Vaginal ring vs Progestogen-only / Mini pill
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£From £0.22/day
Overview
Rated 3.7
51 reviews
Every 3 weeks
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 2.7
1363 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Vaginal ring ingredients
Main hormones in Vaginal ring
progestogen
oestrogen
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
Period pain
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Check out our latest reviews
Real life reviews from people like you
Vaginal ring reviews
51 reviews
Used for 8+ yr
50 years old
🇬🇧 UK
• 1 day ago
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
Used for 12 - 18 mo
31 years old
🇬🇧 UK
• 22nd Jan 25
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
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 29th Nov 24
I used the NuvaRing/Syreni ring for over a year without any apparent issues until I began experiencing severe stomach cramps. The pain was so intense that it often woke me up at night, leaving me unable to move or sleep for hours. Despite multiple doctor appointments, my concerns were repeatedly dismissed, and I was left feeling anxious and on edge, uncertain about the cause of my pain. Frustrated with the lack of answers, I decided to take matters into my own hands and removed the ring myself. Remarkably, after five months of excruciating cramps, they stopped immediately upon removal of the ring. It's been five weeks now, and I remain cramp-free. While I cannot say with absolute certainty that the vaginal ring was the cause, the timing feels far too coincidental to ignore.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 8+ yr
50 years old
🇬🇧 UK
• 1 day ago
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
Used for 12 - 18 mo
31 years old
🇬🇧 UK
• 22nd Jan 25
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
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 29th Nov 24
I used the NuvaRing/Syreni ring for over a year without any apparent issues until I began experiencing severe stomach cramps. The pain was so intense that it often woke me up at night, leaving me unable to move or sleep for hours. Despite multiple doctor appointments, my concerns were repeatedly dismissed, and I was left feeling anxious and on edge, uncertain about the cause of my pain. Frustrated with the lack of answers, I decided to take matters into my own hands and removed the ring myself. Remarkably, after five months of excruciating cramps, they stopped immediately upon removal of the ring. It's been five weeks now, and I remain cramp-free. While I cannot say with absolute certainty that the vaginal ring was the cause, the timing feels far too coincidental to ignore.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Progestogen-only / Mini pill reviews
1363 reviews
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 2 weeks ago
I have been taking Hana for 4-5 months now. Generally I have enjoyed the effects of taking a POP, but the specific effect Desogestrel had has led me to trying Slynd instead. Aside from the contraceptive effect, I mainly started taking this pill to combat low mood, hormonal headaches and to hopefully lighten my period. I did find all of these things improved on Hana, but I found that inconsistent and increasingly frequent bleeding was killing my sex drive, making it a touch redundant and prompting the switch. I would have likely reluctantly kept taking Hana (or tried a different brand) as I do feel my mood has benefited overall, and it is advised that bleeding can settle down over time, but now that Slynd was finally available in the UK, I see no need to compromise. In my first month on the pill, I had no bleeding at all (as you would expect). I also generally didn't notice many other side effects. I did have some mood swings - which took me by surprise, but were easier to handle once I identified what was happening and generally settled down after the first month. I also noticed slight vaginal dryness (not uncommon for me in my luteal phase and nothing a bit of lube can't fix) but have been unable to determine if this has also settled. As I got to the last week of pills in my first pack, I had a withdrawal bleed, which again was not unexpected. I was pleased to note that this was much lighter than my normal period, even if it lasted longer, because I could essentially just wear period underwear instead of my normal underwear and that would last all day. In my second month, I noticed some light but otherwise entirely manageable spotting. This alone would not have dissuaded me from taking this pill. I again had a withdrawal bleed around the start of the last week in the pack and would have been happy with that cadence. This is where the problems started, however. Through the course of the third month, I noticed that the light spotting was turning into more prolonged bleeding, which by the end of the month was almost constant and in some cases led me to leak through my clothes. Having done some research online, I decided to try taking two pills instead of just one - this did seem to make the bleeding lighter but it has continued. While I feel that the hormones have overall had a positive impact on my sex drive, it is very hard to feel attractive or think about sex when you are constantly bleeding.
