Progestogen-only / Mini pill vs Patch
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Overview
Rated 2.7
1427 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 3.5
116 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
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
1427 reviews
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 2 days ago
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 4 days ago
I have been on this pill just over a month and the side effects have been horrendous. I have felt suicidal and utterly depressed everyday, I feel as though I am completely not myself. I have insomnia and wake in the night with intense anxiety and my hands are shaking. I have had bleeding for the past week, extreme hunger, weight gain and feeling so angry I could punch someone. Would NOT recommend this at all, it's dangerous for women. Going to stop taking today as I can't keep feeling like this.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I have been using the pill for around 6 months and I keep getting irregular bleeding whilst taking the pill. I take my pill everyday but somehow seem to bleed anyway it’s not spotting as people say it’s heavier like a normal period. It changed my mood within seconds and keeps giving me my Period every 2-3 weeks.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 2 days ago
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 4 days ago
I have been on this pill just over a month and the side effects have been horrendous. I have felt suicidal and utterly depressed everyday, I feel as though I am completely not myself. I have insomnia and wake in the night with intense anxiety and my hands are shaking. I have had bleeding for the past week, extreme hunger, weight gain and feeling so angry I could punch someone. Would NOT recommend this at all, it's dangerous for women. Going to stop taking today as I can't keep feeling like this.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I have been using the pill for around 6 months and I keep getting irregular bleeding whilst taking the pill. I take my pill everyday but somehow seem to bleed anyway it’s not spotting as people say it’s heavier like a normal period. It changed my mood within seconds and keeps giving me my Period every 2-3 weeks.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Patch reviews
116 reviews
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 5 days ago
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
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 6th Aug 25
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
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 5th Jul 25
I found this much more convenient than a pill as it only has to be thought about each week. The patch cover seemed to often slip leaving the adhesive to get dirty through the week however, and I was told to stop using them after a short time as they brought back migranes that I had not experienced in years.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 5 days ago
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
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 6th Aug 25
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
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 5th Jul 25
I found this much more convenient than a pill as it only has to be thought about each week. The patch cover seemed to often slip leaving the adhesive to get dirty through the week however, and I was told to stop using them after a short time as they brought back migranes that I had not experienced in years.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 30th Jun 25
I really liked the patch with my moods, periods, only having to remember once a week to change it, etc, but it gave me a rash. I went to my doctor and was hoping they’d be able to say the rash isn’t a big deal or offer me a patch for more sensitive skin but there isn’t any other patch so sadly I had to come off it and go on the pill
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 29th Jun 25
I think the patch works fine for me, it doesn’t fall off and has never peeled away. I’ve had a couple of headaches since starting a month ago but don’t know if they’re related, I don’t usually get any headaches so it’s likely. Pretty sure it’s decreased my sex drive.
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 27th May 25
I would highly recommend using the patch if you want a form of contraception that can easily fit around your life. Doctors will be very quick to try and prescribe the pill or the coil and will rarely mention the patch. The patch makes it easier to absorb hormones instead of digesting them like you do with the pill. It’s great not having a luteal phase which makes me feel really low anymore. My mood is stable and my skin has improved a lot. The only negative side effects I would say I’ve experienced is more difficulty in my vagina lubricating itself and water retention making me feel like I’m more bloated/ added on weight. However the latter could be due to other factors and I’ve found that I can manage it with exercising more.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
23 years old
🇬🇧 UK
• 6th May 25
Been using the patch for 1 month now. The first 2 weeks weren’t great, I was having intense mood swings and irritability which was not like myself. I also experienced headaches during the first 2 weeks which now seem to be a lot better. By the third week things started to settle and my moods became better and less intense. On the patch free week I experienced bleeding and stomach pain (similar to a normal period) I’ve also noticed my skin has gotten worse as I very rarely get spots but have had quite a few breakouts since beginning the patch. I haven’t noticed any weight gain but slight breast enlargement. Overall, I would recommend the patch due to quite a lot of the side effects being temporary and as someone who struggles with contraception this has been the best one so far.
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 3 - 6 mo
35 years old
🇬🇧 UK
• 24th Apr 25
I went back on the patch a few months ago as it's probably my most preferred form of contraception (I'm often not on any and am reluctant to use anything but needs must). I actually have fallen pregnant on the patch in the past and have a 5 year old son to show for it but so far this time round it seems to be doing the job. Pros: It's so easy to use, changing once a week is so much easier than trying to remember a pill each day. I usually use the whole pack back to back so appreciate less frequent periods. It stays put with no issue at all. Cons: My moods have been awful, to the point I feel quite depressed some of the time, I'm crying a lot and not coping with challenges very well as I normally would. My periods are generally heavier, I have a couple of days of constantly leaking through tampons in a very short space of time. I'm getting headaches quite regularly which won't shift with painkillers. Also feel nauseous quite often. This month have started breakthrough bleeding after just a couple of weeks since last patch free week. Overall, not loving it at the moment. However I've had such bad experiences with other forms of contraception that I still think this is the best of a bad bunch. Really rate the convenience of it. No noticeable difference to weight or skin thankfully.
Somewhat negative mood
1 helpful
0 comments
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 2nd Mar 25
I don't like it. It makes me feel sad, like full-time pms. I've cried most days on it. I get headaches and I never used to. My friends say I don't seem like myself. My sex drive is lower. I was spotting for the first 6 weeks. Pluses are decreased risk of pregnancy, being able to skip a break and less heavy period/breakthrough bleeding so iron levels are easier to control. It's easy to use and so far has stayed on well (we'll see if this is still the case in summer). I like that if I wanted to stop using it I can remove it myself.
Very negative mood
2 more effects
2 helpful
1 comments
Women's health, reviewed.
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