Patch vs Injection

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Patch

Add your Patch review

Injection

Add your Injection review

Overview

Rated 3.4

128 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.9

307 reviews

Every 2-3 months

Frequency

94% - 99+%

Effectiveness

None

Blood clot risk

Short term

Effect on fertility

Patch ingredients

Main hormones in Patch

progestogen

oestrogen


Injection ingredients

Main hormones in Injection

progestogen

What Lowdown reviewers say

35% no impact on mood

34% lighter periods

48% no impact

48% no impact

50% no impact on skin

Cycle return

38% don’t know impact

31% somewhat negative

70% stopped periods

57% lost sex drive

48% gained weight

46% no impact on skin

Cycle return

42% don’t know impact

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Endometriosis

Heavy periods

Period pain

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Try it now

Add your Injection review

Check out our latest reviews

Real life reviews from people like you

Patch reviews

128 reviews

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  1 day ago

Evra patch  

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.

Read more

Very negative mood

0 helpful

1 comments

Patch  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  1 day ago

Evra patch  

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

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

Evra patch  

I was really getting on with the patch, ive been on it since 2024 and was on it previously for a couple years. But the last few months ive been really suffering which the patch is definitely contributing to. The last few periods I have been experiencing migraines with aura, I've been getting a lot of brown bleeding, the fatigue is unbearable and I almost passed out. Since ive been experiencing these side effects the last few months, I noticed lumps in my breast around the same time and I have just been diagnosed with fibrocystic tissue disease, which the hormones in the patch is not helping. I also experience a lot of breakthrough bleeding and bleeding after sex since being on the patch. Although, my periods are a lot lighter but I still bleed for 7 days. The period pains have not been as severe as they would be off the patch. It has definitely helped my pcos and adenomyosis.


Worse skin

2 more effects

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  1 day ago

Evra patch  

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

Patch  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  1 day ago

Evra patch  

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

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

Evra patch  

I was really getting on with the patch, ive been on it since 2024 and was on it previously for a couple years. But the last few months ive been really suffering which the patch is definitely contributing to. The last few periods I have been experiencing migraines with aura, I've been getting a lot of brown bleeding, the fatigue is unbearable and I almost passed out. Since ive been experiencing these side effects the last few months, I noticed lumps in my breast around the same time and I have just been diagnosed with fibrocystic tissue disease, which the hormones in the patch is not helping. I also experience a lot of breakthrough bleeding and bleeding after sex since being on the patch. Although, my periods are a lot lighter but I still bleed for 7 days. The period pains have not been as severe as they would be off the patch. It has definitely helped my pcos and adenomyosis.


Worse skin

2 more effects

0 helpful

0 comments


Injection reviews

307 reviews

Injection  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Depo-Provera injection  

This has made my sex life a living hell .I get scared to have sex with my partner since I associate the vaginal dryness with this Depo shot ,the sex is always pain towards the end as there’s not enough lubrication


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  14th Feb 26

Noristerat injection  

This was bad experience my stretch marks even increased and low libido is the worst


Very negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
  •  3rd Feb 26

Sayana Press injection  

I would have rated this 5 stars last year. I used to be on the depo jab that had to be done at the doctors but I work 12 hour shifts meaning it was a struggle to attended every 12 weeks. So I was over the moon when I found out about sayana press that I could do myself. I usually do the injection around 11 weeks but the last 3 times I get to 10 weeks and get crippling period pain that completely debilitates me. Even after I’ve done the injection this will continue for about a week afterwards. I’ve never experienced child birth but the pain is horrendous. It will wake me up in the middle of the night, happen at work and is just completely random spouts of unbearable pain until at whatever point doesn’t happen again until I am next at the 10 week mark. I’ve recently learned that it’s a lower strength to Depo-Provera and maybe that’s why however I’m confused as to why it’s only started happening. My gp surgery is useless and it the whole process of going back to having the higher strength at the surgery is going to take some time but being able to do it at home is not worth this horrendous ordeal. I would not recommend switching


Top side effects not reported

0 helpful

1 comments

Injection  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Depo-Provera injection  

