Progestogen-only / Mini pill vs Implant
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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
589 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
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
Implant reviews
589 reviews
Used for 5 - 8 yr
41 years old
🇬🇧 UK
• 2 weeks ago
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
32 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 3 weeks ago
Worked well as a contraception, but in the year I had it in for I probably had about 30 days only without any bleeding or spotting. I also trialled taking the mini pill alongside the implant to try and reduce the bleeding but this had no effect. I had thrush multiple times throughout the year I had the implant, and had never had it before. My mood was the worst it had ever been, but there had been other life changes going on at the time which may have contributed.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
41 years old
🇬🇧 UK
• 2 weeks ago
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
32 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 3 weeks ago
Worked well as a contraception, but in the year I had it in for I probably had about 30 days only without any bleeding or spotting. I also trialled taking the mini pill alongside the implant to try and reduce the bleeding but this had no effect. I had thrush multiple times throughout the year I had the implant, and had never had it before. My mood was the worst it had ever been, but there had been other life changes going on at the time which may have contributed.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 11th Oct 24
I’ve had multiple cycles in which I bled for around 3 week straight and multiple where I just missed my period altogether. I’ve gained lots of weight and have gone up 3 cup sizes since having it. I’ve also developed severe acne problems since having it, similar to the issues I had with the Desogestrel pill. It’s honestly been much worse than I expected.
Worse skin
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
• 11th Oct 24
I enjoyed the convenience of this birth control but the side effects are not worth it. My mood has been like a roller coaster every day and I have had debilitating anxiety after being on this contraception for nearly 2 years. The constant spotting and light cramps are awful and the cystic acne and constant breast pain are too. It is very effective at preventing pregnancy though.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 19th Sep 24
I've had nexplanon for nearly 3 years and I will most likely get it again and recommend it to others. Whilst everyone's body is different, my body hasn't had an awful reaction with the implant. When I had it inserted I had two extremely light periods in the beginning and since then I have had no periods. I would say the only thing I have struggled with personally is the weight gain, however I have a bad relationship with food and my body so take it with a grain of salt! When I had it inserted I was underweight and in the nearly 3 years I've had it, I have gained enough to be classed on the "higher end of a normal BMI" (whatever that really means because the BMI is a load of BS). My boobs have grown- probably because of the weight gain, and I do get occasional mild cramping. Whilst this is the negative side not my experience, it has also been nice to not worry about pregnancy after having sex and it has made things A LOT easier. Overall 9/10. Please remember everyone's experiences are different. My experience might be the complete opposite of someone else's. If you feel like a form of contraception isn't working or is making your life horrible because of the side effects, please try something else. It's trial and error!
Gained weight
0 helpful
0 comments
Used for 18 mo - 3 yr
23 years old
🇬🇧 UK
• 5th Sep 24
Whilst the second and third years on the implant mellowed me out a bit as a mentally unwell girly (struggle to regulate my emotions), the first year was pretty bad now I look back on it-i was quite depressed although unsure if this was due to the implant. I never had any periods, except for some rare light spotting for a couple of days every 6 months or so. No other symptoms really except for some weight gain and boob enlargement. My libido was a bit lower as well imo.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
34 years old
🇬🇧 UK
• 25th Aug 24
This was by far the best contraceptive method I've used. Discreet, reliable and gave me no issues. Had 2 of these over several years.
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
26 years old
🇬🇧 UK
• 6th Aug 24
It was great for the first few years, I had no bleeding and didn’t notice any mood problems. After the first time I got it changed, I had constant problems with bleeding on and off. I ended up taking the mini pill on top to stop bleeding which caused horrible dryness, which was very uncomfortable. I didn’t notice my mood getting worse or my sex drive disappearing over the following 6 years, but a few days after I got it out I could feel this weighty sense of dread leaving my body. This contraception was effective insofar as it prevented pregnancy, but it’s hard to tell how much of that was just me never wanting to have sex.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 8+ yr
29 years old
🇬🇧 UK
• 1st Jul 24
I had 3 implants over 9 years. On the surface I thought I had minimal side effects, with the exception on loss of periods (approx. 2 per year). However I decided to take a break having spent a decade on continuous hormonal birth control. I now realise that there where several effects on my mood. Mostly flat lining of my emotions, I never felt things intensely and left me a bit closed off. My libido was very suppressed and took 3/4 months to come back, in line with my periods returning semi- regularly. I also no longer feel constantly bloated or have regular stomach aches. However I didn't get pregnant or experience bad side effects, so I can't say it was a wholly 'negative' experience. I won't however go back to hormonal birth control anytime soon!
Somewhat negative mood
2 more effects
0 helpful
0 comments
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