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 3.5

116 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.7

1431 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

50% no impact

44% no impact on skin

Cycle return

37% don’t know impact

32% 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

116 reviews

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

Evra patch  

Went on the patch having been on the implant previously. On the implant I had lots of spotting which thankfully went away on the patch. However I have definitely noticed a distinct rise in anxiety since being on the patch over the last year - enough to stop me wanting to go to things like the theatre or going on tours without getting sweaty. I also think it's killed my sex drive so I'm going to go off it and seek alternative contraception. Its a shame because I do find it convenient and have felt very protected on it. My period increased its flow a lot during the period week and I also got bad headaches around that week which I wasn't used to. Sad to have to change but dont like the quality of life.

Read more

Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  6th Aug 25

Evra patch  

I love using the patch. It has made using contraceptive so much easier and I went through a phase of recommending it too everyone I know. I've had a few symptoms recently, but not sure if that is related to the Patch or a different medical issue. In the last year, I've had more hormonal acne than I did before, but that's the main side effect that I would say I've been affected by. We are coming off contraceptive soon, so hoping it is a smooth process


Very positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  5th Jul 25

Evra patch  

I found this much more convenient than a pill as it only has to be thought about each week. The patch cover seemed to often slip leaving the adhesive to get dirty through the week however, and I was told to stop using them after a short time as they brought back migranes that I had not experienced in years.


Top side effects not reported

0 helpful

0 comments

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

Evra patch  

Went on the patch having been on the implant previously. On the implant I had lots of spotting which thankfully went away on the patch. However I have definitely noticed a distinct rise in anxiety since being on the patch over the last year - enough to stop me wanting to go to things like the theatre or going on tours without getting sweaty. I also think it's killed my sex drive so I'm going to go off it and seek alternative contraception. Its a shame because I do find it convenient and have felt very protected on it. My period increased its flow a lot during the period week and I also got bad headaches around that week which I wasn't used to. Sad to have to change but dont like the quality of life.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  6th Aug 25

Evra patch  

I love using the patch. It has made using contraceptive so much easier and I went through a phase of recommending it too everyone I know. I've had a few symptoms recently, but not sure if that is related to the Patch or a different medical issue. In the last year, I've had more hormonal acne than I did before, but that's the main side effect that I would say I've been affected by. We are coming off contraceptive soon, so hoping it is a smooth process


Very positive mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  5th Jul 25

Evra patch  

I found this much more convenient than a pill as it only has to be thought about each week. The patch cover seemed to often slip leaving the adhesive to get dirty through the week however, and I was told to stop using them after a short time as they brought back migranes that I had not experienced in years.


Top side effects not reported

0 helpful

0 comments


Progestogen-only / Mini pill reviews

1431 reviews

Progestogen-only / Mini pill  
Used for 3 - 6 mo
19 years old
🇬🇧 UK
  •  today

Cerazette pill  

It's my 4th month, and I hate it. I have anxiety and a depressive mood, and I am so irritated with everyone and everything constantly for no reason, and I don't want it to affect my loved ones because I know this is not who I am. My hair's thinning vigorously, and my period, which was 5 days long, has increased to 15 and counting! And it's not just 15 days of light spotting, it's a full-on heavy period which has left me so damm tired and dizzy all the time with all the iron loss. yes i missed one day of the pill which i know can create spotting but that was 2 months ago. i have been consistantly taking my pills since and its just getting worse and worse for me. i honestly dont want to continue but i have heard it gets better after a while of use. but from what i see its doing to my body and mental state i just dont think i can continue like this. I dont know what to do.


Very negative mood

1 more effect

0 helpful

0 comments

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

Cerazette pill  

I would have given this contraceptive 5 starts if it hadn’t caused me significant hair loss. It’s a shame because I didn’t experience any other negative side effects. I am lucky to have had thick hair to begin with, but after a few months of use and noticeable shedding I have ended up with nearly half the hair I started with.