Somewhat positive mood
0 helpful
0 comments
Used for 3 - 6 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I have been on this pill for 4 months. My periods are regular which is the ONLY good thing about it. My skin is awful, bloating is insane. The bleeding is heavier than I’ve ever experienced and my sex drive has completely disappeared. Everyone’s experience is different but personally, this is the worst pill I’ve ever tried.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
24 years old
🇬🇧 UK
• 2 weeks ago
3-6 months: (started the pill on 14/10/2024. I've done a review on my first 3 months so this is a follow up) Day 126 - 17/02/2024 – I’ve pretty much had 2 back to back periods with a 2 day break between which I really didn’t appreciate. They really hurt and I convinced myself something was wrong. I have made a doctors appointment to talk through everything. I’m just fed up with bleeding all of the time. I’m spending SO MUCH on pads it’s ridiculous. 12/03/2025 - I’m on my second week of my 6th month of the pill. I’ve kept having back to back periods and consulted the doctor. Because I’m coming up to 25 I had a routine smear (that came back clear) and the doctor did a pelvic exam and they recon it’s the pill that’s the cause of all the bleeding (which I assumed it was anyway. But better safe than sorry). I’m fed up of the bleeding but they’ve given me 6 more months after this to see if it settles. If not we’ll switch to something else. 5/4/2025 - I’m coming to the end of my 1st week in the 7th month of the pill. All I can say is that I’ve stopped bleeding/spotting for the most part. It’s been about 3 weeks since I last bled. So I guess the doctor was right. However, I had like a 1 day period at the beginning of the week it was painful and some period blood and then nothing since. But the last couple of days I’ve had some cramping as if a period wants to start but hasn’t yet. Overall, I think we’re getting back on track hopefully. Sorry I didn't reflect as much but it's pretty much been the same sort of story for the past 3 months
Worse skin
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 2 weeks ago
I have been taking Hana for 4-5 months now. Generally I have enjoyed the effects of taking a POP, but the specific effect Desogestrel had has led me to trying Slynd instead. Aside from the contraceptive effect, I mainly started taking this pill to combat low mood, hormonal headaches and to hopefully lighten my period. I did find all of these things improved on Hana, but I found that inconsistent and increasingly frequent bleeding was killing my sex drive, making it a touch redundant and prompting the switch. I would have likely reluctantly kept taking Hana (or tried a different brand) as I do feel my mood has benefited overall, and it is advised that bleeding can settle down over time, but now that Slynd was finally available in the UK, I see no need to compromise. In my first month on the pill, I had no bleeding at all (as you would expect). I also generally didn't notice many other side effects. I did have some mood swings - which took me by surprise, but were easier to handle once I identified what was happening and generally settled down after the first month. I also noticed slight vaginal dryness (not uncommon for me in my luteal phase and nothing a bit of lube can't fix) but have been unable to determine if this has also settled. As I got to the last week of pills in my first pack, I had a withdrawal bleed, which again was not unexpected. I was pleased to note that this was much lighter than my normal period, even if it lasted longer, because I could essentially just wear period underwear instead of my normal underwear and that would last all day. In my second month, I noticed some light but otherwise entirely manageable spotting. This alone would not have dissuaded me from taking this pill. I again had a withdrawal bleed around the start of the last week in the pack and would have been happy with that cadence. This is where the problems started, however. Through the course of the third month, I noticed that the light spotting was turning into more prolonged bleeding, which by the end of the month was almost constant and in some cases led me to leak through my clothes. Having done some research online, I decided to try taking two pills instead of just one - this did seem to make the bleeding lighter but it has continued. While I feel that the hormones have overall had a positive impact on my sex drive, it is very hard to feel attractive or think about sex when you are constantly bleeding.
