Patch vs Implant
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£From £0.32/day
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Overview
Rated 3.5
106 reviews
Weekly
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 2.8
593 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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£From £0.32/day
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Check out our latest reviews
Real life reviews from people like you
Patch reviews
106 reviews
Used for 6 - 12 mo
27 years old
🇬🇧 UK
• 1 day ago
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
Used for 3 - 6 mo
24 years old
🇬🇧 UK
• 2 weeks ago
Having tried 12 birth control pills previously that nearly all had intolerable side effects for me, mostly making my IBS worse, I decided to try a non-digested birth control method and settled on the Patch. It took me a few tries to get used to applying it correctly and for the first 2 weeks I had very light daily spotting. Now having been on it for 4 months, I am so happy I tried it. I have gained weight and I have definitely noticed an increased appetite but for me the lack of other side effects is 100% worth it. It has had no impact on my IBS, my skin is the clearest it's ever been and I love the convenience of using it weekly. I currently use it continuously because I've always had heavy and painful periods. Every 2 months or so I do have a few days of spotting/ bleeding but it's not heavy or painful and then I have no bleeding for another few months. I did notice a little increase in my Anxiety but I take antidepressants so I can't say how much it affected my mental health. My boobs have gone up a cup size but not that noticeable as I was only an A cup before. Overall I couldn't be happier with my experience so far, it's definitely the best I've tried yet. definitely recommend if you're sensitive to the pill/ digested birth control.
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 1 month ago
Overall positive experience. The longer Ive been on it, the more irregular the periods have become. I often use the whole cycle before having a break rather than the 3 doses
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
27 years old
🇬🇧 UK
• 1 day ago
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
Used for 3 - 6 mo
24 years old
🇬🇧 UK
• 2 weeks ago
Having tried 12 birth control pills previously that nearly all had intolerable side effects for me, mostly making my IBS worse, I decided to try a non-digested birth control method and settled on the Patch. It took me a few tries to get used to applying it correctly and for the first 2 weeks I had very light daily spotting. Now having been on it for 4 months, I am so happy I tried it. I have gained weight and I have definitely noticed an increased appetite but for me the lack of other side effects is 100% worth it. It has had no impact on my IBS, my skin is the clearest it's ever been and I love the convenience of using it weekly. I currently use it continuously because I've always had heavy and painful periods. Every 2 months or so I do have a few days of spotting/ bleeding but it's not heavy or painful and then I have no bleeding for another few months. I did notice a little increase in my Anxiety but I take antidepressants so I can't say how much it affected my mental health. My boobs have gone up a cup size but not that noticeable as I was only an A cup before. Overall I couldn't be happier with my experience so far, it's definitely the best I've tried yet. definitely recommend if you're sensitive to the pill/ digested birth control.
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 1 month ago
Overall positive experience. The longer Ive been on it, the more irregular the periods have become. I often use the whole cycle before having a break rather than the 3 doses
Top side effects not reported
0 helpful
0 comments
Implant reviews
593 reviews
Used for 12 - 18 mo
21 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 3 weeks ago
Positives of the Nexplexon implant is it is a very effective contraceptive and the insertion was quick and painless. However, I have been constantly bleeding (spotting and heavier bleeding) since I had it inserted 6 months ago. I have had bad cramping and lower back pain along side the bleeding. My overall mood has been effected as I feel exhausted most of the time, although I do work some night shifts so this may be a contributing factor. My sex drive has been lower than normal. I have noticed my boobs ache and feel sore. I am considering having it removed, if the bleeding does not settle.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 1 month ago
I believe it ruined mindset, mental health and confidence. I am normally not over the top and this sounds like an exaggeration. Although I had a really tough year and these would've affected my perspective. I always have and would utilise those negative situations to motivate me and channel sadness into action. But when I was on the implant: - I had lost all confidence in myself and abilities - My skin got worse and I have always had super clear skin - I had more hair than usual - I was super easy to agitation and struggled to regulate my emotions - I became anxious and depressed (please note some of this would be situational and not just the implant). I thought it was all situational. Until I got it removed a month ago. I am still in the process of my hormones regulating which has been difficult. But after a month I am slowly finding my personality coming back. I am not isolating as much. I am channelling my energy into action and turning my life around again! I feel more like myself day by day.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
