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

108 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2563 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

49% no impact

43% no impact on skin

Cycle return

37% don’t know impact

31% 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

108 reviews

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.

Read more

Very negative mood

2 more effects

1 helpful

1 comments

Patch  
Used for 3 - 6 mo
44 years old
🇬🇧 UK
  •  22nd Feb 25

Evra patch  

Breast tenderness and headaches


Decreased sex drive

0 helpful

1 comments

Patch  
Used for 6 - 12 mo
27 years old
🇬🇧 UK
  •  21st Feb 25

Evra patch  

First few months were GREAT- my skin and hair looked amazing, breasts looked the best they'd ever looked, periods were regular and only negative side effects I had were nausea and breast tenderness. Did not have big issues with the adhesive, even though I have sensitive skin, and was not bothered by the lint that stuck to the edges of the patch (I stuck it to my tummy or my bum so it was hidden by clothes anyway). Thought it was a blessing for the first 4 months on it. Started having issues further in, due to the high levels of oestrogen, where I began having extremely heavy and longer periods and went on to have daily pelvic pain after about 8 months on the patch... now on the waiting list to see if I have endometriosis. The patch itself did not negatively impact my sex drive and it did not worsen my anxiety (I did cry more and have some brain fog though). I only gained a small amount of weight and my body looked the best it ever has. Overall, it didn't work for me and has potentially worsened endometriosis (high oestrogen can feed endo), but it has prevented pregnancy and it is so convenient and harder to mess up than taking a pill every day.


Improved skin

0 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

1 helpful

1 comments

Patch  
Used for 3 - 6 mo
44 years old
🇬🇧 UK
  •  22nd Feb 25

Evra patch  

Breast tenderness and headaches


Decreased sex drive

0 helpful

1 comments

Patch  
Used for 6 - 12 mo
27 years old
🇬🇧 UK
  •  21st Feb 25

Evra patch  

First few months were GREAT- my skin and hair looked amazing, breasts looked the best they'd ever looked, periods were regular and only negative side effects I had were nausea and breast tenderness. Did not have big issues with the adhesive, even though I have sensitive skin, and was not bothered by the lint that stuck to the edges of the patch (I stuck it to my tummy or my bum so it was hidden by clothes anyway). Thought it was a blessing for the first 4 months on it. Started having issues further in, due to the high levels of oestrogen, where I began having extremely heavy and longer periods and went on to have daily pelvic pain after about 8 months on the patch... now on the waiting list to see if I have endometriosis. The patch itself did not negatively impact my sex drive and it did not worsen my anxiety (I did cry more and have some brain fog though). I only gained a small amount of weight and my body looked the best it ever has. Overall, it didn't work for me and has potentially worsened endometriosis (high oestrogen can feed endo), but it has prevented pregnancy and it is so convenient and harder to mess up than taking a pill every day.


Improved skin

0 helpful

0 comments


Combined pill reviews

2563 reviews

Combined pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  today

Rigevidon  

For me personally, the pill is great for periods. I haven’t had a period while using it. However, I did have 1-2 weeks of very light breakthrough bleeding. I found the pill made me severely depressed and I had absolutely no energy. I felt like I was just existing and not living. I was crying everyday and thinking everyone hated me. It also made me lose all my confidence I took so long to gain (I had none). Since being off it for 3 days I’ve seen a huge difference in my energy and my mood is slowly getting better. It didn’t make me gain weight as such, but my stomach is usually flat and now it’s round and more bloated. I’m hoping this will go away. I’d say I’ve gained more fat on my stomach than weight. I am more then happy to answer any questions <3


Very negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 30/150 pill  

while it's generally alright while I'm on it, the periods are terrible. way more painful than normal and extremely heavy. I've gotta give it credit for the skin though- alot clearer than before


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Yaz pill 🇺🇸  

Please consider the effects AFTER you stop taking Yaz or Eloine (same pill different brand). I never had acne or even spots my whole life and 4 months after stopping Yaz I got post-pill acne. My whole face is red and scarred and there isn’t a part of it that isn’t swollen and bumpy with cystic acne. If I could show you photos you would immediately think twice about trying an anti-androgen contraceptive like Yaz/eloine. I have tried everything with my derm to cure the acne but I wish I had known before taking yaz that this might happen when I stopped. I’m honestly devastated. It’s now been two years since I stopped yaz..


