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

159 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2727 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

64% no change

49% increased sex drive

82% no impact

61% no impact on skin

Cycle return

67% in 1 month

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

43% improved skin

Cycle return

37% 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

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Real life reviews from people like you

Fertility awareness methods (FAM) reviews

159 reviews

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  17th Nov 25

Natural Cycles App  

I used natural cycles to prevent and plan pregnancy- worked fabulously on both occasions. After my daughter was born I wanted a more solid contraception (sleep does impact your basal temp guys, so with a newborn, not the one)- now she sleeps through I will be going back!!

Read more

Top side effects not reported

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  13th Jun 25

Symptothermal method  

Before using FAM, I was using the copper IUD religiously for about 11 years. I had a mixed experience even if overall positive with it, but back in 2021 after a year of chronic yeast infections and finally discovering it had slipped, I decided to not replace it. In that time, my periods were always like clockwork and I was tracking my cycles in a few years leading up to this. Not just tracking the days, but my symptoms and body sensations as I entered into each phase. I was using a period tracking app called Eve, but I knew not to rely on it religiously, it was just for a rough idea of when my fertile times and period would be. I decided to just continue with this, because I had built such a deep relationship with my body and have no problem checking my cervical fluids. I used it until 2022 when we decided to try to conceive, and we conceived within a few months, even though sadly, it was ectopic. I wouldn't recommend this method to anybody without months of really knowing your body and listening to it-- learning your cues for when you know you're about to ovulate, roughly timing how long your follicular phase is, and it helps if your periods are regular. While apps can be really helpful, you have to do the hard work of building that relationship with your body. I wouldn't recommend it for somebody just starting out, or if your periods are irregular.


Very positive mood

3 helpful

0 comments

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

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

3 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  17th Nov 25

Natural Cycles App  

I used natural cycles to prevent and plan pregnancy- worked fabulously on both occasions. After my daughter was born I wanted a more solid contraception (sleep does impact your basal temp guys, so with a newborn, not the one)- now she sleeps through I will be going back!!


Top side effects not reported

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  13th Jun 25

Symptothermal method  

Before using FAM, I was using the copper IUD religiously for about 11 years. I had a mixed experience even if overall positive with it, but back in 2021 after a year of chronic yeast infections and finally discovering it had slipped, I decided to not replace it. In that time, my periods were always like clockwork and I was tracking my cycles in a few years leading up to this. Not just tracking the days, but my symptoms and body sensations as I entered into each phase. I was using a period tracking app called Eve, but I knew not to rely on it religiously, it was just for a rough idea of when my fertile times and period would be. I decided to just continue with this, because I had built such a deep relationship with my body and have no problem checking my cervical fluids. I used it until 2022 when we decided to try to conceive, and we conceived within a few months, even though sadly, it was ectopic. I wouldn't recommend this method to anybody without months of really knowing your body and listening to it-- learning your cues for when you know you're about to ovulate, roughly timing how long your follicular phase is, and it helps if your periods are regular. While apps can be really helpful, you have to do the hard work of building that relationship with your body. I wouldn't recommend it for somebody just starting out, or if your periods are irregular.


Very positive mood

3 helpful

0 comments

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

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

3 helpful

0 comments


Combined pill reviews

2727 reviews

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  5 days ago

Millinette 20/75 pill  

I’ve been on pills now for about 5-6 years, switched to Millinette from Ridgevidon about 18 months ago. I’ve always had terrible headaches on the pill, but millinette has seemed to decrease them a bit. This pill has made me have a lot more mood swings, loss of feeling and loss of sex drive. While the pill hasn’t been awful, it’s had its ups and downs. I am currently switching to the coil to see if anything changes, otherwise i’m okay with continuing millinette.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  5 days ago

Millinette 20/75 pill  

I switched from Ridgevidon to Millinette. Since being on any pill, i’ve had extremely bad headaches. My doctor told me to switch, seeing if a different strength of pill would change anything. While I do think I get less headaches, my sex drive decreased significantly. I also suffer with a lot more brain fog, and just general lack of feeling. Mood swings have definitely increased on the pill, but I notice they’re worse on this one. The pill isn’t an awful choice, it’s had its ups and downs. I’m currently waiting to have the coil fitted to see if there’s any changes.


