Patch vs Implant
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Overview
Rated 3.4
129 reviews
Weekly
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 2.8
632 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
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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Real life reviews from people like you
Patch reviews
129 reviews
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 3 days ago
I’ve been on the patch for around 6 months, it’s causing periods every 2 weeks even though I’m using it correctly. The only positive is it’s easy to use and hasn’t caused weight gain.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
36 years old
🇬🇧 UK
• 2 weeks ago
I initially really liked this contraception - Evra patch - I used it before we planned for our daughter with no issues with side effects, and because I liked it so much, it was the contraception of choice after I gave birth. However, post pregnancy the patch was not good. I was on the patch for almost a year post baby before switching to the implant, and the reason I was on it for a year was simply because I really wanted this contraception to work for me despite not liking the side effects. I love the premise behind the patch. It is so simple to use and I liked that it was on the skin and you applied it yourself, as opposed to something inside your body that you have to book an appointment for a procedure to get it fitted, such as the implant, for example. The reason I changed to the implant from the patch was because I really struggled with irritation at the patch site. I don't know if it was a reaction to the hormones or the glue used to adhere the patch to the skin - possibly the latter - but the irritation was horrendous. The patch would be incredibly itchy and it was unbearable. It would leave me with burn-like marks that would still be there three weeks later, despite rotating the patch site every single week. I used to have to resist the urge to scratch the patch off. Many times I did scratch it off and with it, took a layer of skin off due to irritation. I'd be left with exposed, damaged skin at the site patch which would then scab over as the skin healed. I am usually quite a steady mood person and the patch really affected my mood which was hard. I'd get very down and anxious a couple of days after my patch change day and that would last a day or two. It was similar to the feeling you get before your period, then your period arrives and you're thinking, "Okay so that explains why I was feeling that way - it was my period!" But instead of getting that down/anxious feeling once a month, I'd get it every single week. It was draining not just for me, but also for my partner too. When I placed an order for the patch, I'd get a prescription for 3 months worth of patches but because of the irritation I explained above, I was actually scratching the patch off before my patch change day which reduced my stock of patches earlier than planned. This meant I was putting in more prescription requests than the suggested amount. Scratching the patch off obviously put me at risk of falling pregnant, which didn't happen to me, and even though, I immediately replaced the patch I'd scratched off, it did make me question the effectiveness of the patch. When I spoke to the doctor about scratching the patch off before the change day she couldn't really explain whether that would reduce the effectiveness of the patch or not because I'd replaced it immediately. I am so disappointed that this contraception has not worked for me, but it was really affecting my skin and my mood. The way it affected my skin was intense itching all over my body. It was so bad that I'd scratch until my skin bled. That started about 8 or 9 months into using the patch and I put up with it until I got to 12 months, so for the last 3-4 months of using the patch, I was going stir crazy with the itchiness and skin irritation all over my legs, my feet and my arms. It was debilitating and it was something totally new in my life - I have never had any skin issues before. I initially thought it was my washing powder (I'd not changed the brand) or low iron as I'd developed low iron after I gave birth, but since stopping the patch and changing to the implant, within a month of having the implant, my skin is well on its way to going back to normal - everything is healing. All I can say is, this is my experience of using the EVRA patch. I hope this helps someone reading this but do your research before you decide if it is the right contraception for you. Just because I had all the side effects listed above does not necessarily mean that you will. I didn't have most of these on my first stint of using the patch. I only really had low mood but no skin irritation. It was only after pregnancy and birth that I noticed the side effects second time around.
Very negative mood
0 helpful
1 comments
Used for 12 - 18 mo
32 years old
🇬🇧 UK
• 2 weeks ago
Patch was a pretty good option. Used it for about a year. No problems mood wise, body and skin stayed the same. Initially got a rash from the glue but my skin got used to it after a month or so. Found it a bit annoying having the patch visible to other people. Took continuously to stop periods, and did breakthrough bleed every 3-4 months. Had to stop using in the end due to hormonal post nasal drip, which got realllyy annoying. Was gutted as it was otherwise so good.
