Fertility awareness methods (FAM) vs Combined pill

Need help choosing? Speak to a doctor
Fertility awareness methods (FAM)

Add your fertility awareness methods (FAM) review

Combined pill

£From £0.16/day

Overview

Rated 4.3

158 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2607 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

51% very positive

63% no change

49% increased sex drive

82% no impact

60% 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

Try it now

Add your fertility awareness methods (FAM) review

Try it now

£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

158 reviews

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  1 month ago

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.

Read more

Very positive mood

0 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

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 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  1 month ago

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

0 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

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


Combined pill reviews

2607 reviews

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

Microlite pill  

Little to no very noticeable side effects, my anxiety definitely heightened but that was a personal predisposition. Overall very happy experience but swapping due to some low moods


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  3 days ago

Yacella pill  

Been on this pill for years and it has treated me well. I have lighter periods and they are a lot less painful. I have suffered very badly with acne over the years and although my skin is not perfect, it has been the most stable on this pill. I don’t find any other side effects to my mood or body that I notice.


Improved skin

0 helpful

0 comments

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

Yasmin pill  

As soon as I started taking it, my first period whist on this pill came after a week and it was the most horrible period I’ve had in my entire life (it was a longer period then I ever had before (with really heavy cramps constantly) that was the first step in the negative journey. After that, I continued taking it and my acne got worse especially on my back. I had thought it would improve but was much worse event at month two. After two months of taking this pill, I’ve also gained weight which I noticed straight away but had put down to temporary water retention but seems to not budge and have had extreme weight fluctuations like never before and been feeling very off and not myself ever since taking it/depressed, also have lost all sex drive. I am at the point where it’s either stick it out for another month to see if symptoms ease up or stop and cut my losses. I’ve decided to stop.


Very negative mood

3 more effects

0 helpful

0 comments

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

Microlite pill  

Little to no very noticeable side effects, my anxiety definitely heightened but that was a personal predisposition. Overall very happy experience but swapping due to some low moods


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  3 days ago

Yacella pill  

Been on this pill for years and it has treated me well. I have lighter periods and they are a lot less painful. I have suffered very badly with acne over the years and although my skin is not perfect, it has been the most stable on this pill. I don’t find any other side effects to my mood or body that I notice.


Improved skin

0 helpful

0 comments

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

Yasmin pill  

As soon as I started taking it, my first period whist on this pill came after a week and it was the most horrible period I’ve had in my entire life (it was a longer period then I ever had before (with really heavy cramps constantly) that was the first step in the negative journey. After that, I continued taking it and my acne got worse especially on my back. I had thought it would improve but was much worse event at month two. After two months of taking this pill, I’ve also gained weight which I noticed straight away but had put down to temporary water retention but seems to not budge and have had extreme weight fluctuations like never before and been feeling very off and not myself ever since taking it/depressed, also have lost all sex drive. I am at the point where it’s either stick it out for another month to see if symptoms ease up or stop and cut my losses. I’ve decided to stop.


Very negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

This was prescribed to me to help regulate my periods; however did the complete opposite and have made them worse. I have no clue when my periods are going to begin or end now, as well as if the bleeding will be light spotting or extremely heavy. I have become incredibly sensitive to many things that would never have bothered me pre-pill, as well have been bed bound due to negative mood changes that I have no explanation for. I have been sad before, however, these feelings I could not explain or combat so I have decided to switch pill.


Very negative mood

1 more effect

0 helpful

0 comments

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

Ovranette pill  

My period was ok on it. My acne was very bad cystic nothing would get rid of it. Changed to Yasmin and I haven’t had cystic acne my skin is clearing. Hair thinned on top of my head too. This pill can cause high androgens which can cause bad hormonal acne and hair loss


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Rigevidon  

This sent me nearly insane with my moods. I had no other side effects other than it made me nearly suicidal. I know you could say maybe it wasn’t the pill but I was fine before taking it, happy in myself, then after I had a mental breakdown I stopped taking it and suddenly felt like myself again. I’ve heard a lot of people say it’s been awful for their mood and I’m surprised they haven’t banned it yet


Very negative mood

1 more effect

0 helpful

0 comments

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

Combined pill  

I’ve never had Thrush before and went on this pill 2 months ago and got it within the first 20 days of using it. I’ve also felt nauseas everyday since maybe the first week into it. Will symptoms subside? I really hope so. I havent bled but I was on the depo injection for the last year so its normal for it to take a while to bleed again.


Gained weight

0 helpful

1 comments

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

Drovelis pill  

My experience is overall positive. For the first month I had breakthrough spotting almost every day, it was light and painless, just a bit worrisome, but it settled in the 2nd month. I started taking Drovelis for painful periods, and I have to say that while they are shorter and lighter, it's not like it completely changed around. I used to take around 4 painkillers a day on my period, now I'm down to one: so it is a big change, but I can't say the periods are painless. In the first month I also had some mood swings, but I can't be sure if that's due to the pill. I'm writing this review because I was very scared of taking birth control after reading so many negative opinions, but overall it's a net positive experience. No changes to my weight, my libido is stable, overall it's nothing too scary.


Top side effects not reported

0 helpful

0 comments

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

Eloine pill  

I switched to this after using Yasmine (no problems with that, I just wanted to try a lower-dose estrogen pill). In the first year, all seemed fine, regular light periods, no break-outs, fewer mood swings, but lately in the past 6 months, I noticed my mental health worsen, my ADHD symptoms became stronger, my depression and my anxiety crept higher, and my libido slowly went non-existent. Also, my breasts (or rather my nipples), which were usually only swollen/sore before the placebo tablets, became constantly sensitive in a bad way. Now I am looking for a different pill.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  3 weeks ago

Eloine pill  

I started taking Eloine after I had experienced depression-like symptoms on the two weeks before my period for around 3 months. It was really hard to deal with and I think I have very bad PMT or maybe PMDD? I also had horrendous hormonal acne that really damaged the way I felt about myself, this mixed with the pre period mood swings made me feel like I wasn’t myself anymore. I researched different treatments that can help both PMT symptoms and hormonal acne, so I gave Eloine a go. I started it in February and wow has it changed how I experience periods (not to be dramatic but it really has changed my quality of life too). I feel very little mood swings now, I just feel when my luteal phase starts but in terms of energy not mentally! I just feel soooo much better in myself. My only complaint is I’ve experienced slight breast enlargement - but I’m consistently working out to try and combat this. I’ve never really had issues with period heaviness or cramps, but I would say my period is a lot lighter but last a day or so longer than before I was on the pill. Overall, my PMT symptoms have been totally ushered away by Eloine, I’m currently seeing a dermatologist for acne who also says this will help alongside other treatments. Facial oil is very much reduced. If you are struggling with acne or mood problems, please know that you are not alone. My mum grew up dealing with this, and so did her mum. Unfortunately some people are just dealt that hormonal issue card but I would definitely recommend this pill, sometimes natural remedies just don’t scratch the surface of what you’re going through. You’ve got this!!! Things will get better and I’m rooting for you 🩷


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Fertility awareness methods (FAM) with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them