Progestogen-only / Mini pill vs Implant

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Progestogen-only / Mini pill

£From £0.22/day

Implant

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Overview

Rated 2.7

1418 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

615 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

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

37% somewhat negative

49% irregular periods

50% lost sex drive

40% gained weight

56% no impact on skin

Cycle return

31% in 1 month

Benefits: What this contraceptive can help with

Period pain

Heavy periods

Ovulation pain

Period pain

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£From £0.22/day

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Check out our latest reviews

Real life reviews from people like you

Progestogen-only / Mini pill reviews

1418 reviews

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

Cerelle pill  

I had break through bleeding most weeks for my first 6 months of this pill, then everything was great, however for my final 5 months of the pill I bled again every single day. I decided to come off as it was negatively effecting my mood from the bleeding and also felt zero emotions towards sex or excitement - just felt generally 'meh'.

Read more

Decreased sex drive

1 more effect

2 helpful

0 comments

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

Cerazette pill  

I´m having a great experience but im loosing too much hair.


Somewhat negative mood

2 more effects

1 helpful

0 comments

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

Desogestrel pill  

I went on desogestrel twice. The first time I noticed it made me cry extremely easily, and I bled pretty much constantly for 9 months. Then I came off it. When I tried it again for a few months, I had a similar experience, with the added side effect of being so hungry that if I wasn't constantly snacking I was insanely nauseous. Ultimately, it was the bleeding that made me stop it.


Very negative mood

3 more effects

1 helpful

0 comments

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

Cerelle pill  

I had break through bleeding most weeks for my first 6 months of this pill, then everything was great, however for my final 5 months of the pill I bled again every single day. I decided to come off as it was negatively effecting my mood from the bleeding and also felt zero emotions towards sex or excitement - just felt generally 'meh'.


Decreased sex drive

1 more effect

2 helpful

0 comments

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

Cerazette pill  

I´m having a great experience but im loosing too much hair.


Somewhat negative mood

2 more effects

1 helpful

0 comments

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

Desogestrel pill  

I went on desogestrel twice. The first time I noticed it made me cry extremely easily, and I bled pretty much constantly for 9 months. Then I came off it. When I tried it again for a few months, I had a similar experience, with the added side effect of being so hungry that if I wasn't constantly snacking I was insanely nauseous. Ultimately, it was the bleeding that made me stop it.


Very negative mood

3 more effects

1 helpful

0 comments


Implant reviews

615 reviews

Implant  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  today

Nexplanon implant  

At first stopped my periods for 1 year but after periods came back much lighter but at random times. Now periods are more regular and still light rather than random spotting. Recently the doctor found a cyst in my ovary they think was caused by the implant.


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I really didn’t like this. I felt I was always bleeding and the first 3 months are brutal emotionally.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  20th Aug 25

Nexplanon implant  

To me, the implant feels like a very fair tradeoff, where inconsistent spotting and occasional sore boobs is a price I am willing to pay to ensure I have the best protection from pregnancy. That is why I have rated it 5 stars, despite mild side effects. I have had the implant for six months now, and I can honestly say that it has been immense. My copper IUD gave me heavy periods and back pain which would ruin my day, and caused me lots of stress when it randomly decided to dislodge itself after 3 months. The implant cannot dislodge, so this was a welcome improvement. My partner and I used condoms but were worried about the risk of "human error". I was hesitant to start hormonal birth control because I heard stories about people losing their libido or experiencing emotional/personality changes, but these changes have thankfully not occured for me! I may cry slightly more (at films and such) since getting the implant, but I don't actually feel any sadder if that makes sense. Prior to contraception I always had easy, regular periods. Since getting the implant, I have only experienced two physical side effects. One of these is irregular spotting for ~7 days at a time, once or twice a month. This spotting sometimes becomes period-like in terms of the bleeding, and occasionally comes with period-like cramps. I have found this to be easily manageable, but some people find it very frustrating and everyone will have a different experience. It's up to you which side effects you are and aren't willing to put up with. The second side effect for me is sore boobs, although I haven't experienced this for a while. I am hoping that this side effect has run its course now that I have had the implant for 6 months. In terms of the insertion process, it was a ridiculously easy procedure (although I only have an IUD insertion to compare it to). If you're scared of needles I would recommend taking a friend with you because they inject your arm to numb it (mild pain for under 10 seconds, then it's numb). As someone who isn't bothered by needles and had such a friendly doctor, getting the implant was nothing more than an excuse to be taken out for a celebratory dinner. Please don't let the insertion process put you off! Whilst the insertion may sound more inconvenient than picking up a box of condoms or a prescription, it is very straightforward and will only require a 10-minute doctors oppointment every 3 years. I had the implant in my dominant arm and I was able to do normal everyday things, although I had to be cautious about lifting things or raising my arm for the first few days. The bruise took about a month to fully fade, but the mild-moderate aching was gone within a week and a half. In summary, it is so easy to read these reviews and make asssumptions about the implant based on peoples stories of irregular bleeding, painful insertions and hormonal side effects. BUT it is not a negative experience for everyone, and I am so glad to have the implant!


