Progestogen-only / Mini pill vs Implant
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Overview
Rated 2.7
1364 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
597 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
Implant ingredients
Main hormones in Implant
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Period pain
Heavy periods
Ovulation pain
Period pain
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Real life reviews from people like you
Progestogen-only / Mini pill reviews
1364 reviews
Used for 6 - 12 mo
34 years old
🇬🇧 UK
• 3 days 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
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 2 weeks ago
I have been taking Hana for 4-5 months now. Generally I have enjoyed the effects of taking a POP, but the specific effect Desogestrel had has led me to trying Slynd instead. Aside from the contraceptive effect, I mainly started taking this pill to combat low mood, hormonal headaches and to hopefully lighten my period. I did find all of these things improved on Hana, but I found that inconsistent and increasingly frequent bleeding was killing my sex drive, making it a touch redundant and prompting the switch. I would have likely reluctantly kept taking Hana (or tried a different brand) as I do feel my mood has benefited overall, and it is advised that bleeding can settle down over time, but now that Slynd was finally available in the UK, I see no need to compromise. In my first month on the pill, I had no bleeding at all (as you would expect). I also generally didn't notice many other side effects. I did have some mood swings - which took me by surprise, but were easier to handle once I identified what was happening and generally settled down after the first month. I also noticed slight vaginal dryness (not uncommon for me in my luteal phase and nothing a bit of lube can't fix) but have been unable to determine if this has also settled. As I got to the last week of pills in my first pack, I had a withdrawal bleed, which again was not unexpected. I was pleased to note that this was much lighter than my normal period, even if it lasted longer, because I could essentially just wear period underwear instead of my normal underwear and that would last all day. In my second month, I noticed some light but otherwise entirely manageable spotting. This alone would not have dissuaded me from taking this pill. I again had a withdrawal bleed around the start of the last week in the pack and would have been happy with that cadence. This is where the problems started, however. Through the course of the third month, I noticed that the light spotting was turning into more prolonged bleeding, which by the end of the month was almost constant and in some cases led me to leak through my clothes. Having done some research online, I decided to try taking two pills instead of just one - this did seem to make the bleeding lighter but it has continued. While I feel that the hormones have overall had a positive impact on my sex drive, it is very hard to feel attractive or think about sex when you are constantly bleeding.
Somewhat positive mood
0 helpful
0 comments
Used for 3 - 6 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I have been on this pill for 4 months. My periods are regular which is the ONLY good thing about it. My skin is awful, bloating is insane. The bleeding is heavier than I’ve ever experienced and my sex drive has completely disappeared. Everyone’s experience is different but personally, this is the worst pill I’ve ever tried.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
34 years old
🇬🇧 UK
• 3 days 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
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 2 weeks ago
I have been taking Hana for 4-5 months now. Generally I have enjoyed the effects of taking a POP, but the specific effect Desogestrel had has led me to trying Slynd instead. Aside from the contraceptive effect, I mainly started taking this pill to combat low mood, hormonal headaches and to hopefully lighten my period. I did find all of these things improved on Hana, but I found that inconsistent and increasingly frequent bleeding was killing my sex drive, making it a touch redundant and prompting the switch. I would have likely reluctantly kept taking Hana (or tried a different brand) as I do feel my mood has benefited overall, and it is advised that bleeding can settle down over time, but now that Slynd was finally available in the UK, I see no need to compromise. In my first month on the pill, I had no bleeding at all (as you would expect). I also generally didn't notice many other side effects. I did have some mood swings - which took me by surprise, but were easier to handle once I identified what was happening and generally settled down after the first month. I also noticed slight vaginal dryness (not uncommon for me in my luteal phase and nothing a bit of lube can't fix) but have been unable to determine if this has also settled. As I got to the last week of pills in my first pack, I had a withdrawal bleed, which again was not unexpected. I was pleased to note that this was much lighter than my normal period, even if it lasted longer, because I could essentially just wear period underwear instead of my normal underwear and that would last all day. In my second month, I noticed some light but otherwise entirely manageable spotting. This alone would not have dissuaded me from taking this pill. I again had a withdrawal bleed around the start of the last week in the pack and would have been happy with that cadence. This is where the problems started, however. Through the course of the third month, I noticed that the light spotting was turning into more prolonged bleeding, which by the end of the month was almost constant and in some cases led me to leak through my clothes. Having done some research online, I decided to try taking two pills instead of just one - this did seem to make the bleeding lighter but it has continued. While I feel that the hormones have overall had a positive impact on my sex drive, it is very hard to feel attractive or think about sex when you are constantly bleeding.
