Vaginal ring vs Combined pill

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Vaginal ring

£From £0.41/day

Combined pill

£From £0.16/day

Overview

Rated 3.7

53 reviews

Every 3 weeks

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2598 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Vaginal ring ingredients

Main hormones in Vaginal ring

progestogen

oestrogen


Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

What Lowdown reviewers say

53% no impact on mood

55% lighter periods

45% lost sex drive

68% no impact

42% no impact on skin

Cycle return

47% in 1 month

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% don’t know impact

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Try it now

£From £0.41/day

Try it now

£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Vaginal ring reviews

53 reviews

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  2 weeks ago

SyreniRing  

I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  13th May 25

NuvaRing  

The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  15th Apr 25

NuvaRing  

I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  2 weeks ago

SyreniRing  

I was recommended the ring after suffering with irregular and heavy periods. I would describe myself as suffering PMDD before and now my moods are so much better. It's easy to insert, I never feel it, and easy to keep in (or briefly take out) when having sex. The ring is great and I recommend to everyone I meet.


Very positive mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  13th May 25

NuvaRing  

The first few months weren’t awful, had regular side effects like nausea, anxiety & tiredness. The main function of the ring for me was to skip my periods & for the first 3 months it worked great. On my 4th ring a few days later I started to feel incredibly nauseous (I didn’t vomit) & the day after I started bleeding, I spotted every day for over a month & still spot every other day, I also had had a large sack of my uterus wall come out which is apparently a side effect when your hormones are unstable. My hips, pelvis, back and legs were aching to the point I struggled to walk. I removed the ring & had instant relief. The nuvaring has made it so I physically can’t have sex as it feels like my vagina is on fire as soon as anything’s inserted, when I took the ring out for a few days this went away & came back the second I reinserted it (it’s also irritated my partners penis). I don’t know if I’m just very sensitive down there or my body doesn’t agree with having a foreign body inside but this just simply hasn’t worked for me. It’s also difficult to get in the right position. My boobs have gotten bigger tho atleast but so has my tummy from the awful bloating!! Swapping to the patch today & hoping it works.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 8+ yr
50 years old
🇬🇧 UK
  •  15th Apr 25

NuvaRing  

I have had the Nuva-ring for years. It's brilliant, no side effects, it gives the hormone dose at the point in my body I need it so I know less hormone is swirling around my body and going through my liver. Surely that's a good thing. I don't think GPs prescribe it here in the UK nearly enough as possibly more expensive than the pill? I was living in Europe after the birth of my second child, initially I was put on the mini-pill and immediately fell into a very low mood which I hadn't felt the weeks after the birth so knew it was the mini-pill that had effected me. I was taken off it straight away and it was suggested I avoid progesterone-only contraceptive as I am probably progesterone-intolerant (beware anyone on the Merina-coil - so many don't realise progesterone can give you depression). I was then given the Nuvaring which I have been on ever since. Oestrogen and me are happy bed fellows. I am also now on HRT which I can take with the ring. When my oestrogen levels dipped as I hit 50 yo the oestorgen in HRT once again lifted my mood. It's all trial and error but only we know what works and what doesn't.


Somewhat positive mood

1 more effect

0 helpful

0 comments


Combined pill reviews

2598 reviews

Combined pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  today

Eloine pill  

I started taking Eloine after I had experienced depression-like symptoms on the two weeks before my period for around 3 months. It was really hard to deal with and I think I have very bad PMT or maybe PMDD? I also had horrendous hormonal acne that really damaged the way I felt about myself, this mixed with the pre period mood swings made me feel like I wasn’t myself anymore. I researched different treatments that can help both PMT symptoms and hormonal acne, so I gave Eloine a go. I started it in February and wow has it changed how I experience periods (not to be dramatic but it really has changed my quality of life too). I feel very little mood swings now, I just feel when my luteal phase starts but in terms of energy not mentally! I just feel soooo much better in myself. My only complaint is I’ve experienced slight breast enlargement - but I’m consistently working out to try and combat this. I’ve never really had issues with period heaviness or cramps, but I would say my period is a lot lighter but last a day or so longer than before I was on the pill. Overall, my PMT symptoms have been totally ushered away by Eloine, I’m currently seeing a dermatologist for acne who also says this will help alongside other treatments. Facial oil is very much reduced. If you are struggling with acne or mood problems, please know that you are not alone. My mum grew up dealing with this, and so did her mum. Unfortunately some people are just dealt that hormonal issue card but I would definitely recommend this pill, sometimes natural remedies just don’t scratch the surface of what you’re going through. You’ve got this!!! Things will get better and I’m rooting for you 🩷


Very positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  1 day ago

Lucette pill  

Stopped the mini pill after 3 years and switched to the combined to see if my skin and moods would improve. My skin definitely has improved and is similar to my post-accutane skin I had before I started hormonal birth control. My mood swings remained awful. I took the packs typically back to back but on a couple occasions I had breakthrough bleeding so took a 4 day break. I never had a yeast infection/thrush before taking this pill but in the 10 months of taking the combined pill I’ve had about 7 cases of thrush. Doctors kind of dismissed me saying it must be something else but it’s the only thing in my life that has changed, must be the estrogen! Finally had enough of the recurrent yeast infections affecting my relationship and sex life as well as day to day comfort so decided to switch to the copper coil last week. Fingers crossed my hormones will balance out!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
28 years old
🇬🇧 UK
  •  2 days ago