Top side effects not reported

1 helpful

0 comments

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

Desogestrel pill  

6 - 12 months 15/04/2025 - currently in my third week of me 7th month of the pill. I’ve just had a period after 3 weeks of not bleeding (having pretty much spotting all of the time/constantly bleeding) I feel like we’re finally getting back on track. The period was however thicker and more like ‘old’ blood than usual with a day of normal bleeding. I’ve been quite emotional recently and I’m pretty sure my breast have gotten slightly bigger while being on the pill but I haven’t gone up a bra size. I did put on some weight but I think I’m finally dropping it slowly but it feels slow going. 30/04/2025 - So I had that last period and have been and and off since. I think I’ve only had a couple of days on not bleeding at all or spotting. Today it seems that there is nothing. My boobs definitely feel larger but still not up a bra size. I had an awful breakout last week on my chest and back but my face seems ok/if not better than usual. 12/05/2025 - I’ve just had THE WORST under the skin spots on my chest. Like really really bad to the point I’m going to scar. However, I did just have a period but it lasted 3 days at most. I did feel super strange before it and in pain but not my usual period cramps. More like a full body sensation of pain which wasn’t excruciating but still not pleasant. Otherwise, I’ve been fine on it. I think I had nearly 2 weeks of no bleeding or spotting at all before this small period? 22/05/2025 - I’ve actually been feeling fine recently. I think I only had about 13 days between my last bleed and the small bleed/period that I’ve just had but there was no blood/spotting in between again which was nice. 01/07/2025 - I’ve still been bleeding really regularly. I’m noticing weight gain now that I can’t shift and I’m sweating so much more than usual. I’m at the point where I’m considering going to the GP and telling them I’m coming off of the pill I’m really not having a great time. 17/07/2025 - I’m about month 9 now of starting the pill. I’ve gone from bleeding about every 2 weeks to now having bled for nearly 3 now which is great. I did take a pregnancy test even though pregnancy would be a miracle (we use condoms as well because I definitely don’t want to be pregnant) It was negative. I’ve changed eating habits and have been exercising regularly and my weight is still creeping up. If it doesn’t start to come down soon I’ll be chatting to the GP about it. My mood is also really low. I’ve said this before but the spots on my face are definitely better than they were pre-pill but other body acne/spots are definitely worse. 15/08/2025 - So I still haven’t really had a period. I had a couple of days of cramps and old blood in mucus at the start of this week but nothing I’d really describe as a period. (definitely not pregnant). The issue I’m having is the increased sweating. It’s unbearable. My sister says that she has suffered the same since starting the pill. I’ve never in my life sweat this much. 4/11/25 - Yes it’s been over a year since being on the pill now. I’ve still not had a period since June so I guess it’s decided that it's not happening anymore (not pregnant) Breast tenderness is still here as well.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
19 years old
🇬🇧 UK
  •  today

Cerazette pill  

It's my 4th month, and I hate it. I have anxiety and a depressive mood, and I am so irritated with everyone and everything constantly for no reason, and I don't want it to affect my loved ones because I know this is not who I am. My hair's thinning vigorously, and my period, which was 5 days long, has increased to 15 and counting! And it's not just 15 days of light spotting, it's a full-on heavy period which has left me so damm tired and dizzy all the time with all the iron loss. yes i missed one day of the pill which i know can create spotting but that was 2 months ago. i have been consistantly taking my pills since and its just getting worse and worse for me. i honestly dont want to continue but i have heard it gets better after a while of use. but from what i see its doing to my body and mental state i just dont think i can continue like this. I dont know what to do.


Very negative mood

1 more effect

0 helpful

0 comments

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

Cerazette pill  

I would have given this contraceptive 5 starts if it hadn’t caused me significant hair loss. It’s a shame because I didn’t experience any other negative side effects. I am lucky to have had thick hair to begin with, but after a few months of use and noticeable shedding I have ended up with nearly half the hair I started with.


