Patch vs Progestogen-only / Mini pill
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Overview
Rated 3.4
110 reviews
Weekly
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 2.7
1373 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
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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Check out our latest reviews
Real life reviews from people like you
Patch reviews
110 reviews
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 3 days ago
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
Used for 3 - 6 mo
35 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 2nd Mar 25
I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.
Very negative mood
2 more effects
2 helpful
1 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 3 days ago
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
Used for 3 - 6 mo
35 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 2nd Mar 25
I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.
Very negative mood
2 more effects
2 helpful
1 comments
Progestogen-only / Mini pill reviews
1373 reviews
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 1 day ago
Was on desogestrel for almost 8 years. Only got light spotting when I missed a pill, otherwise very easy adjusting to pill. I’ve stopped now as I’m trying to conceive and actually stopping has been an experience - I’ve been getting hormonal acne and my sex drive has shot through the roof! I also developed minor vaginismus (related to stress levels) on the pill and that seems to have gone away in the last month since I stopped desogestrel. I can update this in a few months time in case these symptoms are temporary or not.
Decreased sex drive
0 helpful
0 comments
Used for 8+ yr
33 years old
🇬🇧 UK
• 6 days ago
I would HIGHLY recommend this contraception. In my opinion it is one of the best, if not the best and has worked for me 100%
Somewhat positive mood
2 more effects
1 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 weeks ago
This is the WORST. My mental health plummeted on this pill, crying nearlt everyday. Not to mention i was bleeding medium heavy for 30+ days every single day. Really terrible effect i would not recommend. My doctor said to wait another week but after bleeding for a month straight i couldnt.
Top side effects not reported
1 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 1 day ago
Was on desogestrel for almost 8 years. Only got light spotting when I missed a pill, otherwise very easy adjusting to pill. I’ve stopped now as I’m trying to conceive and actually stopping has been an experience - I’ve been getting hormonal acne and my sex drive has shot through the roof! I also developed minor vaginismus (related to stress levels) on the pill and that seems to have gone away in the last month since I stopped desogestrel. I can update this in a few months time in case these symptoms are temporary or not.
Decreased sex drive
0 helpful
0 comments
Used for 8+ yr
33 years old
🇬🇧 UK
• 6 days ago
I would HIGHLY recommend this contraception. In my opinion it is one of the best, if not the best and has worked for me 100%
Somewhat positive mood
2 more effects
1 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 weeks ago
This is the WORST. My mental health plummeted on this pill, crying nearlt everyday. Not to mention i was bleeding medium heavy for 30+ days every single day. Really terrible effect i would not recommend. My doctor said to wait another week but after bleeding for a month straight i couldnt.
Top side effects not reported
1 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇬🇧 UK
• 2 weeks ago
this was my first contraceptive pill i tried. in the first three months, i did struggle with lower mood and had consistent light bleeding that would last for over a week. later on, i adjusted better and eventually stopped having a period, with the occasional light bleeding from time to time. i experienced decreased sex drive and mentally has not been great but it has been manageable. i decided to stop this after 10 months due to suddenly getting worsened acne, which is not something i have struggled with since i was a young teenager
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 3 - 6 mo
36 years old
🇬🇧 UK
• 3 weeks ago
I’ve gained some weight but I don’t think it was the pill alone, other factors such as other medication and enjoying food are at play! I’ve enjoyed having a regular cycle (still ovulating) with less intense highs and lows emotionally but no impact to libido. Has been helpful for PMS overall. Some side effects are headaches and tender/larger breasts. I’ve adjusted the 3 hour window to take this pill a few times with ease too.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 3 weeks ago
Tried the mini pill because combined contraception scared me and I knew I had to go on something as I had recently got an abortion and suffered badly with period cramps. So far I’ve had very few side effects in the first month I had a couple of acne spots popping up due to the change in hormones but they stopped towards the end of my second month. I’ve been keeping an eye on my weight and it’s had no effect and I haven’t had an increase in appetite as I take the pill before I go to sleep at 9:30pm which I recommend so much. Overall my mood hasn’t been affected at all and I have stopped bleeding pretty much, I have had a small period recently on my 2nd month of pills but no cramps or bloating. Overall I’m super happy I started this pill of course it’s different for everybody my advice go with what you think is best for you and regularly check in with your doctor. It’s trial and error but don’t read into it online as everyone has different side effects this pill may work really well for you and not for others! I defo recommend though 🫶
Top side effects not reported
1 helpful
0 comments
Used for 3 - 6 mo
46 years old
🇬🇧 UK
• 3 weeks ago
Hi in my experience the breakthrough bleeding was too much for me. I had to change pill due to starting on hrt. Previously used microgynon which was great periods were like clockwork. Short 4 days and fairly light. I stopped using it and now use noriday.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
34 years old
🇬🇧 UK
• 3 weeks ago
The first few months have been rough. Originally went on this pill to alleviate symptoms of Endemetriosis but I’ve had worse side effects then my natural cycle with Endo. I’m giving it one more cycle and if nothing changes then I’ll go off the pill
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
18 years old
🇬🇧 UK
• 3 weeks ago
I’ve been on multiple brands of pills, Cerazette, Yasminelle and Microlite. Microlite was the bane of my existence , it made me extremely hormonal I was constantly crying and a very irritable person but I’ve been on Cerazette about 2 years and have found it’s the one I agree with the most
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
34 years old
🇬🇧 UK
• 1 month ago
Generally happy with this pill, which I'm now able to get from my GP. It's much better than Desogestrel for me. I haven't had a period since I started it and no breakthrough bleeding either. My skin is great on this pill and my weight hasn't changed - if anything I lost a bit of weight, which unfortunately made my boobs smaller. I read this pill has a diuretic effect but I haven't noticed that at all. Initially I had headaches and some disturbed sleep, but these went away after the first month. My sex drive is lower but not to the point of it being an issue. I love that it has the safety of a 24-hour window, plus it's made my mood really stable and has stopped my periods.
Improved skin
1 more effect
0 helpful
0 comments

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