Patch vs Progestogen-only / Mini pill

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Patch

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Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.4

131 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.7

1491 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

36% no impact on mood

34% lighter periods

49% no impact

49% no impact

51% no impact on skin

Cycle return

39% don’t know impact

32% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

39% 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

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Try it now

£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Patch reviews

131 reviews

Patch  
Used for 8+ yr
22 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I loved being on the patch. It was so convenient. My periods were still really heavy but I could push them to once every two months before breakthrough bleeding would cause me to take the patch off and have a period. I’d have pain on the first day but nothing ever as bad as I used to have before. I was solely on the patch to help with irregular/painful periods. I switched bc I wanted a more subtle birth control.

Read more

Increased sex drive

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 month ago

Evra patch  

I’ve not noticed many side effects other than weight gain / breast growth. Periods are extremely regular almost down to the hour of the day i’ll get it, lasts three days total and before birth control i would have had very bad cramps i’ve noticed they’ve minimised significantly. Now ive only some cramps on day two which is easily solved by Ibepopfen


Gained weight

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  20th Apr 26

Evra patch  

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

Patch  
Used for 8+ yr
22 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

I loved being on the patch. It was so convenient. My periods were still really heavy but I could push them to once every two months before breakthrough bleeding would cause me to take the patch off and have a period. I’d have pain on the first day but nothing ever as bad as I used to have before. I was solely on the patch to help with irregular/painful periods. I switched bc I wanted a more subtle birth control.


Increased sex drive

0 helpful

0 comments

Patch  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 month ago

Evra patch  

I’ve not noticed many side effects other than weight gain / breast growth. Periods are extremely regular almost down to the hour of the day i’ll get it, lasts three days total and before birth control i would have had very bad cramps i’ve noticed they’ve minimised significantly. Now ive only some cramps on day two which is easily solved by Ibepopfen


Gained weight

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  20th Apr 26

Evra patch  

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


Progestogen-only / Mini pill reviews

1491 reviews

Progestogen-only / Mini pill  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  2 days ago

Cerazette pill  

went on cerazette after trying out microgynon30ED and noriday (which both caused frequent irregular bleeding). My GP told me cerazette was fantastic for people who experience frequent bleeding on other mini-pills and often their periods stop. i started it back in late september 2025, and experienced bleeding every second week. fine, i thought, it’s just my body getting used to it! by november i was having just one period a month again! yay!! this was short lived however, as by december i was back to having it every 2nd week. in january i bled for 25 days straight. i was told that the first 3-5 months are expected to see changes in bleeding, so i stuck it out a bit longer. unfortunately the bleeding never stopped, and i continued to get my period now every week and a half, or sometimes even more frequently with only 3 days break in between cycles. :( it’s end of may now and have been on cerazette for 9 months. i am still bleeding every week and a half and honestly im sick of it. i have stopped taking cerazette now. hopefully there’s another one out there for me :(


Top side effects not reported

0 helpful

0 comments

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

Zelleta pill  

I was on the depo shot for 22 years and really started to worry about my bone density as my mother has osteoporosis and I was also struggling to inject in certain bits of my stomach from scar nodules. So I swapped to the mini pill as its the same but with less side effects. I originally came to this site to read the reviews and as usual, people always tend to leave a review for the negatives. I can honestly say Ive had absolutely no side effects, my period still hasn't returned after being on the shot and I've actually lost weight. Hopefully someone needs to read this.


Very positive mood

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

Not a good experience, lots of weight gain, more emotional/moody. cant wear contacts anymore


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
22 years old
🇬🇧 UK
  •  2 days ago

Cerazette pill  

went on cerazette after trying out microgynon30ED and noriday (which both caused frequent irregular bleeding). My GP told me cerazette was fantastic for people who experience frequent bleeding on other mini-pills and often their periods stop. i started it back in late september 2025, and experienced bleeding every second week. fine, i thought, it’s just my body getting used to it! by november i was having just one period a month again! yay!! this was short lived however, as by december i was back to having it every 2nd week. in january i bled for 25 days straight. i was told that the first 3-5 months are expected to see changes in bleeding, so i stuck it out a bit longer. unfortunately the bleeding never stopped, and i continued to get my period now every week and a half, or sometimes even more frequently with only 3 days break in between cycles. :( it’s end of may now and have been on cerazette for 9 months. i am still bleeding every week and a half and honestly im sick of it. i have stopped taking cerazette now. hopefully there’s another one out there for me :(