Top side effects not reported

1 helpful

0 comments

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

Desogestrel pill  

6 - 12 months 15/04/2025 - currently in my third week of me 7th month of the pill. I’ve just had a period after 3 weeks of not bleeding (having pretty much spotting all of the time/constantly bleeding) I feel like we’re finally getting back on track. The period was however thicker and more like ‘old’ blood than usual with a day of normal bleeding. I’ve been quite emotional recently and I’m pretty sure my breast have gotten slightly bigger while being on the pill but I haven’t gone up a bra size. I did put on some weight but I think I’m finally dropping it slowly but it feels slow going. 30/04/2025 - So I had that last period and have been and and off since. I think I’ve only had a couple of days on not bleeding at all or spotting. Today it seems that there is nothing. My boobs definitely feel larger but still not up a bra size. I had an awful breakout last week on my chest and back but my face seems ok/if not better than usual. 12/05/2025 - I’ve just had THE WORST under the skin spots on my chest. Like really really bad to the point I’m going to scar. However, I did just have a period but it lasted 3 days at most. I did feel super strange before it and in pain but not my usual period cramps. More like a full body sensation of pain which wasn’t excruciating but still not pleasant. Otherwise, I’ve been fine on it. I think I had nearly 2 weeks of no bleeding or spotting at all before this small period? 22/05/2025 - I’ve actually been feeling fine recently. I think I only had about 13 days between my last bleed and the small bleed/period that I’ve just had but there was no blood/spotting in between again which was nice. 01/07/2025 - I’ve still been bleeding really regularly. I’m noticing weight gain now that I can’t shift and I’m sweating so much more than usual. I’m at the point where I’m considering going to the GP and telling them I’m coming off of the pill I’m really not having a great time. 17/07/2025 - I’m about month 9 now of starting the pill. I’ve gone from bleeding about every 2 weeks to now having bled for nearly 3 now which is great. I did take a pregnancy test even though pregnancy would be a miracle (we use condoms as well because I definitely don’t want to be pregnant) It was negative. I’ve changed eating habits and have been exercising regularly and my weight is still creeping up. If it doesn’t start to come down soon I’ll be chatting to the GP about it. My mood is also really low. I’ve said this before but the spots on my face are definitely better than they were pre-pill but other body acne/spots are definitely worse. 15/08/2025 - So I still haven’t really had a period. I had a couple of days of cramps and old blood in mucus at the start of this week but nothing I’d really describe as a period. (definitely not pregnant). The issue I’m having is the increased sweating. It’s unbearable. My sister says that she has suffered the same since starting the pill. I’ve never in my life sweat this much. 4/11/25 - Yes it’s been over a year since being on the pill now. I’ve still not had a period since June so I guess it’s decided that it's not happening anymore (not pregnant) Breast tenderness is still here as well.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  4 days ago

Slynd pill  

Im loosing so much hair since I started taking slynd, my first couple of months I was constantly dizzy. My sexy drive is very low. Im constantly bleeding, im considering stopping it.


Decreased sex drive

0 helpful

1 comments

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

Slynd pill  

Overall is ok but still have a lot of sid effects


Decreased sex drive

1 more effect

0 helpful

0 comments

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

Cerazette pill  

I have been on this pill just over a month and the side effects have been horrendous. I have felt suicidal and utterly depressed everyday, I feel as though I am completely not myself. I have insomnia and wake in the night with intense anxiety and my hands are shaking. I have had bleeding for the past week, extreme hunger, weight gain and feeling so angry I could punch someone. Would NOT recommend this at all, it's dangerous for women. Going to stop taking today as I can't keep feeling like this.


Very negative mood

3 more effects

1 helpful

0 comments

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

Cerelle pill  

I have been using the pill for around 6 months and I keep getting irregular bleeding whilst taking the pill. I take my pill everyday but somehow seem to bleed anyway it’s not spotting as people say it’s heavier like a normal period. It changed my mood within seconds and keeps giving me my Period every 2-3 weeks.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Lovima pill  

After years of being on no contraception I decided to give the Mini Pill another go. It worked for me several years ago but began impacting my mental health so I stopped. This time round I have been more in tune with my body. The first 3-5 days I had itchy nipples. I’ve gained 4kg in a month and my diet hasn’t changed. I have had a headache and neck pain since day one, if I didn’t keep on top of pain relief it would come back. I already have acne prone skin which has took years to get under control and within the first week I developed cystic acne. I’ve felt myself snapping at others in my house over silly things and also felt unable to make decisions. They say to give it 3 months to settle into your system but it’s a no go for me. I cannot deal with the daily head and neck pain, acne and mood issues - so back to condoms we go.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
30 years old
🇬🇧 UK
  •  3 weeks ago

Cerazette pill  

Everything seems ok only issue is that period has fully stopped. Unsure if i should be concerned.


Improved skin

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  3 weeks ago

Zelleta pill  

It's great to stop your period but after being on it for a long time losing weight is almost impossible.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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