Patch vs Combined pill

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Patch

£From £0.32/day

Combined pill

£From £0.16/day

Overview

Rated 3.4

110 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2578 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

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

110 reviews

Patch  
Used for 1 - 3 mo
23 years old
🇬🇧 UK
  •  5 days ago

Evra patch  

Been using the patch for 1 month now. The first 2 weeks weren’t great, I was having intense mood swings and irritability which was not like myself. I also experienced headaches during the first 2 weeks which now seem to be a lot better. By the third week things started to settle and my moods became better and less intense. On the patch free week I experienced bleeding and stomach pain (similar to a normal period) I’ve also noticed my skin has gotten worse as I very rarely get spots but have had quite a few breakouts since beginning the patch. I haven’t noticed any weight gain but slight breast enlargement. Overall, I would recommend the patch due to quite a lot of the side effects being temporary and as someone who struggles with contraception this has been the best one so far.

Read more

Somewhat negative mood

2 more effects

1 helpful

0 comments

Patch  
Used for 3 - 6 mo
35 years old
🇬🇧 UK
  •  3 weeks ago

Evra patch  

I went back on the patch a few months ago as it's probably my most preferred form of contraception (I'm often not on any and am reluctant to use anything but needs must). I actually have fallen pregnant on the patch in the past and have a 5 year old son to show for it but so far this time round it seems to be doing the job. Pros: It's so easy to use, changing once a week is so much easier than trying to remember a pill each day. I usually use the whole pack back to back so appreciate less frequent periods. It stays put with no issue at all. Cons: My moods have been awful, to the point I feel quite depressed some of the time, I'm crying a lot and not coping with challenges very well as I normally would. My periods are generally heavier, I have a couple of days of constantly leaking through tampons in a very short space of time. I'm getting headaches quite regularly which won't shift with painkillers. Also feel nauseous quite often. This month have started breakthrough bleeding after just a couple of weeks since last patch free week. Overall, not loving it at the moment. However I've had such bad experiences with other forms of contraception that I still think this is the best of a bad bunch. Really rate the convenience of it. No noticeable difference to weight or skin thankfully.


Somewhat negative mood

1 helpful

0 comments

Patch  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  2nd Mar 25

Evra patch  

I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.


Very negative mood

2 more effects

2 helpful

1 comments

Patch  
Used for 1 - 3 mo
23 years old
🇬🇧 UK
  •  5 days ago

Evra patch  

Been using the patch for 1 month now. The first 2 weeks weren’t great, I was having intense mood swings and irritability which was not like myself. I also experienced headaches during the first 2 weeks which now seem to be a lot better. By the third week things started to settle and my moods became better and less intense. On the patch free week I experienced bleeding and stomach pain (similar to a normal period) I’ve also noticed my skin has gotten worse as I very rarely get spots but have had quite a few breakouts since beginning the patch. I haven’t noticed any weight gain but slight breast enlargement. Overall, I would recommend the patch due to quite a lot of the side effects being temporary and as someone who struggles with contraception this has been the best one so far.


Somewhat negative mood

2 more effects

1 helpful

0 comments

Patch  
Used for 3 - 6 mo
35 years old
🇬🇧 UK
  •  3 weeks ago

Evra patch  

I went back on the patch a few months ago as it's probably my most preferred form of contraception (I'm often not on any and am reluctant to use anything but needs must). I actually have fallen pregnant on the patch in the past and have a 5 year old son to show for it but so far this time round it seems to be doing the job. Pros: It's so easy to use, changing once a week is so much easier than trying to remember a pill each day. I usually use the whole pack back to back so appreciate less frequent periods. It stays put with no issue at all. Cons: My moods have been awful, to the point I feel quite depressed some of the time, I'm crying a lot and not coping with challenges very well as I normally would. My periods are generally heavier, I have a couple of days of constantly leaking through tampons in a very short space of time. I'm getting headaches quite regularly which won't shift with painkillers. Also feel nauseous quite often. This month have started breakthrough bleeding after just a couple of weeks since last patch free week. Overall, not loving it at the moment. However I've had such bad experiences with other forms of contraception that I still think this is the best of a bad bunch. Really rate the convenience of it. No noticeable difference to weight or skin thankfully.


Somewhat negative mood

1 helpful

0 comments

Patch  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  2nd Mar 25

Evra patch  

I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.


Very negative mood

2 more effects

2 helpful

1 comments


Combined pill reviews

2578 reviews

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

Ambelina pill  

my pharmacy moved me to this pill when my previous one was not available. I was hesitent at first but found it lightened my discharge which was always so heavy on my previous pill. I was forced to stop this pill due to unavailbilty but i am currently trying to get it back because after a month back on my old pill i am now seeing how much better this one was for me. I didnt notice the positive changes until i had to go back onto my old one. But if anything that is a good thing to me because it felt natural.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  2 days ago

Rigevidon  

It was good in the sense that my “cycle” felt really regular and I had very consistent moods which felt good as it avoided the PMS I used to get. The peace of mind as a contraceptive method was also good. Whilst I was on it I didnt realise anything significantly different about myself. However, when I came off it i didnt realise how much of my self it had suppressed - in terms of feeling alive to the word and sexually charged. I now use condoms/ may consider the localised hormonal coil as I am no longer interested in experiencing such significant changes in myself for contraception.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  3 days ago

Millinette 20/75 pill  

Within 48 hours of swallowing the first tablet I started to have Brown discharge which has grown into what would be described as a full on period with horrendous stomach ache, it will be 2 weeks on Sunday since I swallowed the first tablet. I'm assuming this is the breakthrough bleeding and my body needs to adjust but anyone else experienced this?


