Fertility awareness methods (FAM) vs Combined pill

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Fertility awareness methods (FAM)

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Combined pill

£From £0.16/day

Overview

Rated 4.3

146 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2366 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

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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Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

146 reviews

Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  22nd Feb 24

  •  Stopped using

I didn't really do this properly and only used it here and there! So I am definitely not an expert on this, but if you have regular periods and are organised I can see why this may be beneficial! Especially as no hormones

Read more

Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  7th Feb 24

  •  Still using

Started using Natural Cycles after having my first baby. I exclusively breastfeed and my first few periods after giving birth were all over the place. Tracking using the app just gave me a bit more info on my body and how long I was going between cycles etc. I’m just over a year post partum now and periods have returned to normal and I put knowing that down to the app. Baby still wakes a bit in the night so it can be a bit difficult to know exactly when to measure my temperature but the app has some helpful articles on this. Overall, love that it’s hormone free and that I can see helpful information on my cycle in an eat to use app! If considering, try finding a friend or someone with a referral code to get a discount on app subscription x


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
26 years old
🇬🇧 UK
  •  27th Jan 24

  •  Stopped using

After bragging about the natural cycles for a while, and following it religiously, checked everyday, noted everything, I fell pregnant twice. I was someone who was super regular as well, so the app knew my cycle very well. I thought the first was an outlier then it happened again. Stress, exercise or changes in the normal routine can change your natural cycle, so the app can’t see what’s going on inside your body. So, this method is great if you’re not worried about falling accidentally pregnant and having a baby. If not, use contraception.


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  22nd Feb 24

  •  Stopped using

I didn't really do this properly and only used it here and there! So I am definitely not an expert on this, but if you have regular periods and are organised I can see why this may be beneficial! Especially as no hormones


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  7th Feb 24

  •  Still using

Started using Natural Cycles after having my first baby. I exclusively breastfeed and my first few periods after giving birth were all over the place. Tracking using the app just gave me a bit more info on my body and how long I was going between cycles etc. I’m just over a year post partum now and periods have returned to normal and I put knowing that down to the app. Baby still wakes a bit in the night so it can be a bit difficult to know exactly when to measure my temperature but the app has some helpful articles on this. Overall, love that it’s hormone free and that I can see helpful information on my cycle in an eat to use app! If considering, try finding a friend or someone with a referral code to get a discount on app subscription x


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
26 years old
🇬🇧 UK
  •  27th Jan 24

  •  Stopped using

After bragging about the natural cycles for a while, and following it religiously, checked everyday, noted everything, I fell pregnant twice. I was someone who was super regular as well, so the app knew my cycle very well. I thought the first was an outlier then it happened again. Stress, exercise or changes in the normal routine can change your natural cycle, so the app can’t see what’s going on inside your body. So, this method is great if you’re not worried about falling accidentally pregnant and having a baby. If not, use contraception.


Top side effects not reported

1 helpful

0 comments


Combined pill reviews

2366 reviews

Used for 3 - 6 mo
37 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I tried Drovelis to attempt to manage PMDD (severe mood drop on top of existing depression) and PCOS. After 5+ months, my sense is that it was absolutely helping with PMDD. I aimed to take it continuously to minimise any mood drop' and did so for 3 months at first. Unfortunately, I just would not stop bleeding - it was more than 'spotting', enough to get through 3-4 tampons a day, every day. Then I tried 2 months of allowing a break between active pills to see if encouraging a 'period' would reduce the breakthrough bleeding, but to no avail. I didn't even used to suffer heavy periods, so I'm genuinely gutted I couldn't seem to settle and stop bleeding on this, as it was great for my PMDD and had no other negative side effects (beyond breast tenderness and temporary breast enlargement in month 1-2). Doctor's advice was if it hadn't settled by almost 6 months, best to try something else (so now I'm starting Yasmin).


Top side effects not reported

0 helpful

1 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 week ago

  •  Still using

Been taking yacella for 6 months after not being on any contraception in years due to fears of side effects. Previously been on Loestrin 20 and Rigevidon both of which gave me horrible cystic acne and low mood. Dr recommended yacella as it has anti-androgenic progesterone and I have mild PCOS. So far it has been pretty good! I think my mood is unaffected, skin is great, sex drive unaffected. I have had some slight weight gain in more 'womanly' areas but nothing crazy. My breasts definitely have grown a lot and for the first few months they were quite sore but this has reduced to mild tenderness now. I do experience pain, especially lower back/pelvic, and am emotional during my 7 day break, however I suffered a lot with cramps prior to taking the pill so this is still an improvement for me. Would recommend, especially for anyone with hormonal imbalances like me.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