Somewhat positive mood
0 helpful
0 comments
Used for 3 - 6 mo
26 years old
🇬🇧 UK
• 2 weeks ago
I have been on this pill for 4 months. My periods are regular which is the ONLY good thing about it. My skin is awful, bloating is insane. The bleeding is heavier than I’ve ever experienced and my sex drive has completely disappeared. Everyone’s experience is different but personally, this is the worst pill I’ve ever tried.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
24 years old
🇬🇧 UK
• 2 weeks ago
3-6 months: (started the pill on 14/10/2024. I've done a review on my first 3 months so this is a follow up) Day 126 - 17/02/2024 – I’ve pretty much had 2 back to back periods with a 2 day break between which I really didn’t appreciate. They really hurt and I convinced myself something was wrong. I have made a doctors appointment to talk through everything. I’m just fed up with bleeding all of the time. I’m spending SO MUCH on pads it’s ridiculous. 12/03/2025 - I’m on my second week of my 6th month of the pill. I’ve kept having back to back periods and consulted the doctor. Because I’m coming up to 25 I had a routine smear (that came back clear) and the doctor did a pelvic exam and they recon it’s the pill that’s the cause of all the bleeding (which I assumed it was anyway. But better safe than sorry). I’m fed up of the bleeding but they’ve given me 6 more months after this to see if it settles. If not we’ll switch to something else. 5/4/2025 - I’m coming to the end of my 1st week in the 7th month of the pill. All I can say is that I’ve stopped bleeding/spotting for the most part. It’s been about 3 weeks since I last bled. So I guess the doctor was right. However, I had like a 1 day period at the beginning of the week it was painful and some period blood and then nothing since. But the last couple of days I’ve had some cramping as if a period wants to start but hasn’t yet. Overall, I think we’re getting back on track hopefully. Sorry I didn't reflect as much but it's pretty much been the same sort of story for the past 3 months
Worse skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 2 weeks ago
Since taking the zelleta pull my mood has gotten a lot worse. I catch myself crying over little things I would have never cried about before. I used to take the cerelle pill which worked well for me but now I get irritated easily and lasch out at my boyfriend a lot.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
23 years old
🇬🇧 UK
• 3 weeks ago
Never have had a pregnancy scare (touch wood). I’ve been on Noriday for at least 5 years now and affect trying 2 different BC’s and another mini-pill, this is by far the best off.
Improved skin
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇬🇧 UK
• 3 weeks ago
I’ve been on this pill for about 4 years now and I wouldn’t recommend it to anyone. Periods come and go when they please (at least 2/3 times a month) and can last for weeks on end. I tried to change to Desogestrel after a trip to the doctors but that made me throw up for 5 days straight. I’m limited to what pills I can take due to family history so I’m stuck with this until I can find an alternative, only plus side is is haven’t fell pregnant once whilst on it.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
38 years old
🇬🇧 UK
• 3 weeks ago
I wanted to come on here to write this review and want people of the potential side effects of this medicine. I have experienced a really negative change in general outlook, mood and self worth and completely put it down to this pill. I have today thrown it in the bin after becoming so down that I couldn’t function. I have been on this pill before & for a lengthy stretch, but this time (after having a child) has been completely different and utterly awful. At the start of taking it my periods were quite constant, but they did get lighter and more manageable on this pill. If the mood change wasn’t so bad I would still take it but it’s not worth it at all
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 1 month ago
I have been on Cerazette for 4 years now. Initially, I had headaches, breast tenderness and mood swings. These symptoms subsided after 3 months. My periods became very irregular and then stopped altogether. Although my doctors deny this all the time, I feel like the pill caused excessive weight gain. Yes, I have had circumstances that affected my life but the weight gain was dramatic. In the first year alone, I gained 15 kilograms. After 4 years, I am up to 25 kg extra weight (BMI 29) and I am struggling to lose the weight with diet and exercise. Lately, I have had more bodily hair growth and am losing some hair on my head. Not many mood swings but definitely feeling angry most of the time. I am also struggling with a very low sex drive, which is starting to affect my marriage. I have an appointment with my GP, will try to switch to the combined pill to try.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 1 month ago
This pill stopped me from getting pregnant and that was the only good thing about it. Constant spotting, sore nipples, and decreased sex drive. Now on norgeston and so much happier!
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 1 month ago
I moved onto Norgeston after trialling desogestrel for a few months (it gave me near constant spotting and super decreased sex drive). I was optimistic as levonorgestrel was the hormone I used to have in my combined pill and so far it’s been great for me - I do get periods, but these are regular and of a normal flow each month and thankfully my sex drive has come back.
Increased sex drive
0 helpful
0 comments

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