Top side effects not reported

0 helpful

0 comments

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

Ambelina pill  

my pharmacy moved me to this pill when my previous one was not available. I was hesitent at first but found it lightened my discharge which was always so heavy on my previous pill. I was forced to stop this pill due to unavailbilty but i am currently trying to get it back because after a month back on my old pill i am now seeing how much better this one was for me. I didnt notice the positive changes until i had to go back onto my old one. But if anything that is a good thing to me because it felt natural.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  2 days ago

Rigevidon  

It was good in the sense that my “cycle” felt really regular and I had very consistent moods which felt good as it avoided the PMS I used to get. The peace of mind as a contraceptive method was also good. Whilst I was on it I didnt realise anything significantly different about myself. However, when I came off it i didnt realise how much of my self it had suppressed - in terms of feeling alive to the word and sexually charged. I now use condoms/ may consider the localised hormonal coil as I am no longer interested in experiencing such significant changes in myself for contraception.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  3 days ago

Millinette 20/75 pill  

Within 48 hours of swallowing the first tablet I started to have Brown discharge which has grown into what would be described as a full on period with horrendous stomach ache, it will be 2 weeks on Sunday since I swallowed the first tablet. I'm assuming this is the breakthrough bleeding and my body needs to adjust but anyone else experienced this?


Top side effects not reported

0 helpful

0 comments

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

Rigevidon  

It was working perfectly fine at first, was helping me with unbearable cramps and nausea, but after about four months of use, I wasn't feeling like myself at all. It made my anxiety so much worse that is was making me nauseous and kept giving me heart palpitations and trembling limbs. I've had a major loss of appetite which is really bad for someone who is already considered underweight for her age. I couldn't tell the difference between feeling hungry or feeling sick, but whenever I did eat, I continued to feel this way. I became so emotionally unstable that I was in a near constant state of dread for no apparent reason and would be crying without even being upset, every day. I struggled to sleep with the increased negative mood, the only think to help me sleep was to listen to educational videos in the background to distract me from the anxiety and nausea. I took travel pills to alleviate both of these which is working well and helping me sleep, and two days after stopping with the pill, my mood has been gradually improving. I'm still getting heart palpitations and tearing up a little at times, butI'm starting to feel like myself again. I wouldn't recommend rigevidon if you have a history with anxiety or depression. Made my hormones go haywire, lost my already small appetite, and messed around a whole lot with my sleep schedule.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  4 days ago

Lucette pill  

Really helpful for my moods, only 10 months in did i randomly experience breast secretion and so swapped to the sister pill eloine with less oestrogen


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  5 days ago

Drovelis pill  

I've been on it for a year and a half, it made me gain 10 kgs (even though I work out more than usual and eat a healthy diet), especially weight in my lower stomach, I have a pooch now and am always bloated, which is very uncomfortable. It also made me go up two cup sizes, I was a B cup before starting this contraception and now am a D cup. I also lost all my sex drive and it makes me really moody. I was hoping to be a fan since it's supposed to be less hormones than other pills but unfortunately my body did not react well to it.


Very negative mood

2 more effects

1 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  5 days ago

Drovelis pill  

Experiences severe pms before taking this pill, first tried deso 30 again as I used it in the past, but I definitely gained weight with that one and still experienced feelings of depression every now and then. With this pill, I still have my normal weight and I feel like any dark feelings are almost gone, sometimes I still have an off day ofcourse. Overall I am very happy; clear skin, I am feeling great, and my weight is normal.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  1 week ago

Eloine pill  

So I might just be allergic to the pill. I was given this as it's low dose and I've had strong reactions to everything else. I had an anxiety attack on the first day, then couldn't stop crying on the second so I stopped it quickly. I had started it because I was feeling really good so thought I could cope with the mood changes but they were so severe it scared me. I've then had a horrible period in the month after and back at square 1.


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  2 weeks ago

Levest pill  

Ive been on 3 different pills and Levest was my long term. My skin got clearer and my periods have been much more managable (I used to be prescribed meds for pain control). However the main effect is decreased sex drive dramatically and just feeling 'meh' all the time very dampened emotions over everything. Not many highs not many lows just an overall feeling of meh.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Zoely pill  

My psychiatrist put me on Zoely in August of 2024, I had recently been diagnosed with PMDD (pre menstrual dysphoric disorder) and was at a point in my life where if I didn’t find a way to manage the symptoms I was at breaking point. I’d been misdiagnosed with bipolar, major depression, borderline personality disorder and had been on a rollercoaster of treatments from ages 13-30. So I was hesitant to trust this psychiatrist and go on another potentially damaging rollercoaster of meds. Alas, after 3 weeks I noticed dramatic changes to my moods, I was balanced! I felt in control, grounded and sane! Obviously my period stopped and my cycle was no longer existent but this medication saved my life, my relationship, my mental health and gave me back my life! The only negative side is my low to zero sex drive, that’s been tough but I’m navigating it now, my partner doesn’t feel desirable because I don’t want sex.. like ever but we are both just happy to have a peaceful life without the ups and down. It seems like a fair trade to me. So very grateful for this medication.


Very positive mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

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