Fertility awareness methods (FAM) vs Combined pill
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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
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
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
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 1 month ago
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
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3rd Apr 25
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
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 5th Jan 25
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
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 1 month ago
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
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3rd Apr 25
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
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 5th Jan 25
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
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 2 days ago
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
Used for 12 - 18 mo
22 years old
🇬🇧 UK
• 3 days ago
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
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 6 days ago
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
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 2 days ago
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
Used for 12 - 18 mo
22 years old
🇬🇧 UK
• 3 days ago
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
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 6 days ago
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
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 2 weeks ago
Very positive mood
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 1 month ago
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

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