This has made my sex life a living hell .I get scared to have sex with my partner since I associate the vaginal dryness with this Depo shot ,the sex is always pain towards the end as there’s not enough lubrication


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  14th Feb 26

Noristerat injection  

This was bad experience my stretch marks even increased and low libido is the worst


Very negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
  •  3rd Feb 26

Sayana Press injection  

I would have rated this 5 stars last year. I used to be on the depo jab that had to be done at the doctors but I work 12 hour shifts meaning it was a struggle to attended every 12 weeks. So I was over the moon when I found out about sayana press that I could do myself. I usually do the injection around 11 weeks but the last 3 times I get to 10 weeks and get crippling period pain that completely debilitates me. Even after I’ve done the injection this will continue for about a week afterwards. I’ve never experienced child birth but the pain is horrendous. It will wake me up in the middle of the night, happen at work and is just completely random spouts of unbearable pain until at whatever point doesn’t happen again until I am next at the 10 week mark. I’ve recently learned that it’s a lower strength to Depo-Provera and maybe that’s why however I’m confused as to why it’s only started happening. My gp surgery is useless and it the whole process of going back to having the higher strength at the surgery is going to take some time but being able to do it at home is not worth this horrendous ordeal. I would not recommend switching


Top side effects not reported

0 helpful

1 comments

Injection  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  3rd Jan 26

Sayana Press injection  

Great if you’re looking to prevent pregnancy with less admin. Having the year’s supply ant home and not needing to see a doctor every few months was handy. Stopped my periods aside from some very minimal spotting and my skin was great - I barely had any spots over the years I was on it. I did feel like I was quite numb emotions wise. I didn’t experience mood swings but it was alarming that I often didn’t really feel anything! My libido was extremely low too.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  1st Dec 25

Noristerat injection  

I experience mood swings, low libido, aura migraine, my face got darker than usual and I stopped seeing my period.


Very negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
24 years old
🇬🇧 UK
  •  18th Nov 25

Noristerat injection  

I had a very bad experience using this contraceptive. Bad moods, bad skin, bad body image, depression, sweating, low libido. Just bad.


Very positive mood

3 more effects

1 helpful

0 comments

Injection  
Used for 3 - 5 yr
23 years old
🇬🇧 UK
  •  16th Oct 25

Noristerat injection  

It's a good injection for me, I have been using it for longest time since I was 16 years started to use it. Who recommended it? Clinic nurse.


Decreased sex drive

0 helpful

0 comments

Injection  
Used for 3 - 6 mo
17 years old
🇬🇧 UK
  •  11th Oct 25

Noristerat injection  

took some time before i ever come here mainly because i was scared , shy , & hated myself for what im about to talk about here❤️ trust me when i say it’s hard ( im even trying not to cry ) shap so i started my pregnancy prevention journey this year on April it’s been 6 months now & never missed even a single dose (big ups!!) Starting it was so fun & games bcs i would notice some changes & that for me was a game changer bcs I’ve always wanned to gain weight so badzzzz ( i lost weight before so starting this journey for me was a bounce back ) may started eating a lot!! , June my periods desappeared July i got some pimples , august i experienced painful headaches, September my mood swings would change here & there & all that came unoticed to me because that one thing I’ve always wanned does not happen im not gaining still , bro im so drained i feel like it’s so useless for me to inject i don’t know but yeah hey i just hope god pulls through im even thinking of leaving it


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  11th Oct 25

Sayana Press injection  

I have had no negative side effects with Sayana Press and my periods have stopped completely, of the four different contraceptives I've tried over the years, this one is my favourite.


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  11th Oct 25

Depo-Provera injection  

Depo-Provera was great for me and it stopped my periods completely. I liked not having to take a pill everyday and I didn't want to get another copper coil so this worked well for me. However after being on it for quite a while I got unlucky and ended up with an abscess at the injection site which eventually had to be operated on, however this could have happened with any kind of injection and was just bad luck. I have since switched to Sayana Press so that I can do my own injections at home and clean the injection site beforehand to prevent another abscess.


Top side effects not reported

0 helpful

0 comments

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