Top side effects not reported

0 helpful

0 comments

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

Zelleta pill  

I was on the depo shot for 22 years and really started to worry about my bone density as my mother has osteoporosis and I was also struggling to inject in certain bits of my stomach from scar nodules. So I swapped to the mini pill as its the same but with less side effects. I originally came to this site to read the reviews and as usual, people always tend to leave a review for the negatives. I can honestly say Ive had absolutely no side effects, my period still hasn't returned after being on the shot and I've actually lost weight. Hopefully someone needs to read this.


Very positive mood

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

Not a good experience, lots of weight gain, more emotional/moody. cant wear contacts anymore


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  3 weeks ago

Cerazette pill  

I was a bit more emotional my first 1-2 months on it but then I was fine. Completely took away my debilitating period pains, I get one very mild cramp about once a month and that's it. No side effects except for some constant spotting. I Googled it and started taking 2 pills instead of 1 and the spotting has since stopped. My weight, sex drive, skin, and mood are unaffected as of now (8 months of taking it daily)


Lost weight

0 helpful

0 comments

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

Slynd pill  

I'm in months 2 and hoping things get a little better. Pro: No periods or period pain/endo pain! (HURRAY) And no weightgain (which i had on another pill) Con: I'm feeling down, sleep bad, hair loss, forgetful, spotting, BV, vaginal dryness, heart pains and rising anxiety. I want to give it a month extra or so but the side effects are getting me down. This is the 2nd pill I've tried this year. The first one was a combined pill but made my uterine lining super thick and that gave me massive cramps and hurt. So let's see but kinda sceptical.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Slynd pill  

I love this pill. I was struggling with mood and physical symptoms around pms, I have tried several oral contraceptives intermittently over the last 15 years but had other side effects to them, I was using a Kyleena coil which worked really well for contraception and period control but as this did not stop me ovulating, PMS became my main concern. I tried Slynd when it became available in the UK and I love it. My cyclical mood, bloating and skin issues have basically completely resolved and the longer missed pill window works much better for me.


Very positive mood

1 more effect

0 helpful

0 comments

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

Zelleta pill  

this was my first contraception ever. i had read up on it so had an idea of what to expect but after a week of taking it i could already see the affect it was having on my body. i was easily gaining much more weight than i would when eating the same foods, same amount of foods. i was never one to have spots and noticed my skin getting loads around my forehead and cheeks. my mood was terrible, always angry and irritated causing a lot of arguments between me and my boyfriend. decreased sex drive. i decided to stop it as i just didn’t feel like myself anymore, im 4 days off it and im feeling a lot better than i was taking it.


Very negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
29 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

I’d been off contraception for years and I wanted to go back on it as in a relationship and not TTC just yet. So far it seems to be okay th first 2 months was where i experienced most my symptoms mainly have settled sort from sex drive, headaches, no periods they still exist on month 5.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
21 years old
🇬🇧 UK
  •  26th Apr 26

Desogestrel pill  

I started taking the mini pill as the combined was making me cry every single day, it was great for the first year but now I am experiencing absolutely no sex drive and I feel awful! It’s made me hate myself as I know my partner can notice but I don’t know what to do. It seems like every conception has massive negatives so I don’t even know if I want to try another one and go through this again. In the same through I don’t want to come off the pill as my anxiety will go mental if I’m not on anything !!! It’s such a shame because I’ve experienced no other side effects but I can’t go on like thi


Somewhat negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
36 years old
🇬🇧 UK
  •  18th Apr 26

Noriday pill  

My GP suggested I switch from Desogesterel to Noriday as I was consistently getting break through bleeding after many years of being period free. The first 6 months of taking Noriday were great, with a few days of very light spotting over many months. Then I started to get more regular, painful periods. I persisted with taking it, and after a few months of no period, it's been months of heavy, painful bleeds that last anywhere from 4 to 9 days at a time every 2-4 weeks. For the last few months I've been getting the type of period pain I haven't had since I was a teenager (I'm not in my mid-30s) - the kind that wakes you up in the middle of the night and stops you from sleeping. I'm coming off this pill today.


Decreased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

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