Patch vs Progestogen-only / Mini pill

Need help choosing? Speak to a doctor
Patch

Add your Patch review

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.4

130 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.7

1490 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

49% no impact

49% no impact

50% no impact on skin

Cycle return

38% 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

Try it now

Add your Patch review

Try it now

£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Patch reviews

130 reviews

Patch  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  2 weeks 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

Read more

Gained weight

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  1 month ago

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 12 - 18 mo
36 years old
🇬🇧 UK
  •  13th Apr 26

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
20 years old
🇬🇧 UK
  •  2 weeks 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
  •  1 month ago

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 12 - 18 mo
36 years old
🇬🇧 UK
  •  13th Apr 26

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


Progestogen-only / Mini pill reviews

1490 reviews

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

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
  •  1 month ago

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

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

Slynd pill  

I had my first postpartum period without any birth control and it was a bit heavier than normal (pre-pregnancy comparison) but not too bad honestly, the cramps weren’t horrible either. Then my second period I had been on Slynd for about a month and it was HORRIBLE, I’m a medical nurse and I have an relatively high pain tolerance but I considered going to the hospital. The first night I was having multiple medium sized clots that my coworker said looked like it was uterine lining, heavy heavy bright red bleeding and horrendous cramps that made me want to vomit. Plus my uterus was contracting so much I think I went #2 like 5x that day alone. Day 2 was slightly better with slightly less horrible cramps but still relatively heavy bleeding and some small clots every hour or so. Now day 3 and I’m heavy bleeding still and now have some sharp lower abdomen pain especially when in the motion of going to sit down or stand up. I’m hoping this stops soon because this has been the worst period I think I’ve ever had and pre-pregnancy I thought I had some pretty bad ones. I don’t think I will be continuing this birth control


Very negative mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Patch with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them