Patch vs Combined pill

Need help choosing? Speak to a doctor
Patch

£From £0.32/day

Combined pill

£From £0.16/day

Overview

Rated 3.4

111 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2587 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

111 reviews

Patch  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  5 days ago

Evra patch  

I would highly recommend using the patch if you want a form of contraception that can easily fit around your life. Doctors will be very quick to try and prescribe the pill or the coil and will rarely mention the patch. The patch makes it easier to absorb hormones instead of digesting them like you do with the pill. It’s great not having a luteal phase which makes me feel really low anymore. My mood is stable and my skin has improved a lot. The only negative side effects I would say I’ve experienced is more difficulty in my vagina lubricating itself and water retention making me feel like I’m more bloated/ added on weight. However the latter could be due to other factors and I’ve found that I can manage it with exercising more.

Read more

Improved skin

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
23 years old
🇬🇧 UK
  •  1 month 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
  •  24th Apr 25

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 3 - 6 mo
23 years old
🇬🇧 UK
  •  5 days ago

Evra patch  

I would highly recommend using the patch if you want a form of contraception that can easily fit around your life. Doctors will be very quick to try and prescribe the pill or the coil and will rarely mention the patch. The patch makes it easier to absorb hormones instead of digesting them like you do with the pill. It’s great not having a luteal phase which makes me feel really low anymore. My mood is stable and my skin has improved a lot. The only negative side effects I would say I’ve experienced is more difficulty in my vagina lubricating itself and water retention making me feel like I’m more bloated/ added on weight. However the latter could be due to other factors and I’ve found that I can manage it with exercising more.


Improved skin

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
23 years old
🇬🇧 UK
  •  1 month 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
  •  24th Apr 25

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


Combined pill reviews

2587 reviews

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

Mercilon pill  

Vagina is very dry and sex has become a chore as I also have a low sex drive now


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Brevinor pill  

This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.


Top side effects not reported

0 helpful

0 comments

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

Marvelon pill  

Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Mercilon pill  

Vagina is very dry and sex has become a chore as I also have a low sex drive now


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Brevinor pill  

This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.


Top side effects not reported

0 helpful

0 comments

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

Marvelon pill  

Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Microgynon 30 pill  

Gave me cystitis all the time and even after coming off I keep getting it after seeing a specialist they told me it’s due to the The pill, lowering my oestrogen


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

I thought i had gotten on well with Gedarel, didn’t have side effects really and took it continuously to not have periods which only about every 6mnths got beeak-through bleeding, the periods during a pill break were getting heavier each time though. only after coming off it and changing to the mini pill did I realise my sez drive was affected by it as it came back to my normal and my mood felt more stable generally also? The reason for switching was because I had one really bad migrane (and no history of it)


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Brevinor pill  

nknkn


Very positive mood

0 helpful

0 comments

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

Microgynon 30 ED pill  

I started this pill 4 months ago, and i’ve noticed that i’ve bruised a lot, especially on my arms knees legs etc. i had swapped birth controls> from the injection seyena press to the combined pill and the injection, i had no period for the 2 year period i was using, started the pill and have had 2 quite big heavy periods- having a clear out isn’t an issue but the pain i am in is a lot. either way this pill is great whilst using for 4 months+ :)


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

I really didn't like this pill. It caused my mood to plummet, and I gained weight on it.


Very negative mood

2 more effects

0 helpful

0 comments

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

Femodette pill  

I was prescribed Femodette because I wanted a COC pill that would not cause my mood to worsen. It didn't have any impact on my mood, which is great, but the weight gain I experienced on this pill made me consider alternative methods of contraception.


Increased sex drive

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  1 month 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

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

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