Fertility awareness methods (FAM) vs Combined pill

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Fertility awareness methods (FAM)

Add your fertility awareness methods (FAM) review

Combined pill

£From £0.16/day

Overview

Rated 4.3

157 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

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

Fertility awareness methods (FAM) ingredients

Fertility awareness methods is an umbrella term for a method of contraception that works by being able to identify when in the menstrual cycle you are fertile through a range of factors.

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

What Lowdown reviewers say

50% very positive

63% no change

50% increased sex drive

82% no impact

59% no impact on skin

Cycle return

64% 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

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

157 reviews

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  1 month ago

Symptothermal method  

I had been on PoP contraceptive pill for nearly 10yrs, I have also tried CoC's and injection prior. I wanted to learn more about my body and be natural. This method takes a lot of research and understanding in order for it to work and be effective. I read books and watched YouTube videos to educate myself and joined FB/Reddit group. I use an app called read your body to input my temperature and other symptoms to track where I am in my cycle. It is all done manually by me and not relying on a system like natural cycles to do it for me as this is less reliable....Since stopping the pill my libido came back which is great and I feel emotions depending on where I am in my cycle. My Cycle regulated within 2 months after stopping the pill and for the past 3 years I have learned what is normal for me. My cycle is very text book 28 days long on the dot every month, I ovulate on day 15. This method works for me, I haven't gotten pregnant but on the days during my cycle I could get pregnant, we use condoms rather than abstaining. I would say it took me about 6 months to learn and feel confident in this approach.

Read more

Somewhat positive mood

2 more effects

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3rd Apr 25

Natural Cycles App  

I’ve been using NC since 2021, I use to love this app and tell everybody about it until I had sex on a green day and got pregnant. I used to think it would never happen to me as I’ll use the app right. Measured every day and was very religious with the app. However, I ovulated earlier and fell pregnant! The app only goes off previous ovulation compared to current meaning it doesn’t prevent pregnancy as yes you have red days but it’s just a prediction! For example green day on day 6 (had sex) and ovulated on day 10 (red days) and fell pregnant. Ovulated 5 days early! Sperm can live inside you for 5 days hence why I’m pregnant and will be getting an abortion.


Worse skin

1 more effect

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  5th Jan 25

Natural Cycles App  

I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  1 month ago

Symptothermal method  

I had been on PoP contraceptive pill for nearly 10yrs, I have also tried CoC's and injection prior. I wanted to learn more about my body and be natural. This method takes a lot of research and understanding in order for it to work and be effective. I read books and watched YouTube videos to educate myself and joined FB/Reddit group. I use an app called read your body to input my temperature and other symptoms to track where I am in my cycle. It is all done manually by me and not relying on a system like natural cycles to do it for me as this is less reliable....Since stopping the pill my libido came back which is great and I feel emotions depending on where I am in my cycle. My Cycle regulated within 2 months after stopping the pill and for the past 3 years I have learned what is normal for me. My cycle is very text book 28 days long on the dot every month, I ovulate on day 15. This method works for me, I haven't gotten pregnant but on the days during my cycle I could get pregnant, we use condoms rather than abstaining. I would say it took me about 6 months to learn and feel confident in this approach.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3rd Apr 25

Natural Cycles App  

I’ve been using NC since 2021, I use to love this app and tell everybody about it until I had sex on a green day and got pregnant. I used to think it would never happen to me as I’ll use the app right. Measured every day and was very religious with the app. However, I ovulated earlier and fell pregnant! The app only goes off previous ovulation compared to current meaning it doesn’t prevent pregnancy as yes you have red days but it’s just a prediction! For example green day on day 6 (had sex) and ovulated on day 10 (red days) and fell pregnant. Ovulated 5 days early! Sperm can live inside you for 5 days hence why I’m pregnant and will be getting an abortion.


Worse skin

1 more effect

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  5th Jan 25

Natural Cycles App  

I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception


Very positive mood

0 helpful

0 comments


Combined pill reviews

2587 reviews

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

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
  •  3 days 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
  •  6 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
  •  2 days ago

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
  •  3 days 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
  •  6 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
  •  2 weeks 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
  •  1 month 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 Fertility awareness methods (FAM) with other contraceptives

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