21 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 3 weeks ago
Positives of the Nexplexon implant is it is a very effective contraceptive and the insertion was quick and painless. However, I have been constantly bleeding (spotting and heavier bleeding) since I had it inserted 6 months ago. I have had bad cramping and lower back pain along side the bleeding. My overall mood has been effected as I feel exhausted most of the time, although I do work some night shifts so this may be a contributing factor. My sex drive has been lower than normal. I have noticed my boobs ache and feel sore. I am considering having it removed, if the bleeding does not settle.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 1 month ago
I believe it ruined mindset, mental health and confidence. I am normally not over the top and this sounds like an exaggeration. Although I had a really tough year and these would've affected my perspective. I always have and would utilise those negative situations to motivate me and channel sadness into action. But when I was on the implant: - I had lost all confidence in myself and abilities - My skin got worse and I have always had super clear skin - I had more hair than usual - I was super easy to agitation and struggled to regulate my emotions - I became anxious and depressed (please note some of this would be situational and not just the implant). I thought it was all situational. Until I got it removed a month ago. I am still in the process of my hormones regulating which has been difficult. But after a month I am slowly finding my personality coming back. I am not isolating as much. I am channelling my energy into action and turning my life around again! I feel more like myself day by day.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 3rd Dec 24
50/50 experience overall. My skin improved to the point where it is clear aside from the occasional hormonal spot. Definitely would recommend if you’re like me and always forget to take the pill daily. I don’t get periods but when I do I bleed for about 2-3 weeks heavily. I have noticed some weight gain but nothing to be worried about. My boobs have grown 2 whole cup sizes. No mood changes as far as I’m aware. The implant insertion process was quick and painless so nothing to worry about there.
Improved skin
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 9th Nov 24
Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Nov 24
Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 28th Oct 24
Worked well as a contraception, but in the year I had it in for I probably had about 30 days only without any bleeding or spotting. I also trialled taking the mini pill alongside the implant to try and reduce the bleeding but this had no effect. I had thrush multiple times throughout the year I had the implant, and had never had it before. My mood was the worst it had ever been, but there had been other life changes going on at the time which may have contributed.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 11th Oct 24
I’ve had multiple cycles in which I bled for around 3 week straight and multiple where I just missed my period altogether. I’ve gained lots of weight and have gone up 3 cup sizes since having it. I’ve also developed severe acne problems since having it, similar to the issues I had with the Desogestrel pill. It’s honestly been much worse than I expected.
Worse skin
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 11th Oct 24
I enjoyed the convenience of this birth control but the side effects are not worth it. My mood has been like a roller coaster every day and I have had debilitating anxiety after being on this contraception for nearly 2 years. The constant spotting and light cramps are awful and the cystic acne and constant breast pain are too. It is very effective at preventing pregnancy though.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 19th Sep 24
I've had nexplanon for nearly 3 years and I will most likely get it again and recommend it to others. Whilst everyone's body is different, my body hasn't had an awful reaction with the implant. When I had it inserted I had two extremely light periods in the beginning and since then I have had no periods. I would say the only thing I have struggled with personally is the weight gain, however I have a bad relationship with food and my body so take it with a grain of salt! When I had it inserted I was underweight and in the nearly 3 years I've had it, I have gained enough to be classed on the "higher end of a normal BMI" (whatever that really means because the BMI is a load of BS). My boobs have grown- probably because of the weight gain, and I do get occasional mild cramping. Whilst this is the negative side not my experience, it has also been nice to not worry about pregnancy after having sex and it has made things A LOT easier. Overall 9/10. Please remember everyone's experiences are different. My experience might be the complete opposite of someone else's. If you feel like a form of contraception isn't working or is making your life horrible because of the side effects, please try something else. It's trial and error!
Gained weight
0 helpful
0 comments
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