Very negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  today

Rigevidon  

For me personally, the pill is great for periods. I haven’t had a period while using it. However, I did have 1-2 weeks of very light breakthrough bleeding. I found the pill made me severely depressed and I had absolutely no energy. I felt like I was just existing and not living. I was crying everyday and thinking everyone hated me. It also made me lose all my confidence I took so long to gain (I had none). Since being off it for 3 days I’ve seen a huge difference in my energy and my mood is slowly getting better. It didn’t make me gain weight as such, but my stomach is usually flat and now it’s round and more bloated. I’m hoping this will go away. I’d say I’ve gained more fat on my stomach than weight. I am more then happy to answer any questions <3


Very negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 30/150 pill  

while it's generally alright while I'm on it, the periods are terrible. way more painful than normal and extremely heavy. I've gotta give it credit for the skin though- alot clearer than before


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Yaz pill 🇺🇸  

Please consider the effects AFTER you stop taking Yaz or Eloine (same pill different brand). I never had acne or even spots my whole life and 4 months after stopping Yaz I got post-pill acne. My whole face is red and scarred and there isn’t a part of it that isn’t swollen and bumpy with cystic acne. If I could show you photos you would immediately think twice about trying an anti-androgen contraceptive like Yaz/eloine. I have tried everything with my derm to cure the acne but I wish I had known before taking yaz that this might happen when I stopped. I’m honestly devastated. It’s now been two years since I stopped yaz..


Very negative mood

3 more effects

0 helpful

0 comments

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

Yasmin pill  

Has been really helpful for my moods as i would get bad pms, i feel a lot more stable through the months. i gained a lot of weight at one point but then lost it. my boobs consistently got bigger, at certain times in the month they are very very tender. i had lost my sex drive for a few months when i first started but it then came back, but i was really not eager for anything for ages. It’s helped my back and chest acne, and my face is better but has flare ups. I get a period every 3 months but it lasts like 14 days but not that heavy.


Somewhat positive mood

3 more effects

0 helpful

0 comments

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

Yasmin pill  

I have been on 3 different pills 10 years ago of which the last one was a pill prescribed for acne, before I decided to switch to a non-hormonal IUD, which resulted into heavy-flow periods that looked like someone had stabbed me everytime I got my period. I never had a heavy flow period but the copper IUD definitely increased this. After 2 years, I switched to the hormonal IUD Mirena and no complaints except that my hormonal acne is still present. I actually lost weight and no more periods. I went to my Gyno to ask for a solution against my acne and she prescribed the Yasmin pill. I took it and stopped after 9 days because I got super lethargic, emotional and cried almost every day, I started getting cystic acne even though I never had any cystic acne before, but a few small pimples on my jawline & chin. My breast were tender and in pain, I felt nauseous and I got 4 headaches in 9 days. Generally I don't get 5 headaches, maybe a maximum of 3-5 per year and that's it and my breasts are tender & in pain only when I am on my period. Needless to say that, I was not willing to go through the 3-month period with these symptoms just to see if my acne can disappear. I feel like there is no miracle solution and that's the most difficult to accept. My dermatologist prescribed spironolactone for my acne, which apparently has similar effects than the pill in terms of acne, without all the side effects.


Very negative mood

1 more effect

0 helpful

0 comments

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

Dianette pill  

I started taking Dianette as my first ever contraception pill. It is a combined pill which gives me migraines for a period of time. I was told to stop using it immediately as it put me at an increased risk of having blood clots and stroke. Now I am left not knowing what to do. Overall it did not give me any other side effect and I see a big difference on my skin. It is just me having a reaction to estrogen-related pills.


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
37 years old
🇬🇧 UK
  •  2 weeks ago

Yasmin pill  

Worked really great for many years. Still had the ocassionally leg cramp, and my breast started to be really tender. After some years I got panic attacks and anxiety. Quit the pill in june 2023, still strugeling with panic and anxiety at times


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Microgynon 30 pill  

It went smoothly in the start. No side effects other than weight gain. Slowly the mood startet to be affected. I startet to swear more and react more angrily towards situations and people around me. Felt almost like I was a child and could not contain myself. My husband told me I had to get of because I was horrible to live with. The anger subsided when I stopped


Very negative mood

3 more effects

0 helpful

0 comments

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

Rigevidon  

I essentially started crying almost every day and couldn't fully function like normal because of how low my mood was. I took it for bad period cramps and it definitely helped with this but had to get off it because of the effect on my mood


Very negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

I had a heavy painfull n long period after usage so i stoped it after 8 days but im still bleeding with pain after 2 weeks


Very negative mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

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