Decreased sex drive

0 helpful

0 comments

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

Drovelis pill  

I have just completed my first month and have absolutely loved the change for me. I was suffering from PMDD for ages before starting, and this has significantly helped my mood disorder and emotional episodes. However I have gotten tender breasts when walking or running, nothing insane. And my discharge! Its so watery and so much. Sometimes I stand up and its like a small pee puddle, anyway, I have had an overall positive experience


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  5 days ago

Millinette 20/75 pill  

I’ve been on pills now for about 5-6 years, switched to Millinette from Ridgevidon about 18 months ago. I’ve always had terrible headaches on the pill, but millinette has seemed to decrease them a bit. This pill has made me have a lot more mood swings, loss of feeling and loss of sex drive. While the pill hasn’t been awful, it’s had its ups and downs. I am currently switching to the coil to see if anything changes, otherwise i’m okay with continuing millinette.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  5 days ago

Millinette 20/75 pill  

I switched from Ridgevidon to Millinette. Since being on any pill, i’ve had extremely bad headaches. My doctor told me to switch, seeing if a different strength of pill would change anything. While I do think I get less headaches, my sex drive decreased significantly. I also suffer with a lot more brain fog, and just general lack of feeling. Mood swings have definitely increased on the pill, but I notice they’re worse on this one. The pill isn’t an awful choice, it’s had its ups and downs. I’m currently waiting to have the coil fitted to see if there’s any changes.


Decreased sex drive

0 helpful

0 comments

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

Drovelis pill  

I have just completed my first month and have absolutely loved the change for me. I was suffering from PMDD for ages before starting, and this has significantly helped my mood disorder and emotional episodes. However I have gotten tender breasts when walking or running, nothing insane. And my discharge! Its so watery and so much. Sometimes I stand up and its like a small pee puddle, anyway, I have had an overall positive experience


Very positive mood

2 more effects

0 helpful

0 comments

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

Dretine pill  

I went on this pill to sort out mood swings before my period and it absolutely sorted that out. I only took it for about 3 months though, because I had some dizziness and nausea while I was on it at random times which was bearable but not enjoyable so I switched to a different pill. I now take Milinette 20/75 and the lower oestrogen dose (20 vs. 30 with dretine) sorted out the nausea.


Top side effects not reported

0 helpful

0 comments

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

Rigevidon  

I went on the pill to sort out my mood swings on my period - I would get a drop in mood in the week before my period which made me very emotional, but aside from that I normally have very even moods and don't ever experience serious lows. However, a few days into taking Rigevidon i experienced a low I've never before experienced, with honestly no possible external event in my life that might explain it. It was far worse than any mood swing I've ever had, and it lasted about 3 days before I stopped taking the pill entirely. This is not to scare anyone considering taking it (my mum was on this pill for 15 years and loved it!) and it's possible the drop in mood might have evened out if i had taken it for longer, but I wasn't able to stick it out. Both dretine and milinette have done wonders for my mood swings though!


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Millinette 20/75 pill  

Highly recommend. Went on the 20-75 because I've previously had nausea issues on a 30mg (dretine) and I haven't had any nausea problems with this. Cleared up a bit of hormonal acne, no noticeable side effects except a slightly lower sex drive. I take 3 packs back to back and then a break so have some breakthrough bleeding but nothing major and my periods do come regularly when I take the break. I went on it to sort out mood swings and it absolutely sorted that out - now have to come off it and go onto a mini-pill for adenomyosis but I wish i didn't have to!


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
26 years old
🇬🇧 UK
  •  2 weeks ago

Rigevidon  

I ended up getting headaches daily which is why i stopped after taking it for 7 years. After stopping (7 months currently) i am dizzy DAILY. I dont have spinning dizziness. its more off balance feeling all the time nearly. I only took this pill to regulate my periods more as this is what was prescribed by the doctors..


Improved skin

0 helpful

0 comments

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

Drovelis pill  

I have positive and negative experiences with this pill. Negative, I gaint weight, I am tired and have not libido. Positive, no cramps, less of blood, no mood swings


Decreased sex drive

1 more effect

0 helpful

0 comments

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

Yacella pill  

My skin seems to have cleared up nicely over the short course I have been taking it. My periods have not come at all, but I am experiencing breakthrough bleeding on my gap week that doesn't cause any discomfort for me. No significant weight change as far as I can tell. The only issue I really have is my mood and mental health has depleted rapidly. I wake up feeling sick with anxiety every morning and get into a low depressive mood during the day which is affecting my energy, my friendships and overall ability to enjoy life. The fact is that I recently got an ADHD diagnosis and was just coming to terms with myself around the time that these depressive moods started, so ultimately with a consultation I will be trying to change the brand that I am on.


Very negative mood

2 more effects

0 helpful

0 comments

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

Yaz pill 🇺🇸  

I was very depressed on Yaz Pill, crying every morning and some days didn't want to get out of bed, I gained water weight for the first 6 - 8 months. I did have an increased sex drive on Yaz compared to my current pill.


Very negative mood

3 more effects

0 helpful

0 comments

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