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

160 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2745 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

64% no change

49% increased sex drive

83% 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

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

160 reviews

Fertility awareness methods (FAM)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  3 weeks ago

Natural Cycles App  

Hi everyone! I’ve been using Natural Cycles for a while now and it’s genuinely helped me feel more in control of my cycle and fertility awareness. If anyone here is thinking about trying it, I have a referral code that gives you a discount on subscription (and also helps me get closer to becoming a Star Cycler). If you’d like to use it, here it is: https://www.naturalcycles.com/refer-a-friend?name=QmV0aA%3D%3D&code=referralid20&referral=70eqzvinl2i98q15&utm_source=NCApp&utm_medium=inappbutton&utm_campaign=refer_a_friend_page No pressure at all — just sharing in case it helps someone save a bit while getting started. Happy to answer questions about my experience if that’s useful too 😊 With this you get a free thermometer and a 20% off :)

Read more

Very positive mood

1 more effect

0 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 1 - 3 mo
24 years old
🇬🇧 UK
  •  3 weeks ago

Natural Cycles App  

Hi everyone! I’ve been using Natural Cycles for a while now and it’s genuinely helped me feel more in control of my cycle and fertility awareness. If anyone here is thinking about trying it, I have a referral code that gives you a discount on subscription (and also helps me get closer to becoming a Star Cycler). If you’d like to use it, here it is: https://www.naturalcycles.com/refer-a-friend?name=QmV0aA%3D%3D&code=referralid20&referral=70eqzvinl2i98q15&utm_source=NCApp&utm_medium=inappbutton&utm_campaign=refer_a_friend_page No pressure at all — just sharing in case it helps someone save a bit while getting started. Happy to answer questions about my experience if that’s useful too 😊 With this you get a free thermometer and a 20% off :)


Very positive mood

1 more effect

0 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


Combined pill reviews

2745 reviews

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

Yasmin pill  

My overall experience on Yasmin has been awful from the very first day I started taking it, made me lose my personality within one week, my sex drive is usually medium-high but it’s decreased and I’ve lost my appetite along with other side effects which weren’t pleasant. I would not recommend Yasmin if you have a history of mental health like myself too!!


Very negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

When I first started taking Regividon I had a good experience, minimal side effects and had no changes to my skin, sex drive or weight. However, 3 months into taking Regividon my moods changed, I was snappy and frustrated even over little things 24/7 which affected my relationship so I came off it and went onto a different pill.


Very negative mood

0 helpful

0 comments

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

Levest pill  

pros - clear skin, less oily, went up a cup size, lighter periods and option to skip them entirely cons - after a few years it just got rid of my sparkle. I’ve noticed whenever i stopped using it i was more outgoing, more horny, enjoyed sex more. One of the main reasons was just how dry it was down there making sex feel like a chore.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

My overall experience on Yasmin has been awful from the very first day I started taking it, made me lose my personality within one week, my sex drive is usually medium-high but it’s decreased and I’ve lost my appetite along with other side effects which weren’t pleasant. I would not recommend Yasmin if you have a history of mental health like myself too!!


Very negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

When I first started taking Regividon I had a good experience, minimal side effects and had no changes to my skin, sex drive or weight. However, 3 months into taking Regividon my moods changed, I was snappy and frustrated even over little things 24/7 which affected my relationship so I came off it and went onto a different pill.


Very negative mood

0 helpful

0 comments

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

Levest pill  

pros - clear skin, less oily, went up a cup size, lighter periods and option to skip them entirely cons - after a few years it just got rid of my sparkle. I’ve noticed whenever i stopped using it i was more outgoing, more horny, enjoyed sex more. One of the main reasons was just how dry it was down there making sex feel like a chore.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
24 years old
🇬🇧 UK
  •  2 days ago

Drovelis pill  

It's good, it stopped ovulation and didn't have an effect on my body except mental health. The first month was also a challenge, I bled every day (small amount but it was so annoying). Gave me really bad mood swings. It also made my periods somewhat irregular. When i would take placebo pills, even though theres 4 of them for 4 days of period, it would always be longer and never the same amount of days.


Very negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

Worked well as a contraceptive. I didn’t get pregnant. However I noticed extreme mood swings/anxiety. I had a series of panic attacks whilst on this pill relating to things that normally wouldn’t have pushed me to a panic attack and the weight gain from this pill. The weight gain wasn’t too extreme but it was noticeable in a way that I didn’t like (very bloated, pregnant looking).


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
31 years old
🇬🇧 UK
  •  4 days ago

Yasmin pill  

I was tri-cycling this pill and passed a a decidual cast after the first 6 weeks with no bleeding ( was not painful to pass). My periods were lighter when breaking between 3 packs. I did get some breakthrough bleeding during my second tri-cycle. I had really tender breasts in the first few months with some breast enlargement but that passed and no other issues.


Improved skin

2 more effects

0 helpful

0 comments

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

Dretine pill  

I was switched from taking the Yasmin pill to Dretine. I was told they had the exact same hormones. I have polycystic ovaries and Yasmin had been working perfectly for me. The first few months on Dretine were hell. I became severely depressed. Crying every day, anxious and mood swings. This lasted 2-3 months. This did get better. But it shouldn’t be the case that you have to go through this when taking the pill. I’ve taken the pill in different ways to help control pain and breakthrough bleeding but nothing something seems to stop the breakthrough bleeding. It’s always dark brown and clots. I also experienced a major increase in my blood pressure. My skin has been clear and pain levels are low.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Drovelis pill  

I didn't start it on day 1 of my period. So this month I got my period anyway. I went to my GP (who prescribed it to me) and we determined it's my period due to timing, consistency etc. Good to note however that since I took it to control menhorragia. 10 days into taking it, my cycle lengthened to a week (minus spotting) and it's a lot less heavy than I know it. I'm hoping to feel better next month and thinking to skip the placebo entirely but I was told it can lengthen the spotting/breakthrough bleeds. There doesn't seem to be a right or wrong. Just trial and error then adjust. Note : Don't take it mid cycle. Take it as they tell you day 1 of your period. I did this because of severe reasons at the time and was also very sick. I hoped it would prevent the usual mess. In a way I succeeded somehow, just not the way I'd have liked. But then I'm too hard on myself too.


Lost weight

0 helpful

0 comments

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

Zoely pill  

Zero libido and very painful to have sex when I tried. Stopped periods which was great for endometriosis but slowed my digestion so much the bloating and endo belly was uncomfortable all the time, caused pain in hips, lower abdomen and lower back. Had constant reflux unless I slept upright which wasn’t ideal.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 8+ yr
45 years old
🇬🇧 UK
  •  2 weeks ago

Femodene ED pill  

It was very convenient and I was on it for 28 years. Im not sure if it mighf have been a causal factor in my low sex libido and recurring depressive episodes.


Decreased sex drive

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