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  today

Nexplanon implant  

At first stopped my periods for 1 year but after periods came back much lighter but at random times. Now periods are more regular and still light rather than random spotting. Recently the doctor found a cyst in my ovary they think was caused by the implant.


Decreased sex drive

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  1 month ago

Nexplanon implant  

I really didn’t like this. I felt I was always bleeding and the first 3 months are brutal emotionally.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  20th Aug 25

Nexplanon implant  

To me, the implant feels like a very fair tradeoff, where inconsistent spotting and occasional sore boobs is a price I am willing to pay to ensure I have the best protection from pregnancy. That is why I have rated it 5 stars, despite mild side effects. I have had the implant for six months now, and I can honestly say that it has been immense. My copper IUD gave me heavy periods and back pain which would ruin my day, and caused me lots of stress when it randomly decided to dislodge itself after 3 months. The implant cannot dislodge, so this was a welcome improvement. My partner and I used condoms but were worried about the risk of "human error". I was hesitant to start hormonal birth control because I heard stories about people losing their libido or experiencing emotional/personality changes, but these changes have thankfully not occured for me! I may cry slightly more (at films and such) since getting the implant, but I don't actually feel any sadder if that makes sense. Prior to contraception I always had easy, regular periods. Since getting the implant, I have only experienced two physical side effects. One of these is irregular spotting for ~7 days at a time, once or twice a month. This spotting sometimes becomes period-like in terms of the bleeding, and occasionally comes with period-like cramps. I have found this to be easily manageable, but some people find it very frustrating and everyone will have a different experience. It's up to you which side effects you are and aren't willing to put up with. The second side effect for me is sore boobs, although I haven't experienced this for a while. I am hoping that this side effect has run its course now that I have had the implant for 6 months. In terms of the insertion process, it was a ridiculously easy procedure (although I only have an IUD insertion to compare it to). If you're scared of needles I would recommend taking a friend with you because they inject your arm to numb it (mild pain for under 10 seconds, then it's numb). As someone who isn't bothered by needles and had such a friendly doctor, getting the implant was nothing more than an excuse to be taken out for a celebratory dinner. Please don't let the insertion process put you off! Whilst the insertion may sound more inconvenient than picking up a box of condoms or a prescription, it is very straightforward and will only require a 10-minute doctors oppointment every 3 years. I had the implant in my dominant arm and I was able to do normal everyday things, although I had to be cautious about lifting things or raising my arm for the first few days. The bruise took about a month to fully fade, but the mild-moderate aching was gone within a week and a half. In summary, it is so easy to read these reviews and make asssumptions about the implant based on peoples stories of irregular bleeding, painful insertions and hormonal side effects. BUT it is not a negative experience for everyone, and I am so glad to have the implant!


Top side effects not reported

0 helpful

0 comments

Implant  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  16th Aug 25

Implant  

All the great wetness I was feeling down there is all gone. I have painful sexual intercourse and I'm sad.


Very negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  13th Aug 25

Nexplanon implant  

Poor experience. Great at preventing pregnancy however side effects on mental and physical health were not worth it. I chose to prioritise my health and swap to condoms.


Very negative mood

0 helpful

0 comments

Implant  
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  23rd Jul 25

Nexplanon implant  

Bled constantly for months, then no period for ages, then bleeding again for weeks on end. Really heavy which is abnormal for me. No sex drive, I was really depressed for the nearly 3 years I was on this and I thought that was just me, funnily enough when i came off it I felt so much better and couldn’t believe most my problems were probably being caused by this implant


Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
26 years old
🇬🇧 UK
  •  20th Jul 25

Nexplanon implant  

Extreme weight gain, despite always being a consistent weight and no changes in lifestyle/eating habits. Also I have become increasingly more self conscious and body conscious, so an affect on mental health


Very negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  13th Jul 25

Nexplanon implant  

Great if you want to have sex and not worry about pregnancy’s however the change in my physical appearance and mood swings have been crazy and I will be getting it removed asap as I can’t go on like this


Very negative mood

1 more effect

1 helpful

0 comments

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

Nexplanon implant  

Some infrequent cramping and bleeding but in general a good experience. Despite a lot of fear and generally being very bad with needles, a very good fitting experience (thank you to the nurse for introducing me to glucose shots that reduced the delayed faint for me!), and very convenient to not have to think about it for a few years. Feeling for it has not been as bad as it sounded, and while you cannot avoid side effects as easily - unlike a pill or patch you can't just stop taking it or take a break - they have not been worse than a usual cycle, and happen less frequently so overall, happy!


Somewhat positive mood

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  4th Jul 25

Nexplanon implant  

Great, less to worry about. But the cramps are brutal as well as the mood swings.


Somewhat negative mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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