Progestogen-only / Mini pill vs Combined pill
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Overview
Rated 2.7
1312 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2503 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Period pain
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
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Check out our latest reviews
Real life reviews from people like you
Progestogen-only / Mini pill reviews
1312 reviews
Used for 5 - 8 yr
23 years old
🇬🇧 UK
• 2 weeks ago
I’ve taken it for 6 years now. Not really any side effects. However, it might have affected my mood negatively, but i am not certain as I went through big life changes when i started taking it so my mood may have been a result of that. Also lost a bit of weight at that time and it stayed off. Didn’t get my period anymore for a couple of years but now i have irregular bleeding sometimes (Some months more, some less).
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I started the POP because I had a few migraines with auras on the combined pill and had to stop this. When I started the mini-pill my periods became very irregular. However, I went on the combined pill in the first place because of my irregular cycle so this may just be me. I have noticed my periods are lighter but I never had heavy periods anyway. I have had a few cases of spotting for 2-3weeks after getting my period but this hopefully seems to have settled now after 5/6 months and I get a 3-5 day light period. My skin flared up with bad hormonal acne about 3/4months after I started taking the POP and hasn’t gotten any better. Another reason why I went on the combined pill initially was to help with acne so I feel this has regressed since starting the mini-pill. Also, I have had some horrific cramping at random times. A couple of times has been a whole week of painful cramps but again this hopefully seems to have settled down a bit after about 7/8 months of taking the POP. Overall, I’m not happy with the side effects I’m experiencing, especially my skin, and am considering trying the hormonal coil, but will give it a full year on the POP to see if my body starts to settle.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 3 weeks ago
I really wanted to like Desogestrel. Initially, my skin was the worst - so oily and immediately broke out in painful acne. This quickly subsided after about 2 weeks. For 3 months, my breasts were so enlarged and sore all the time. I noticed around the 3 month mark that I was experiencing vaginal dryness too. My periods have been totally irregular - since starting Desogestrel in May I've had 10 periods. Many of these were trigged by intercourse. The volume of blood and the level of pain was variable for every period, making it hard to predict. The final straw for me was I started losing my hair around the 5-6 month mark. My hair is noticeably thinner on top and the ends are ruined / look awful. The only positive for me has been that it made me more energetic and have a better / more even mood. It did has not affected my sex drive and I gained a negligible amount of weight.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
23 years old
🇬🇧 UK
• 2 weeks ago
I’ve taken it for 6 years now. Not really any side effects. However, it might have affected my mood negatively, but i am not certain as I went through big life changes when i started taking it so my mood may have been a result of that. Also lost a bit of weight at that time and it stayed off. Didn’t get my period anymore for a couple of years but now i have irregular bleeding sometimes (Some months more, some less).
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I started the POP because I had a few migraines with auras on the combined pill and had to stop this. When I started the mini-pill my periods became very irregular. However, I went on the combined pill in the first place because of my irregular cycle so this may just be me. I have noticed my periods are lighter but I never had heavy periods anyway. I have had a few cases of spotting for 2-3weeks after getting my period but this hopefully seems to have settled now after 5/6 months and I get a 3-5 day light period. My skin flared up with bad hormonal acne about 3/4months after I started taking the POP and hasn’t gotten any better. Another reason why I went on the combined pill initially was to help with acne so I feel this has regressed since starting the mini-pill. Also, I have had some horrific cramping at random times. A couple of times has been a whole week of painful cramps but again this hopefully seems to have settled down a bit after about 7/8 months of taking the POP. Overall, I’m not happy with the side effects I’m experiencing, especially my skin, and am considering trying the hormonal coil, but will give it a full year on the POP to see if my body starts to settle.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 3 weeks ago
I really wanted to like Desogestrel. Initially, my skin was the worst - so oily and immediately broke out in painful acne. This quickly subsided after about 2 weeks. For 3 months, my breasts were so enlarged and sore all the time. I noticed around the 3 month mark that I was experiencing vaginal dryness too. My periods have been totally irregular - since starting Desogestrel in May I've had 10 periods. Many of these were trigged by intercourse. The volume of blood and the level of pain was variable for every period, making it hard to predict. The final straw for me was I started losing my hair around the 5-6 month mark. My hair is noticeably thinner on top and the ends are ruined / look awful. The only positive for me has been that it made me more energetic and have a better / more even mood. It did has not affected my sex drive and I gained a negligible amount of weight.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Combined pill reviews
2503 reviews
Used for 8+ yr
40 years old
🇬🇧 UK
• 5 days ago
I was automatically put on the pill as soon as i became sexually active, within 6 months of this I was on put on antidepressants, of course I didn’t realise and wasn’t told the possibility of a connection. I conceived my 2nd child whilst on the pill. As I got older and became single again I came off the pill and saw a huge change in myself, I also came off the antidepressants easily and felt healthier mentally, I also felt an increase in libido….Something I lost completely whilst on the pill. I’m now dating again and looking for an alternative contraceptive as I cannot go back to how I was before. I also recently found out that the pill can contribute to the production of gallstones.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 5 days ago
I’ve been taking this for over a month and I’ve had terrible skin, I’ve never had spots in my life and I’ve got so many. I’ve also rarely ever had thrush, which I have now read is a common side effect. Also some hair loss. Not a great pill at all, have stopped taking completely.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 5 days ago
Started off on this pill, I'm one of those lucky people who are never sick but while on this pill I would quite regularly feel nauseous a few hours after taking it and on about 5 occasions would vomit aswell, which for me was very unusual but after switching to a different pill these side effects went away.
