Vaginal ring vs Combined pill

Need help choosing? Speak to a doctor
Vaginal ring

£From £0.41/day

Combined pill

£From £0.16/day

Overview

Rated 3.6

52 reviews

Every 3 weeks

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.8

2587 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

54% no impact on mood

54% lighter periods

46% lost sex drive

67% no impact

39% 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

52 reviews

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  3 weeks ago

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.

Read more

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 12 - 18 mo
31 years old
🇬🇧 UK
  •  22nd Jan 25

NuvaRing  

NuvaRing greatly affected my mood, at one point I thought I had depression and got prescribed antidepressants by incompetent doctors. The second I stopped using NuvaRing (based on INTERNET RECOMMENDATIONS), all my mental problems went away


Very negative mood

1 more effect

1 helpful

0 comments

Vaginal ring  
Used for 3 - 6 mo
23 years old
🇬🇧 UK
  •  3 weeks ago

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 12 - 18 mo
31 years old
🇬🇧 UK
  •  22nd Jan 25

NuvaRing  

NuvaRing greatly affected my mood, at one point I thought I had depression and got prescribed antidepressants by incompetent doctors. The second I stopped using NuvaRing (based on INTERNET RECOMMENDATIONS), all my mental problems went away


Very negative mood

1 more effect

1 helpful

0 comments


Combined pill reviews

2587 reviews

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  today

Mercilon pill  

Vagina is very dry and sex has become a chore as I also have a low sex drive now


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  1 day ago

Brevinor pill  

This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  4 days ago

Marvelon pill  

Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  today

Mercilon pill  

Vagina is very dry and sex has become a chore as I also have a low sex drive now


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
22 years old
🇬🇧 UK
  •  1 day ago

Brevinor pill  

This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  4 days ago

Marvelon pill  

Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Microgynon 30 pill  

Gave me cystitis all the time and even after coming off I keep getting it after seeing a specialist they told me it’s due to the The pill, lowering my oestrogen


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

I thought i had gotten on well with Gedarel, didn’t have side effects really and took it continuously to not have periods which only about every 6mnths got beeak-through bleeding, the periods during a pill break were getting heavier each time though. only after coming off it and changing to the mini pill did I realise my sez drive was affected by it as it came back to my normal and my mood felt more stable generally also? The reason for switching was because I had one really bad migrane (and no history of it)


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Brevinor pill  

nknkn


Very positive mood

0 helpful

0 comments

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

Microgynon 30 ED pill  

I started this pill 4 months ago, and i’ve noticed that i’ve bruised a lot, especially on my arms knees legs etc. i had swapped birth controls> from the injection seyena press to the combined pill and the injection, i had no period for the 2 year period i was using, started the pill and have had 2 quite big heavy periods- having a clear out isn’t an issue but the pain i am in is a lot. either way this pill is great whilst using for 4 months+ :)


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

I really didn't like this pill. It caused my mood to plummet, and I gained weight on it.


Very negative mood

2 more effects

0 helpful

0 comments

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

Femodette pill  

I was prescribed Femodette because I wanted a COC pill that would not cause my mood to worsen. It didn't have any impact on my mood, which is great, but the weight gain I experienced on this pill made me consider alternative methods of contraception.


Increased sex drive

1 more effect

0 helpful

0 comments

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

Ambelina pill  

my pharmacy moved me to this pill when my previous one was not available. I was hesitent at first but found it lightened my discharge which was always so heavy on my previous pill. I was forced to stop this pill due to unavailbilty but i am currently trying to get it back because after a month back on my old pill i am now seeing how much better this one was for me. I didnt notice the positive changes until i had to go back onto my old one. But if anything that is a good thing to me because it felt natural.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Vaginal ring with other contraceptives

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