Having been on this pill for a year, I noticed that I hadn't felt like myself for a while. I found myself with persistently lower moods. Even during times of joy, the feeling felt dampened. This is the primary reason I decided to stop taking this pill; no contraception is worth losing yourself to! I am still in the early stages of being off this pill, but I feel relieved to have made the choice. It did make my withdrawal bleeds ("periods") very light. However, I do also think it completely suppressed my libido. I (being naive) thought that being on a low dosage pill, I might have fewer symptoms, but it just hasn't worked for me. I just wish there were more non-hormonal options out there.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
37 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I tried Drovelis to attempt to manage PMDD (severe mood drop on top of existing depression) and PCOS. After 5+ months, my sense is that it was absolutely helping with PMDD. I aimed to take it continuously to minimise any mood drop' and did so for 3 months at first. Unfortunately, I just would not stop bleeding - it was more than 'spotting', enough to get through 3-4 tampons a day, every day. Then I tried 2 months of allowing a break between active pills to see if encouraging a 'period' would reduce the breakthrough bleeding, but to no avail. I didn't even used to suffer heavy periods, so I'm genuinely gutted I couldn't seem to settle and stop bleeding on this, as it was great for my PMDD and had no other negative side effects (beyond breast tenderness and temporary breast enlargement in month 1-2). Doctor's advice was if it hadn't settled by almost 6 months, best to try something else (so now I'm starting Yasmin).


Top side effects not reported

0 helpful

1 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  1 week ago

  •  Still using

Been taking yacella for 6 months after not being on any contraception in years due to fears of side effects. Previously been on Loestrin 20 and Rigevidon both of which gave me horrible cystic acne and low mood. Dr recommended yacella as it has anti-androgenic progesterone and I have mild PCOS. So far it has been pretty good! I think my mood is unaffected, skin is great, sex drive unaffected. I have had some slight weight gain in more 'womanly' areas but nothing crazy. My breasts definitely have grown a lot and for the first few months they were quite sore but this has reduced to mild tenderness now. I do experience pain, especially lower back/pelvic, and am emotional during my 7 day break, however I suffered a lot with cramps prior to taking the pill so this is still an improvement for me. Would recommend, especially for anyone with hormonal imbalances like me.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

Having been on this pill for a year, I noticed that I hadn't felt like myself for a while. I found myself with persistently lower moods. Even during times of joy, the feeling felt dampened. This is the primary reason I decided to stop taking this pill; no contraception is worth losing yourself to! I am still in the early stages of being off this pill, but I feel relieved to have made the choice. It did make my withdrawal bleeds ("periods") very light. However, I do also think it completely suppressed my libido. I (being naive) thought that being on a low dosage pill, I might have fewer symptoms, but it just hasn't worked for me. I just wish there were more non-hormonal options out there.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
24 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I was prescribed this pill as I struggled to gain weight therefore, I didn’t have a regular period. I never had any awful experiences with this pill other than after 3 years I started to experience reoccurring thrush. Once it was treated it usually went away until recently, I have been experiencing thrush almost every month always during the week before my break. It has become unbearable leading me to change to a different lower dose birth control instead.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

This pill had a severe negative effect on my mental health. Physically I felt better as it alleviated PCOS symptoms but worsened my depression.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I don't like being menopause at 20's


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
43 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Yasmin was the best pill for me. I have PCOS and it completely took care of my symptoms like acne. I also had very stable mood and positive mental state with this pill. My periods were light and I used to skip them 3 packets in a row and have only maybe 4 withdrawal bleeds per year. When I tried to extend it to 4 packs, I would often start to get light spotting so I think 3 packs non-stop was optimal for me.


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
43 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

I'm 43 and was suggested Qlaira because it has a supposedly more safe estrogen component. I've always had slightly elevated sensitive CRP and during the use of Qlaira it did drop to nothing so that was a positive finding. I had no bloating or weight gain. I would get breakthru bleeding on the active pills usually a week before my actual withdrawal bleed, which would last approx. 5 days. So all in all I was bleeding approx 12 days per month. And because you can*t skip the placebo pills on Qlaira, I found it was too much bleeding days compared to non-bleeding days. Another major side effect and the reason I wanted to stop using Qlaira was complete loss of libido. I felt almost repulsed by the idea of sex and I had trouble getting aroused. Altho my natural libido is quite low to begin with, Qlaira took it to completely new levels of zero. Hence why I stopped it after 6 months.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

I have been taking the Eloine pill for 10 months now and it has been pretty good. Not much has really changed for me which is great. My periods are the same (if not lighter) , my skin has stayed clear and I haven’t lost or gained any weight. The only thing I have noticed a change in since taking Eloine is a slight increase in anxiety and being more emotional than I used to be. However, these aren’t too extreme and are manageable. Overall i’m very happy with the Eloine pill 😊


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
22 years old
🇬🇧 UK
  •  1 month ago

  •  Stopped using

I was put on Rigevidon October 2023. I thought everything was fine until my boyfriend started to ask why I was constantly making arguments and being moody. I am never usually moody, so in my experience, I would say that my mood swings definitely came from this pill. I had a complete loss of sex drive also, didn’t want to do anything literally ever. However, a main reason for going on this pill was because I have always suffered from excruciating period pains. I have no faults when it comes to using this pill for period pain as my cramps became pretty much nonexistent. As someone who also suffers with extreme irregular periods, this pill made mine completely regular and light, which was so much more manageable. My advice is, if you’re looking for a pill to prevent pregnancy whilst you’re having sex, this one probably is not the greatest choice, just due to a decline in libido. However, I would absolutely recommend it for anyone who struggles with bad cramps/pains, it has been the only thing that has helped me.


Top side effects not reported

0 helpful

0 comments

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