience when I was in the week before my period. It’s definitely not a long term solution.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Drovelis pill  

Drovelis was my first ever contraceptive pill. While I experienced very slight dizziness during the first month of taking it, this no longer persists and the only major side effect I got was breast enlargement and tenderness which started during 2nd month of taking this pill (which - enlargement - I actually absolutely loved).


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
39 years old
🇬🇧 UK
  •  4 days ago

Qlaira pill  

Start of it was great, made my periods less painful and lighter. After a while periods came back to lasting a long time, got extreme period pains, discharge in my nipple, blood clot in my leg and they said it was dangerous to continue it’s use since I’m a smoker.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Gedarel 20/150 pill  

At the start all was going great but in the last 2/3 months things have started going really downhill, I have started shedding hair at an alarming rate, I have gained weight, I have developed thrush on my boob, my eczema is awful, the skin on my face is so oily, I constantly feel down and sad which I used to only experience when I was in the week before my period. It’s definitely not a long term solution.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Zoely pill  

unfortunately caused severe negative effects on my mental health and quality of life. increased anxiety & depression (both were constant) and drastically reduced my confidence and body image. all symptoms intensified the week before a period was due - body image was so poor i wouldn't leave the house or wear anything other than baggy clothes, felt suicidal, cried over nothing, lost all motivation/drive, couldn't concentrate + poor short term memory, felt worthless, anhedonic, insomnia that was worst the few days before a bleed, and persistent fatigue & lethargy. i did try to stick it out as i assumed it was pre-existing conditions causing my symptoms, but they got progressively worse the longer i was on it. after i came off the pill i noticed pretty rapid improvement in my self confidence and overall mental health.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Rigevidon  

This was my first contraception given to me by my GP at age 19. I believe Rigevidon is the cheapest which is why often it is what many are prescribed, that is what I learned from watching a doc by Davina McCall! It took me years to realise my mood swings and emotional outbursts were a side effect, not a true reflection of who I was. I felt like I had too many artificial hormones inside affecting my mental heath and the close relationships around me. I also suffered with acne. Once I moved to the implant (which really wasn’t a scary or painful procedure), mentally I have been in such a better place.


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  3 weeks ago

Rigevidon  

I was prescribed this pill mainly for my moods and it really did help. I was taking the pill for many years and every month when I had my break in tablets I would get a headache. I thought it was a symptom of PMS but after having a pill review with my GP they advised me to stop taking it. Since I stopped I haven’t had one headache which is quite worrying. They always ask about migraines in the questionnaire but never headaches so it didn’t even occur to me that it might be the pill causing this


Very positive mood

0 helpful

0 comments

Combined pill  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  1 month ago

Microgynon 30 ED pill  

I was automatically put on the pill as soon as i became sexually active, within 6 months of this I was on put on antidepressants, of course I didn’t realise and wasn’t told the possibility of a connection. I conceived my 2nd child whilst on the pill. As I got older and became single again I came off the pill and saw a huge change in myself, I also came off the antidepressants easily and felt healthier mentally, I also felt an increase in libido….Something I lost completely whilst on the pill. I’m now dating again and looking for an alternative contraceptive as I cannot go back to how I was before. I also recently found out that the pill can contribute to the production of gallstones.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Dretine pill  

I’ve been taking this for over a month and I’ve had terrible skin, I’ve never had spots in my life and I’ve got so many. I’ve also rarely ever had thrush, which I have now read is a common side effect. Also some hair loss. Not a great pill at all, have stopped taking completely.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Rigevidon  

Started off on this pill, I'm one of those lucky people who are never sick but while on this pill I would quite regularly feel nauseous a few hours after taking it and on about 5 occasions would vomit aswell, which for me was very unusual but after switching to a different pill these side effects went away.


Worse skin

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Yasmin pill  

I got prescribed the combination pill due to recurring endometrial polyps. I'm pretty happy with this pill, it took me 3 months to adapt to taking it with frequent mood swings, irritation and sore breasts in the beginning, but once I got past that I really saw the benefits. My hair had been progressively thinning for 3 years before I started this medication, let me confirm that as soon as I started taking this it went away like magic. My hair is thicker and my hairline is barely visible now, it's so much thicker and I'm thrilled. No pregnancies on this pill either so it does work. I do still have tender breasts from time to time and some light cramping but I still feel it's worth taking. 9/10 recommend.


Somewhat positive mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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