Patch vs Progestogen-only / Mini pill

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Patch

£From £0.32/day

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.4

111 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.7

1386 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Patch ingredients

Main hormones in Patch

progestogen

oestrogen


Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

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

31% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

38% don’t know impact

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Period pain

Try it now

£From £0.32/day

Try it now

£From £0.22/day

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
  •  4 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
  •  4 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


Progestogen-only / Mini pill reviews

1386 reviews

Progestogen-only / Mini pill  
Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I use this pill in combination with a copper coil and it has helped enormously with my PMDD symptoms. I used to really struggle around ovulation with feeling very unwell and now that I don’t have a cycle everything is a lot calmer. I’ve had some spotting and I’m sweating more but it’s much better than having hellish and painful periods. I now don’t have periods at all, which is so much less stressful. I feel like I can finally enjoy my life.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  5 days ago

Norgeston pill  

I tried the mini pill after experiencing migraines after 6 years on the combined pill. First I tried Zelleta which gave me such low mood and tearful all the time, as well as constant spotting. I wanted to try Norgeston as the synthetic hormone is different. My mood definitely improved (although a little more anxious) and I’ve had no spotting, but my periods are so irregular, really close together and so heavy I can get through more than 3 pads a day. I’ve had 2 periods a month for the last few months and will end up with an iron deficiency at this rate! Running out of options


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
25 years old
🇬🇧 UK
  •  1 week ago

Desogestrel pill  

I must say that this pill absolutely saved my life. Suffering from severe endometriosis pain & PMDD and it reversed the effects of that. I have control of my moods and body back and I’m so grateful. I must leave a positive review because it’s not all bad. The beginning was rocky with irregular bleeding but this stopped after 8 months or so. It was worth it.


Very positive mood

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I use this pill in combination with a copper coil and it has helped enormously with my PMDD symptoms. I used to really struggle around ovulation with feeling very unwell and now that I don’t have a cycle everything is a lot calmer. I’ve had some spotting and I’m sweating more but it’s much better than having hellish and painful periods. I now don’t have periods at all, which is so much less stressful. I feel like I can finally enjoy my life.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  5 days ago

Norgeston pill  

I tried the mini pill after experiencing migraines after 6 years on the combined pill. First I tried Zelleta which gave me such low mood and tearful all the time, as well as constant spotting. I wanted to try Norgeston as the synthetic hormone is different. My mood definitely improved (although a little more anxious) and I’ve had no spotting, but my periods are so irregular, really close together and so heavy I can get through more than 3 pads a day. I’ve had 2 periods a month for the last few months and will end up with an iron deficiency at this rate! Running out of options


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
25 years old
🇬🇧 UK
  •  1 week ago

Desogestrel pill  

I must say that this pill absolutely saved my life. Suffering from severe endometriosis pain & PMDD and it reversed the effects of that. I have control of my moods and body back and I’m so grateful. I must leave a positive review because it’s not all bad. The beginning was rocky with irregular bleeding but this stopped after 8 months or so. It was worth it.


Very positive mood

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

Zelleta pill  

I started using this pill to help with endometriosis symptoms. Instead of making me bleed less, I was bleeding every 12 days, and for about a week at a time which was exhausting and painful. I would also get night sweats and felt very low in mood at times. I tried it for 5 months but I couldn’t deal with 2 periods a month, so I have switched to a combined pill to see if that is any better.


Somewhat negative mood

1 more effect

0 helpful

1 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

I was put on this pill after I suffered from bad migraines from the combined pill- I wanted to try contraception to tackle my low moods, PCOS and acne. I became so depressed over the course of about 3 months, to the point where I went to the GP to try and get some therapy/talk about possibly taking antidepressants. Straight away the GP was like 'oh just stop taking the pill'- I did and a few months later I felt normal again. Literally can't believe that GPs prescribe this stuff without giving you proper warning- I felt like an empty shell of a person for a few months literally all because of this pill.


Very negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  2 weeks ago

Cerazette pill  

Positive


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
18 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel pill  

i was put on this pill due to me being incredibly hormonal and 'hysterical' every month (on top of other issues i was facing). i was put on at 15-16 years of age i am now 18. my skin became more acne-like on cheeks and chin, whereas before it was just one or two. my breasts grew a lot, which was hard for me to come to terms with. thinking of coming off due to just 'having enough' and being worried about blood clots etc.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
43 years old
🇬🇧 UK
  •  3 weeks ago

Hana pill  

I've tried so many pills and was really hoping this one would be different but sadly not. I started on day one of normal period, stopped bleeding for a few days but then after being intimate with my husband I've been bleeding daily for 2 weeks. I know it says it can take months to settle, but I can't cope with 3 months of bleeding. It makes me miserable, I smell and constantly feel unclean. I wish I could find one that doesn't make me bleed.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
31 years old
🇬🇧 UK
  •  3 weeks ago

Cerelle pill  

I switched from Yasmin combined pill to Cerelle after getting a migraine with aura. I've been on Cerelle for about 4 months now. Overall, I'm quite happy - mood is stable and no periods. Howerver, my skin which is awful at the moment. This could be also related to coming off the combined pill though. I do feel my hair thinned initially and was VERY greasy, but that has subsided. I also had really bad BO which is probably the most upsetting side effect. I feel this is getting slightly better now. My doctor told me to have a period before starting this pill to reduce spotting, and it worked - my periods have stopped entirely.


Worse skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel pill  

I have been on this pill for a little over 10 weeks with the hopes of it stopping my period altogether but I spent more time bleeding than not. Sometimes little bits here and there, sometimes a lot and for 10+ days at a time. I found myself having a lot of down days and googling PPD symptoms. The worst thing I noticed was the brain fog. My ability to remember things and speak clear and cohesive sentences was just obliterated. I’m on day 2 post stopping and it feels a little better already although I have started my withdrawal bleed. I know you should give your body at least 3 months to settle after starting but honestly that was enough time for me. I just hope my cycle goes back to normal fairly soon!


Very negative mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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