Vaginal ring vs Progestogen-only / Mini pill

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Vaginal ring

£From £0.41/day

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.7

53 reviews

Every 3 weeks

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 2.7

1397 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

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

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

38% don’t know impact

Benefits: What this contraceptive can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

Period pain

Try it now

£From £0.41/day

Try it now

£From £0.22/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
  •  1 month 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
  •  1 month 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


Progestogen-only / Mini pill reviews

1397 reviews

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  1 day ago

Desogestrel pill  

After coming off a combined pill (Yasmin) that I was on for 14 years - I am now on Desogestrel, within a week I suffered a mild acne rash/breakout on chin and neck but some gel from my GP quickly sorted that. I am now 2 days late to what would have been a bleed/period and my lower back and period cramps are quite severe and prolonged - my breasts are bigger and tender to touch - hoping these symptoms begin to decrease if I get my bleed or not! Saw GP today to discuss and they’re just general side effects whilst my hormones adjust (I’m told to allow >3 months to review) - general mood has decreased a bit and I feel a bit numb emotionally but started feeling better today so fingers crossed I’m on the up!


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  6 days ago

Desogestrel pill  

Switched eventually to an implant because of having to remember to bring them everywhere each day. Overall a positive experience though - a reduction in headaches, and usually say it 'flattened' my mood. Whereas before there would be some very low mood points in my cycle, this greatly reduced those. Sometimes it felt a little dull as it seemed to also reduce some of the good spikes, but this was worth it to me to not have to deal with such mood swings.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  1 week ago

Cerelle pill  

Got pregnant on it because I wasn’t taking it properly, since having my son and ensuring to take it regularly I have had no issues


Improved skin

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  1 day ago

Desogestrel pill  

After coming off a combined pill (Yasmin) that I was on for 14 years - I am now on Desogestrel, within a week I suffered a mild acne rash/breakout on chin and neck but some gel from my GP quickly sorted that. I am now 2 days late to what would have been a bleed/period and my lower back and period cramps are quite severe and prolonged - my breasts are bigger and tender to touch - hoping these symptoms begin to decrease if I get my bleed or not! Saw GP today to discuss and they’re just general side effects whilst my hormones adjust (I’m told to allow >3 months to review) - general mood has decreased a bit and I feel a bit numb emotionally but started feeling better today so fingers crossed I’m on the up!


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  6 days ago

Desogestrel pill  

Switched eventually to an implant because of having to remember to bring them everywhere each day. Overall a positive experience though - a reduction in headaches, and usually say it 'flattened' my mood. Whereas before there would be some very low mood points in my cycle, this greatly reduced those. Sometimes it felt a little dull as it seemed to also reduce some of the good spikes, but this was worth it to me to not have to deal with such mood swings.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
  •  1 week ago

Cerelle pill  

Got pregnant on it because I wasn’t taking it properly, since having my son and ensuring to take it regularly I have had no issues


Improved skin

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  2 weeks ago

Cerazette pill  

I really wanted to write about my positive experience as most people write reviews when they have a negative experience, for me the Cerazette has been really good, it improved my feeling of being in balance and lessened mood swings, it did not effect my libido, in fact in the beginning I noticed a higher libido, but most importantly I suffer from migraines with aura and since I started taking this a month ago I didn’t have an intense migraine, just one or two mild days and I normally have 2/3 days per week so in a month 8 at least. The only negative things are not too bad: I have very tender breasts which became a bit bigger but I heard this might go away after 3 months or so and I got a little bit of acne but nothing too crazy and this also usually settles after taking it consistently for a few month. All in all for me it’s truly been life changing.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
21 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel pill  

The first 3-5 months were a bit rough, having sex would cause me to get a period and sometimes was painful. I also was definitely more emotional than before. It all calms down over time, I’ve been on it for almost 3 years now and it was the best decision i get very occasionally spotting and cramps if i miss a pill or two but overall I like it


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  3 weeks ago

Zelleta pill  

Went on the mini pill at 16 for 3 years. The first 9 months I bled pretty constantly (no cramps at least) then bled randomly most months. Bleeding was usually light and unpainful. My mood swings were awful and my skin broke out and got so much worse (quite discouraging after being on accutane). Didn’t notice any weight gain or other side effects. I later changed to the combined pill to try and help my skin but this caused other issues (high blood pressure, recurrent yeast infections) so last week I got the copper IUD! Would not recommend. As a 16 year old the doctor did not give me much information about my choice and the impact it would have on me. She just said “if you trust your boyfriend you don’t need to use condoms now” …


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
29 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel 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 (Desogesterel) 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 also have breakthrough bleeding which I never had on Microgynon. I will be heading back to the pharmacy to discuss my options


Worse skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
38 years old
🇬🇧 UK
  •  1 month ago

Slynd pill  

I started using slynd around 6 months ago for period control due to heavy flow and pain Initially I felt optimistic I never took the placebo green pills as I was on tricycling method I still had a period every month with ovarian pain I had a 4 week spotting episode I’ve had 3 utis which I never had in my life every month for the last 3 My sex drive dropped off the earth and there was none My mood went from frantic cycling cleaning the house and obsessing over things to emotionally crying before feeling stupid and back to normal The biggest thing for me was hair loss at least half my hair fell Out in week one I stayed commuted thinking it would get better until bald patches started to appear in month 5 that’s when I jd enough I also had graphic nightmares waking up with sweating so bad my sheets were soaked Since finished this pill I feel like I’m getting back to me with no mood swings or low mood I am 38 and maybe I needed some Oestrogen to balance it out this pill was not for me


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  6th Jun 25

Cerazette pill  

I swapped from the combined pill to Cerazette because I was having anxiety, dizziness and low libido. These have both improved since changing. The most annoying thing has been inconsistent bleeding and spotting. I won’t bleed for 3 months then will have spotting out of nowhere for 3 weeks. I have also got acne on my chin which I didn’t have before. Overall though these extra inconveniences have far outweighed the reduced anxiety, dizziness and libido issues.


Very positive mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
43 years old
🇬🇧 UK
  •  6th Jun 25

Desogestrel pill  

I’m very satisfied with the pill. I only been taking it for few weeks but my mental health improved so much ! I can’t actually believe it. I used to suffer mood swings due to hormonal fluctuations . None of this is happening . Very happy. No side effects either


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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