Patch vs Implant

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Patch

£From £0.32/day

Implant

Add your Implant review

Overview

Rated 3.4

111 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

602 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Patch ingredients

Main hormones in Patch

progestogen

oestrogen


Implant ingredients

Main hormones in Implant

progestogen

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

37% somewhat negative

49% irregular periods

50% lost sex drive

40% gained weight

57% no impact on skin

Cycle return

31% in 1 month

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Heavy periods

Ovulation pain

Period pain

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£From £0.32/day

Try it now

Add your Implant review

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


Implant reviews

602 reviews

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
  •  28th Apr 25

Nexplanon implant  

Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.


Worse skin

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
  •  28th Apr 25

Nexplanon implant  

Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  27th Apr 25

Nexplanon implant  

Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.


Very negative mood

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  26th Apr 25

Nexplanon implant  

my periods stopped but i noticed when i wanted to have sex i wasn’t able to get wet easily. i also developed acne for the first time after i stopped due to the sudden loss of hormones. overall it worked and i enjoyed no periods and no other symptoms outside of sex.


Improved skin

1 more effect

0 helpful

0 comments

Implant  
Used for 1 - 3 mo
25 years old
🇬🇧 UK
  •  17th Mar 25

Nexplanon implant  

took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!


Worse skin

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
27 years old
🇬🇧 UK
  •  13th Mar 25

Nexplanon implant  

I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  6th Mar 25

Nexplanon implant  

Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  28th Feb 25

Nexplanon implant  

Normal for me I’m a U.S. bodybuilder nothing has change a lot of women gain weight because it can be an appetite enhancing affect. I’ve stayed the same tracking calories my spotting is normals as other off and on some missed periods and most lighter and little do not heavy. Experiencing hard sore nipples. And depression seems more there but not to bad. Do feel tired though out the day.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 12 - 18 mo
21 years old
🇬🇧 UK
  •  12th Feb 25

Nexplanon implant  

Used this for 1,5 years and I love it. The implant completely stopped my period this whole time, except 1 small break-thru bleeding 1yr ago. Insertion was not painful. Started using due to painful periods. Now living pain-free!


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

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