Worse skin
0 helpful
0 comments
Used for 8+ yr
40 years old
🇬🇧 UK
• 5 days ago
I was automatically put on the pill as soon as i became sexually active, within 6 months of this I was on put on antidepressants, of course I didn’t realise and wasn’t told the possibility of a connection. I conceived my 2nd child whilst on the pill. As I got older and became single again I came off the pill and saw a huge change in myself, I also came off the antidepressants easily and felt healthier mentally, I also felt an increase in libido….Something I lost completely whilst on the pill. I’m now dating again and looking for an alternative contraceptive as I cannot go back to how I was before. I also recently found out that the pill can contribute to the production of gallstones.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 5 days ago
I’ve been taking this for over a month and I’ve had terrible skin, I’ve never had spots in my life and I’ve got so many. I’ve also rarely ever had thrush, which I have now read is a common side effect. Also some hair loss. Not a great pill at all, have stopped taking completely.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 5 days ago
Started off on this pill, I'm one of those lucky people who are never sick but while on this pill I would quite regularly feel nauseous a few hours after taking it and on about 5 occasions would vomit aswell, which for me was very unusual but after switching to a different pill these side effects went away.
Worse skin
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 2 weeks ago
I got prescribed the combination pill due to recurring endometrial polyps. I'm pretty happy with this pill, it took me 3 months to adapt to taking it with frequent mood swings, irritation and sore breasts in the beginning, but once I got past that I really saw the benefits. My hair had been progressively thinning for 3 years before I started this medication, let me confirm that as soon as I started taking this it went away like magic. My hair is thicker and my hairline is barely visible now, it's so much thicker and I'm thrilled. No pregnancies on this pill either so it does work. I do still have tender breasts from time to time and some light cramping but I still feel it's worth taking. 9/10 recommend.
Somewhat positive mood
0 helpful
0 comments
Used for 5 - 8 yr
26 years old
🇬🇧 UK
• 2 weeks ago
I originally went on the Gederal 30/150 combined pill because I had irregular periods and acne. This pill was recommended by my doctor to specifically help with acne. I really liked this pill, I didn’t feel like I experienced any side effects and it really helped clear up my skin. I still got the occasional spot but my skin was so much better. I also liked the ease of being able to chose if/when I got my period by continually taking the pill or having a 7 day break. My periods were super regular and would typically start 2 days after starting the 7 day break, and they would last 5 days with 1-2 heavier days in the middle but mostly very light. I didn’t notice any mood changes. Unfortunately, after about 7 years on this pill I had a few migraines with auras and was told by my GP that I had to stop taking this pill due to the risk of Stroke. I am now on the mini-pill which I am experiencing some negative side effects with.
Improved skin
0 helpful
0 comments
Used for 3 - 6 mo
42 years old
🇬🇧 UK
• 3 weeks ago
I decided to go back on COC pills after years of having depo injections. The pills have made my periods lighter and I only get some cramps the day before I have my bleed. No real side effects apart from weight gain and my breasts have increased in size and are more tender (all the time not just when having my period).
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
15 years old
🇬🇧 UK
• 1 month ago
This pill has been awful for me. I went on as had really bad irregular periods but i have seen no change except bleeding in between, extreme abdominal pain and hair loss. I have also seen my skin which is normally clear be breaking out all the time. I am only speaking of my experience
Very negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 1 month ago
Apart from the vaginal dryness and loss of sex drive, i’m happy with this pill as it did not have any really negative side effects for me, plus it grew my breasts which i liked.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 1 month ago
I was only on this for 2 weeks because my anxiety was sky high. I had panic attacks so bad my chest hurt and I couldn't breathe. At the time, I had nothing to worry about in my life. It is scary because if I had taken Marvelon during the time I was severely depressed, then this pill might've sent me over the edge. GP said it wasn't the pill. However, a few days after stopping Marvelon, the anxiety and panic attacks disappeared. It was definitely Marvelon.
Very negative mood
0 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 1 month ago
main thing for me was the super low sex drive. filling this out, interested to also see sweating a lot as an option. As I do sweat a lot, very easily so very interested (and hope) that is a side effect as looking to change/come off.
Decreased sex drive
0 helpful
0 comments
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