Somewhat positive mood
0 helpful
0 comments
Used for 3 - 6 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I have been on this pill for 4 months. My periods are regular which is the ONLY good thing about it. My skin is awful, bloating is insane. The bleeding is heavier than I’ve ever experienced and my sex drive has completely disappeared. Everyone’s experience is different but personally, this is the worst pill I’ve ever tried.
Very negative mood
3 more effects
0 helpful
0 comments
Implant reviews
597 reviews
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 17th Mar 25
took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!
Worse skin
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇬🇧 UK
• 13th Mar 25
I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 6th Mar 25
Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 17th Mar 25
took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!
Worse skin
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇬🇧 UK
• 13th Mar 25
I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 6th Mar 25
Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 28th Feb 25
Normal for me I’m a U.S. bodybuilder nothing has change a lot of women gain weight because it can be an appetite enhancing affect. I’ve stayed the same tracking calories my spotting is normals as other off and on some missed periods and most lighter and little do not heavy. Experiencing hard sore nipples. And depression seems more there but not to bad. Do feel tired though out the day.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
21 years old
🇬🇧 UK
• 12th Feb 25
Used this for 1,5 years and I love it. The implant completely stopped my period this whole time, except 1 small break-thru bleeding 1yr ago. Insertion was not painful. Started using due to painful periods. Now living pain-free!
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 6th Feb 25
Positives of the Nexplexon implant is it is a very effective contraceptive and the insertion was quick and painless. However, I have been constantly bleeding (spotting and heavier bleeding) since I had it inserted 6 months ago. I have had bad cramping and lower back pain along side the bleeding. My overall mood has been effected as I feel exhausted most of the time, although I do work some night shifts so this may be a contributing factor. My sex drive has been lower than normal. I have noticed my boobs ache and feel sore. I am considering having it removed, if the bleeding does not settle.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 27th Jan 25
I believe it ruined mindset, mental health and confidence. I am normally not over the top and this sounds like an exaggeration. Although I had a really tough year and these would've affected my perspective. I always have and would utilise those negative situations to motivate me and channel sadness into action. But when I was on the implant: - I had lost all confidence in myself and abilities - My skin got worse and I have always had super clear skin - I had more hair than usual - I was super easy to agitation and struggled to regulate my emotions - I became anxious and depressed (please note some of this would be situational and not just the implant). I thought it was all situational. Until I got it removed a month ago. I am still in the process of my hormones regulating which has been difficult. But after a month I am slowly finding my personality coming back. I am not isolating as much. I am channelling my energy into action and turning my life around again! I feel more like myself day by day.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 3rd Dec 24
50/50 experience overall. My skin improved to the point where it is clear aside from the occasional hormonal spot. Definitely would recommend if you’re like me and always forget to take the pill daily. I don’t get periods but when I do I bleed for about 2-3 weeks heavily. I have noticed some weight gain but nothing to be worried about. My boobs have grown 2 whole cup sizes. No mood changes as far as I’m aware. The implant insertion process was quick and painless so nothing to worry about there.
Improved skin
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 9th Nov 24
Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 5th Nov 24
Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different
Somewhat negative mood
2 more effects
0 helpful
0 comments

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