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

116 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2672 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

49% no impact

50% no impact

44% no impact on skin

Cycle return

37% don’t know impact

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

43% 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

116 reviews

Patch  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

Went on the patch having been on the implant previously. On the implant I had lots of spotting which thankfully went away on the patch. However I have definitely noticed a distinct rise in anxiety since being on the patch over the last year - enough to stop me wanting to go to things like the theatre or going on tours without getting sweaty. I also think it's killed my sex drive so I'm going to go off it and seek alternative contraception. Its a shame because I do find it convenient and have felt very protected on it. My period increased its flow a lot during the period week and I also got bad headaches around that week which I wasn't used to. Sad to have to change but dont like the quality of life.

Read more

Somewhat negative mood

1 more effect

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 12 - 18 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

Went on the patch having been on the implant previously. On the implant I had lots of spotting which thankfully went away on the patch. However I have definitely noticed a distinct rise in anxiety since being on the patch over the last year - enough to stop me wanting to go to things like the theatre or going on tours without getting sweaty. I also think it's killed my sex drive so I'm going to go off it and seek alternative contraception. Its a shame because I do find it convenient and have felt very protected on it. My period increased its flow a lot during the period week and I also got bad headaches around that week which I wasn't used to. Sad to have to change but dont like the quality of life.


Somewhat negative mood

1 more effect

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


Combined pill reviews

2672 reviews

Combined pill  
Used for 6 - 12 mo
26 years old
🇬🇧 UK
  •  1 day ago

Levest pill  

Before I started contraception, I used to feel horribly sad around four days before I started my period. I knew it was my hormones making me feel this way, and I felt powerless. Since starting Levest, that has gone! My skin feels clearer too, I still get the occasional spot but they don’t seem to get as bad as they did before. I get tender breasts and light crawling around a week before going on my break week, which is similar to before, but now my breasts don’t get as painful. My periods now are more painful than they used to be on the first day, but the cramps are sorted quickly with a big breakfast and paracetamol, with no pain after the first day. They also come on the same day each cycle, are shorter than before, and tail off quicker. I also get a headache for a day or two during my break week - in the first couple of months of taking Levest, the headaches were almost unbearable, lasting a up to three days, but have got less painful and last a shorter amount of time as each month passed. On month seven, the headache was only mild and only lasted a day, which I’m counting as a win. My breasts seem to have got bigger, and I’ve put on about half a stone in six months - which is neither here nor there really, but I do feel like I’ve changed shape more than putting on weight? Some of my jeans no longer fit, but they did when I was a similar weight previously… I may try a tablet with a lower dose of oestrogen after this box of pills, to try to eliminate the headaches completely if they don’t go themselves, but they are nowhere near as bad as they were at the start.


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
25 years old
🇬🇧 UK
  •  2 days ago

Gedarel 20/150 pill  

Reduced my period pains massively. I used to get really really bad period pains before I got put on this pill, once I was put on it, I still got pains but nowhere near as bad as they were.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Lucette pill  

I have been on this pill for about 2 months and already have had a far better experience then I had on my pervious on.How ever the only think I have really noticed a difference is my appetite has increased quite a bit .surprisingly I was preparing myself for my sex drive to completely change and lose it all but it has actually been somewhat the same


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
26 years old
🇬🇧 UK
  •  1 day ago

Levest pill  

Before I started contraception, I used to feel horribly sad around four days before I started my period. I knew it was my hormones making me feel this way, and I felt powerless. Since starting Levest, that has gone! My skin feels clearer too, I still get the occasional spot but they don’t seem to get as bad as they did before. I get tender breasts and light crawling around a week before going on my break week, which is similar to before, but now my breasts don’t get as painful. My periods now are more painful than they used to be on the first day, but the cramps are sorted quickly with a big breakfast and paracetamol, with no pain after the first day. They also come on the same day each cycle, are shorter than before, and tail off quicker. I also get a headache for a day or two during my break week - in the first couple of months of taking Levest, the headaches were almost unbearable, lasting a up to three days, but have got less painful and last a shorter amount of time as each month passed. On month seven, the headache was only mild and only lasted a day, which I’m counting as a win. My breasts seem to have got bigger, and I’ve put on about half a stone in six months - which is neither here nor there really, but I do feel like I’ve changed shape more than putting on weight? Some of my jeans no longer fit, but they did when I was a similar weight previously… I may try a tablet with a lower dose of oestrogen after this box of pills, to try to eliminate the headaches completely if they don’t go themselves, but they are nowhere near as bad as they were at the start.


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
25 years old
🇬🇧 UK
  •  2 days ago

Gedarel 20/150 pill  

Reduced my period pains massively. I used to get really really bad period pains before I got put on this pill, once I was put on it, I still got pains but nowhere near as bad as they were.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Lucette pill  

I have been on this pill for about 2 months and already have had a far better experience then I had on my pervious on.How ever the only think I have really noticed a difference is my appetite has increased quite a bit .surprisingly I was preparing myself for my sex drive to completely change and lose it all but it has actually been somewhat the same


Top side effects not reported

0 helpful

0 comments

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

Yasmin pill  

Overall a good experience. Main side effects were becoming more irritable and increased body odour


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Qlaira pill  

It is great overall, but I spot every month on days 14-19 like clockwork. I like the pill so I am hesitant to switch.


Improved skin

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
27 years old
🇬🇧 UK
  •  1 week ago

Microgynon 30 pill  

I’ve been on this pill for many years. As a positive side effect, it helped with my acne, which makes sense as I used to have high testosterone levels. However, over the past few years I’ve started getting night sweats during the break week and noticed an increase in my blood pressure.


Improved skin

0 helpful

0 comments

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

Gedarel 20/150 pill  

Took this pill for around 4 months and it was really good, only issue I had with it was that I was getting pretty bad headaches around my period which I'd only started having since going on this pill. I switched to a different pill to try and stop this issue but had a very negative experience with mood swings and it made me realise that Gederel is actually a very good pill and helped with my mood and anxiety - makes the headaches worth it😂


Somewhat positive mood

0 helpful

0 comments

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

Millinette 20/75 pill  

This is the 3rd pill I've tried and unfortunately since being on this one I've had horrible mood swings and been more emotionally down - I'm normally quite a happy bubbly person but this pill has made me quite miserable and leaves me feeling as though I'm not in control of my emotions.


Very negative mood

1 more effect

0 helpful

0 comments

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

Millinette 30/75 pill  

Hormonally numbed me. Kept me very flat with no fluctuations in moods at all. Improved my skin but led to continuous cystitis that often spiralled into kidney infections


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
18 years old
🇬🇧 UK
  •  2 weeks ago

Yasmin pill  

VERY mixed emotions about Yasmin. I've been on it for ages, and I'm still on it. yes the boobs grow a lot. at the beginning my mood changes were crazy I thought I was losing my mind. Anxiety and depression symptoms surfaced (mostly anxiety - intense panic attacks), when I didn't have issues with it prior. They're still there but after years of dealing with it I don't notice as much as I used to. I have noticed that water retention is a big issue, as well as increased appetite - it's much harder to lose weight on the pill compared to off it. I also have an extremely lower libido, like crazy low. My skin cleared so fast and i had really bad dermatitis around my mouth and nose, not to mention hormonal acne on the rest of my face - now i get pimples almost never. Also please please be careful when drinking if you've newly started the pill, it made me a lightweight overnight i swear. Also I skip the sugar pills most of the time, only having my period about 3 times a year which is FANTASTIC


Somewhat negative mood

3 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

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