Very positive mood
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 3 days ago
I’ve been on the patch for around 6 months, it’s causing periods every 2 weeks even though I’m using it correctly. The only positive is it’s easy to use and hasn’t caused weight gain.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
36 years old
🇬🇧 UK
• 2 weeks ago
I initially really liked this contraception - Evra patch - I used it before we planned for our daughter with no issues with side effects, and because I liked it so much, it was the contraception of choice after I gave birth. However, post pregnancy the patch was not good. I was on the patch for almost a year post baby before switching to the implant, and the reason I was on it for a year was simply because I really wanted this contraception to work for me despite not liking the side effects. I love the premise behind the patch. It is so simple to use and I liked that it was on the skin and you applied it yourself, as opposed to something inside your body that you have to book an appointment for a procedure to get it fitted, such as the implant, for example. The reason I changed to the implant from the patch was because I really struggled with irritation at the patch site. I don't know if it was a reaction to the hormones or the glue used to adhere the patch to the skin - possibly the latter - but the irritation was horrendous. The patch would be incredibly itchy and it was unbearable. It would leave me with burn-like marks that would still be there three weeks later, despite rotating the patch site every single week. I used to have to resist the urge to scratch the patch off. Many times I did scratch it off and with it, took a layer of skin off due to irritation. I'd be left with exposed, damaged skin at the site patch which would then scab over as the skin healed. I am usually quite a steady mood person and the patch really affected my mood which was hard. I'd get very down and anxious a couple of days after my patch change day and that would last a day or two. It was similar to the feeling you get before your period, then your period arrives and you're thinking, "Okay so that explains why I was feeling that way - it was my period!" But instead of getting that down/anxious feeling once a month, I'd get it every single week. It was draining not just for me, but also for my partner too. When I placed an order for the patch, I'd get a prescription for 3 months worth of patches but because of the irritation I explained above, I was actually scratching the patch off before my patch change day which reduced my stock of patches earlier than planned. This meant I was putting in more prescription requests than the suggested amount. Scratching the patch off obviously put me at risk of falling pregnant, which didn't happen to me, and even though, I immediately replaced the patch I'd scratched off, it did make me question the effectiveness of the patch. When I spoke to the doctor about scratching the patch off before the change day she couldn't really explain whether that would reduce the effectiveness of the patch or not because I'd replaced it immediately. I am so disappointed that this contraception has not worked for me, but it was really affecting my skin and my mood. The way it affected my skin was intense itching all over my body. It was so bad that I'd scratch until my skin bled. That started about 8 or 9 months into using the patch and I put up with it until I got to 12 months, so for the last 3-4 months of using the patch, I was going stir crazy with the itchiness and skin irritation all over my legs, my feet and my arms. It was debilitating and it was something totally new in my life - I have never had any skin issues before. I initially thought it was my washing powder (I'd not changed the brand) or low iron as I'd developed low iron after I gave birth, but since stopping the patch and changing to the implant, within a month of having the implant, my skin is well on its way to going back to normal - everything is healing. All I can say is, this is my experience of using the EVRA patch. I hope this helps someone reading this but do your research before you decide if it is the right contraception for you. Just because I had all the side effects listed above does not necessarily mean that you will. I didn't have most of these on my first stint of using the patch. I only really had low mood but no skin irritation. It was only after pregnancy and birth that I noticed the side effects second time around.
Very negative mood
0 helpful
1 comments
Used for 12 - 18 mo
32 years old
🇬🇧 UK
• 2 weeks ago
Patch was a pretty good option. Used it for about a year. No problems mood wise, body and skin stayed the same. Initially got a rash from the glue but my skin got used to it after a month or so. Found it a bit annoying having the patch visible to other people. Took continuously to stop periods, and did breakthrough bleed every 3-4 months. Had to stop using in the end due to hormonal post nasal drip, which got realllyy annoying. Was gutted as it was otherwise so good.
Very positive mood
0 helpful
0 comments
Implant reviews
632 reviews
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 1 week ago
Used for 5 years so far. No complaints really. I didnt feel much change to myself till recently. This has been mood swings and irritability but ive been on it 5 years and this only just started. Never fell pregnant. Little to no periods. Would recommend
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 3 weeks ago
I originally had the implant inserted in May 2025, but I had a difficult experience with heavy bleeding. I had it removed and switched back to the mini-pill, which has always worked well for me. I decided to try the implant again and had it re-inserted around August 18, 2025. Here is the updated timeline of my experience: Initial Recovery (August 2025) • Wound Care: I removed the bandage and plaster early to let the area breathe. I applied a new plaster on the second day, eventually removing it once I was sure the insertion site had finished bleeding. • Healing: There was some minor bruising around the site, but nothing too bad. • Early Symptoms: I noticed some clear, yellowish vaginal discharge shortly after insertion, but no spotting or bleeding during this initial stage. Follow-up Symptoms (A few months later) After I had the implant in for a few months, I began experiencing some changes: • Spotting: I had spotting/light bleeding for a few days. • Discharge: This was followed by a period of reddish and brown discharge that lasted for a few weeks. Current Status Aside from that specific window of spotting and colored discharge a few months in, I have had no other issues. It has been working well since then, and I’m hopeful it stays this way!
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
26 years old
🇬🇧 UK
• 3 weeks ago
(I had it inserted roughly around August 18th 205, and couldn’t remember how long ago it was when filling this out) , I 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/would stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues besides having a bit of reddish and brown discharge for a few weeks after a few months of having it put in, I did try having it a while ago before August of 2025, say May 2025, had horrible bleeding and such, but then had it taken out and went on mini pill which has always worked ok for me, then decided to go back on the implant and have had it since then and no other problems, so let’s hope it stays this way.