Rigevidon  

I’ve used Rigevidon on and off for years. It was great from my late teens to about age 25, my periods reduce to 3 days on this pill and are very light, with minimal cramping. When I hit 25, I really started to notice mood swings and complete loss of libido. Came off the pill for a while, then back on it, and am noticing the same symptoms again


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  today

Eloine pill  

I started taking Eloine after I had experienced depression-like symptoms on the two weeks before my period for around 3 months. It was really hard to deal with and I think I have very bad PMT or maybe PMDD? I also had horrendous hormonal acne that really damaged the way I felt about myself, this mixed with the pre period mood swings made me feel like I wasn’t myself anymore. I researched different treatments that can help both PMT symptoms and hormonal acne, so I gave Eloine a go. I started it in February and wow has it changed how I experience periods (not to be dramatic but it really has changed my quality of life too). I feel very little mood swings now, I just feel when my luteal phase starts but in terms of energy not mentally! I just feel soooo much better in myself. My only complaint is I’ve experienced slight breast enlargement - but I’m consistently working out to try and combat this. I’ve never really had issues with period heaviness or cramps, but I would say my period is a lot lighter but last a day or so longer than before I was on the pill. Overall, my PMT symptoms have been totally ushered away by Eloine, I’m currently seeing a dermatologist for acne who also says this will help alongside other treatments. Facial oil is very much reduced. If you are struggling with acne or mood problems, please know that you are not alone. My mum grew up dealing with this, and so did her mum. Unfortunately some people are just dealt that hormonal issue card but I would definitely recommend this pill, sometimes natural remedies just don’t scratch the surface of what you’re going through. You’ve got this!!! Things will get better and I’m rooting for you 🩷


Very positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  1 day ago

Lucette pill  

Stopped the mini pill after 3 years and switched to the combined to see if my skin and moods would improve. My skin definitely has improved and is similar to my post-accutane skin I had before I started hormonal birth control. My mood swings remained awful. I took the packs typically back to back but on a couple occasions I had breakthrough bleeding so took a 4 day break. I never had a yeast infection/thrush before taking this pill but in the 10 months of taking the combined pill I’ve had about 7 cases of thrush. Doctors kind of dismissed me saying it must be something else but it’s the only thing in my life that has changed, must be the estrogen! Finally had enough of the recurrent yeast infections affecting my relationship and sex life as well as day to day comfort so decided to switch to the copper coil last week. Fingers crossed my hormones will balance out!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
28 years old
🇬🇧 UK
  •  2 days ago

Rigevidon  

I’ve used Rigevidon on and off for years. It was great from my late teens to about age 25, my periods reduce to 3 days on this pill and are very light, with minimal cramping. When I hit 25, I really started to notice mood swings and complete loss of libido. Came off the pill for a while, then back on it, and am noticing the same symptoms again


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  2 days ago

Microgynon 30 pill  

I was on Microgynon 30 for almost 8 years and I never had any issues! I changed 3 months ago to the progesterone only pill due to my friend getting a blood clot from microgynon, and within a month I began getting spots all over my jawline! I have now had constant spots for 2 months. I will be going back to the pharmacy to discuss my options and potentially move back to Microgynon.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
  •  1 week ago

Microgynon 30 pill  

Absolutely legendary pill, I’ve been on a few others this one by far is the best. Haven’t had any changes in my emotions and most importantly not pregnant! And I really do push that to the test weekly. I was A cup before taking and now I’m pushing B cup so for me that’s great


Improved skin

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
43 years old
🇬🇧 UK
  •  2 weeks ago

Dretine pill  

Low mood, caused depression anxiety and lethargy


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
29 years old
🇬🇧 UK
  •  3 weeks ago

Eloine pill  

I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.


Somewhat positive mood

2 more effects

1 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  3 weeks ago

Rigevidon  

Used Rigevidon for 6 months, had to stop due to mood. It didn't make me depressed or anxious just a lot more sensitive, took my quite a while (another 6 months) for my hormones to finally balance out again. My weight didn't change a massive deal, I gained a little bit, probably more due to me being more upset than usual. Stopped period pain and made periods a lot lighter and easier and grew my boobs a bit. Also very clear skin which is a bonus. Overall okay pill I just didn't like the mood swings.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
21 years old
🇬🇧 UK
  •  3 weeks ago

Maexeni pill  

sadly got swapped as my pharmacy isn’t stocking it anymore. it served me well for 5 years. can’t really complain


Improved skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  1 month ago

Rigevidon  

I’ve managed 10 days on this pill - but have stopped for my mental health. Never have I suffered with anxiety like I have on this pill. It has been horrendous. My mood is so low and I’ve not been able to function normally for days. I’ve not eaten or drank normally. The headaches and nausea are constant.


Very negative mood

1 more effect

0 helpful

1 comments

Contraceptive alternatives and comparisons

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