Progestogen-only / Mini pill vs Patch

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Progestogen-only / Mini pill

£From £0.22/day

Patch

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Overview

Rated 2.7

1474 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.4

124 reviews

Weekly

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


Patch ingredients

Main hormones in Patch

progestogen

oestrogen

What Lowdown reviewers say

32% somewhat negative

43% stopped periods

49% lost sex drive

44% no impact

45% no impact on skin

Cycle return

39% don’t know impact

36% no impact on mood

34% lighter periods

48% no impact

48% no impact

49% no impact on 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

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Check out our latest reviews

Real life reviews from people like you

Progestogen-only / Mini pill reviews

1474 reviews

Progestogen-only / Mini pill  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

When I was on it I was really pleased with how it was going. I felt balanced due to no periods and lack of mood swings etc. It felt great to not have periods and have that interruption on my life each month. What I didn’t realise until after I came off it after many years of using this pill, the implant and another pill previously was the affect it had had on my arousal/libido, I had always put this down to anxiety, but I feel very confident in saying now that having a true cycle has made a huge difference to this. When on the pill (especially the mini pill) I felt broken as to why I didn’t ever think about sex, but that changed almost instantly when I stopped. I wish I had known how much this would have impacted this. I would use it again, but I would be cautious of this change.

Read more

Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Slynd pill  

I have suspected endometriosis and this has been life-changing for me because it's completely stopped my periods! However, it's also given me spotting after sex and bouts of stubborn thrush. The thrush almost made me quit, but the benefits (no periods or crippling cramps) outweigh the cons. I'm also happy that it hasn't affected my mood at all because previous pills made me extremely depressed.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

I was so scared to go on this pill because of the mounds of negative stuff on it online as well as my own medical anxiety but it’s the best thing I ever did. Went on it at 17 due to heavy painful long periods and for the first like 6 months? I spotted every day. Which no isn’t ideal but it wasn’t painful. After those 6 months I have not bled or had any period since. My general anxiety has decreased so much after being on the pill and my overall mood. No side effects except maybe a small weight gain. Don’t let bad reviews put you off, this pill works for so many people, it changed me and my friends life for the better


Gained weight

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

When I was on it I was really pleased with how it was going. I felt balanced due to no periods and lack of mood swings etc. It felt great to not have periods and have that interruption on my life each month. What I didn’t realise until after I came off it after many years of using this pill, the implant and another pill previously was the affect it had had on my arousal/libido, I had always put this down to anxiety, but I feel very confident in saying now that having a true cycle has made a huge difference to this. When on the pill (especially the mini pill) I felt broken as to why I didn’t ever think about sex, but that changed almost instantly when I stopped. I wish I had known how much this would have impacted this. I would use it again, but I would be cautious of this change.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Slynd pill  

I have suspected endometriosis and this has been life-changing for me because it's completely stopped my periods! However, it's also given me spotting after sex and bouts of stubborn thrush. The thrush almost made me quit, but the benefits (no periods or crippling cramps) outweigh the cons. I'm also happy that it hasn't affected my mood at all because previous pills made me extremely depressed.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

I was so scared to go on this pill because of the mounds of negative stuff on it online as well as my own medical anxiety but it’s the best thing I ever did. Went on it at 17 due to heavy painful long periods and for the first like 6 months? I spotted every day. Which no isn’t ideal but it wasn’t painful. After those 6 months I have not bled or had any period since. My general anxiety has decreased so much after being on the pill and my overall mood. No side effects except maybe a small weight gain. Don’t let bad reviews put you off, this pill works for so many people, it changed me and my friends life for the better


Gained weight

0 helpful

0 comments


Patch reviews

124 reviews

Patch  
Used for 8+ yr
28 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

No side effects


Very positive mood

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

noticed that the side effects were less or more intense depending on where i put the patch on my body. i used to have it on my arm and had intense nausea nonstop and after putting on my hip/ bum it stopped. also cystitis symptoms however i’m not sure if they are related


Very negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  3 weeks ago

Evra patch  

Started taking the Evra patch to help regulating my hormones and to help with bad health anxiety. The 3rd day I had it on resulted in me taking the patch off straight away due to immense nausea, panic, shaking and complete loss of appetite. 3 months later my hormones have been worse than ever with random crying and anxiety increasing throughout my cycle.


Very negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 8+ yr
28 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

No side effects


Very positive mood

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Evra patch  

noticed that the side effects were less or more intense depending on where i put the patch on my body. i used to have it on my arm and had intense nausea nonstop and after putting on my hip/ bum it stopped. also cystitis symptoms however i’m not sure if they are related


Very negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  3 weeks ago

Evra patch  

Started taking the Evra patch to help regulating my hormones and to help with bad health anxiety. The 3rd day I had it on resulted in me taking the patch off straight away due to immense nausea, panic, shaking and complete loss of appetite. 3 months later my hormones have been worse than ever with random crying and anxiety increasing throughout my cycle.


Very negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  28th Jan 26

Evra patch  

Overall good birth control. I do get random cramps throughout the day ever since I started it and my skin is irritated and itchy where I place my patch.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  2nd Jan 26

Evra patch  

Overall good, so far effective. But my periods are a lot heavier and a lot more painful. Tender breasts for at least half of the month and random cramps throughout the month even when I’m not on my period.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Patch  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  8th Dec 25

Evra patch  

I got pregnant twice in 3 months…


Lost weight

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  26th Nov 25

Evra patch  

The Evra patch has been a good choice for me so far, and it’s my first time on birth control! I would say the only downfall is around the edge of the patch gets dirty from adhesive, and that it’s nerve racking to swim a lot in fear it will come off! I went on vacation and was nervous but I used a tagaderm to keep it on when swimming!


Top side effects not reported

0 helpful

0 comments

Patch  
Used for 1 - 3 mo
30 years old
🇬🇧 UK
  •  9th Nov 25

Evra patch  

The patch made me feel extremely unwell. I had nausea, heavy headed feeling, headaches, tiredness, sweating and soreness where the patch was placed. I ended up removing it before 24 hours was up because I couldn't sleep and felt so out of sorts.


Top side effects not reported

0 helpful

1 comments

Patch  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  25th Oct 25

Evra patch  

Went on the patch having been on the implant previously. On the implant I had lots of spotting which thankfully went away on the patch. However I have definitely noticed a distinct rise in anxiety since being on the patch over the last year - enough to stop me wanting to go to things like the theatre or going on tours without getting sweaty. I also think it's killed my sex drive so I'm going to go off it and seek alternative contraception. Its a shame because I do find it convenient and have felt very protected on it. My period increased its flow a lot during the period week and I also got bad headaches around that week which I wasn't used to. Sad to have to change but dont like the quality of life.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Patch  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  6th Aug 25

Evra patch  

I love using the patch. It has made using contraceptive so much easier and I went through a phase of recommending it too everyone I know. I've had a few symptoms recently, but not sure if that is related to the Patch or a different medical issue. In the last year, I've had more hormonal acne than I did before, but that's the main side effect that I would say I've been affected by. We are coming off contraceptive soon, so hoping it is a smooth process


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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