Somewhat negative mood
0 helpful
3 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 1 week ago
Used for 5 years so far. No complaints really. I didnt feel much change to myself till recently. This has been mood swings and irritability but ive been on it 5 years and this only just started. Never fell pregnant. Little to no periods. Would recommend
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 3 weeks ago
I originally had the implant inserted in May 2025, but I had a difficult experience with heavy bleeding. I had it removed and switched back to the mini-pill, which has always worked well for me. I decided to try the implant again and had it re-inserted around August 18, 2025. Here is the updated timeline of my experience: Initial Recovery (August 2025) • Wound Care: I removed the bandage and plaster early to let the area breathe. I applied a new plaster on the second day, eventually removing it once I was sure the insertion site had finished bleeding. • Healing: There was some minor bruising around the site, but nothing too bad. • Early Symptoms: I noticed some clear, yellowish vaginal discharge shortly after insertion, but no spotting or bleeding during this initial stage. Follow-up Symptoms (A few months later) After I had the implant in for a few months, I began experiencing some changes: • Spotting: I had spotting/light bleeding for a few days. • Discharge: This was followed by a period of reddish and brown discharge that lasted for a few weeks. Current Status Aside from that specific window of spotting and colored discharge a few months in, I have had no other issues. It has been working well since then, and I’m hopeful it stays this way!
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
26 years old
🇬🇧 UK
• 3 weeks ago
(I had it inserted roughly around August 18th 205, and couldn’t remember how long ago it was when filling this out) , I 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/would stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues besides having a bit of reddish and brown discharge for a few weeks after a few months of having it put in, I did try having it a while ago before August of 2025, say May 2025, had horrible bleeding and such, but then had it taken out and went on mini pill which has always worked ok for me, then decided to go back on the implant and have had it since then and no other problems, so let’s hope it stays this way.
Somewhat negative mood
0 helpful
3 comments
Used for 3 - 5 yr
24 years old
🇬🇧 UK
• 1 month ago
Nexplanon has changed my life by taking away my PMS/PMDD mental health symptoms. I have a lot of trust in the evidence that it works effectively to prevent pregnancy. I found both the original insertion and the replacement to be non painful procedures. The replacement took a bit longer because it was fiddly for them to get the rod out. This was not painful but slightly uncomfortable but the nurses were so friendly that it was okay. It completely randomises my periods. I still get a slight breast tenderness before my periods which helps me to know when it is coming. It feels like my PMS is quiet and slow where as before it was fast and brutal. Recently after my new insertion I’ve had a bit of dizziness here and there, but I am still working out why… it could be due to my diet. Generally I prefer my experience on Nexplanon to what my natural experience was like and would continue to use it even if I stopped being sexually active.
Very positive mood
0 helpful
0 comments
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 4th Mar 26
Stopped my periods for the first 4 years then they became heavier - lasting up to 3 weeks
Worse skin
0 helpful
0 comments
Used for 1 - 3 mo
14 years old
🇬🇧 UK
• 18th Jan 26
It's my first time on birth control and I get way angrier then I used to but all I'm seeing from my body is positive things
Improved skin
2 more effects
1 helpful
0 comments
Used for 3 - 5 yr
24 years old
🇬🇧 UK
• 10th Jan 26
Was previously on the progesterone only pill but did not want to have to remember it daily. Have had no issues with Nexplanon and had it changed recently after having the first for three years.
Very positive mood
1 helpful
0 comments
Used for 12 - 18 mo
17 years old
🇬🇧 UK
• 27th Dec 25
I would recommend getting the implant. There has been little to no difference in my body while using it and it has been a positive experience. I did notice my periods have gone from Light and regular every month to continue being light but very irregular and can last anything from 4 days to 3 months at a time. I also had one other negative experience a few weeks into having the implant. (I do think it was just my body adjusting as I haven’t had anything the same since). Where I was continuously being sick for 2 days, There was no signs of me being ill or have eaten anything unusual. I do think the implant has made very little changes to my body. Obviously a 3 month period is annoying but it does end you just need to be patient. I’m coming up to 2 years on my implant so I do feel as though my input is helpful as some people aren’t patient enough to wait out the symptoms like a long period.
Very positive mood
1 more effect
1 helpful
1 comments
Used for 1 - 3 mo
15 years old
🇬🇧 UK
• 18th Dec 25
I got this because I have very bad periods. I’ve had worse cramps then before and they go on for longer however the bleeding is lighter
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
15 years old
🇬🇧 UK
• 18th Dec 25
I got this because I have very bad periods. I’ve had worse cramps then before and they go on for longer however the bleeding is lighter
Somewhat negative mood
3 more effects
0 helpful
0 comments
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