Progestogen-only / Mini pill vs Combined pill

Need help choosing? Speak to a doctor
Progestogen-only / Mini pill

£From £0.22/day

Combined pill

£From £0.16/day

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

32% somewhat negative

43% stopped periods

50% lost sex drive

44% no impact

46% no impact on skin

Cycle return

38% don’t know impact

32% somewhat negative

45% lighter periods

47% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

Benefits: What this contraceptive can help with

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Try it now

£From £0.22/day

Try it now

£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Progestogen-only / Mini pill reviews

1312 reviews

Progestogen-only / Mini pill  
Used for 5 - 8 yr
23 years old
🇬🇧 UK
  •  2 weeks ago

Feanolla pill  

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).

Read more

Improved skin

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

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

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

Desogestrel pill  

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

Progestogen-only / Mini pill  
Used for 5 - 8 yr
23 years old
🇬🇧 UK
  •  2 weeks ago

Feanolla pill  

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

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

Desogestrel pill  

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

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

Desogestrel pill  

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

Combined pill  
Used for 8+ yr
40 years old
🇬🇧 UK
  •  5 days ago

Microgynon 30 ED pill  

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

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  5 days ago

Dretine pill  

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

Combined pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  5 days ago

Rigevidon  

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

Combined pill  
Used for 8+ yr
40 years old
🇬🇧 UK
  •  5 days ago

Microgynon 30 ED pill  

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

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  5 days ago

Dretine pill  

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

Combined pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  5 days ago

Rigevidon  

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

Combined pill  
Used for 6 - 12 mo
35 years old
🇬🇧 UK
  •  2 weeks ago

Yasmin pill  

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

Combined pill  
Used for 5 - 8 yr
26 years old
🇬🇧 UK
  •  2 weeks ago

Gedarel 30/150 pill  

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

Combined pill  
Used for 3 - 6 mo
42 years old
🇬🇧 UK
  •  3 weeks ago

Yaz pill 🇺🇸  

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

Combined pill  
Used for 6 - 12 mo
15 years old
🇬🇧 UK
  •  1 month ago

Yasmin pill  

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

Combined pill  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  1 month ago

Microgynon 30 pill  

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

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  1 month ago

Marvelon pill  

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

Combined pill  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  1 month ago

Microgynon 30 pill  

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

Contraceptive alternatives and comparisons

Compare the Progestogen-only / Mini pill 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