Fertility awareness methods (FAM) vs Combined pill
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Overview
Rated 4.3
158 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2625 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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Real life reviews from people like you
Fertility awareness methods (FAM) reviews
158 reviews
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 3rd May 25
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 18 mo - 3 yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 3rd May 25
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
Combined pill reviews
2625 reviews
Used for 8+ yr
28 years old
🇬🇧 UK
• 2 days ago
I loved this pill at first and didn’t have any issues. After 4.5 years I started getting severe sharp head pains as well as lower back and pelvic pain which my gp said was from the pill. I swapped to Desogestril which I didn’t like to came off the pill and the pains stopped. I started back on Millinette after a couple of months and have been fine for 5 years until this year I have had an upset stomach and severe dizziness which has been put down to Vestibular Migraines. I have also had severe anxiety. I came off the pill and my stomach has gone back to normal but the constant dizziness, vertigo and severe anxiety is ongoing
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
22 years old
🇬🇧 UK
• 2 days ago
Don’t listen to everyone fear mongering about the combined pill . As a young adult , I’ve had zero issues with taking it . I was at first so so scared of the side effects but I have had zero !! Literally no changed whatsoever. I have endometriosis and pcos and the pill so far hasn’t made a huge difference but then again I don’t have very many symptoms or pain for either of the conditions . No mood swings , no anxiety depression or anything . I feel exactly as before , more balanced maybe ? No weight gain at all , didn’t kill my libido either . Actually I would say it made my libido a bit stronger . No change in personality , sense of smell taste or anything else . I’ve had literally zero effects and feel just like before . So honestly if you’re thinking of going on it , try it for a month , you can always quit if you don’t like it . Remember everyone’s body is different though and may react in a different way.
Increased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I decided to try Eloine due to negative experiences with other combined pills and the low-dose appealed to me. Unfortunately this turned out to be the worst decision I've ever made. In the first month I felt fine but soon after I began experiencing cramps, headaches and significant mood swings. After 4 months, I was suffering from daily severe headaches and migraines with aura. These migraines were consistent, occurring at the same time each week and lasting nearly two hours (something I had never dealt with before). I often had to take afternoons off work and isolated myself in a dark, quiet room until my vision returned and the dizziness subsided. The only times these migraines didn’t occur was the week I had off for my period. I also started experiencing regular spotting. Alongside the physical symptoms, my mood deteriorated. I became easily irritable, leading to frequent arguments with my partner… something that was rare for us before. This change in my behavior left me feeling down and my anxiety gradually worsened. My sex drive plummeted and eventually vanished altogether. The only positives from this pill was my heavy periods and awful period pain decreased and I lost weight. After discussing my symptoms with a doctor, I was advised to stop taking Eloine immediately. Since stopping, my headaches and migraines have ceased (I haven't had a migraine since) and I began feeling like my old self again within 6 months. The impact of this pill extended beyond my health; it affected my relationship as well. This experience has left me wary of contraceptive pills, making me hesitant to try another option.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 8+ yr
28 years old
🇬🇧 UK
• 2 days ago
I loved this pill at first and didn’t have any issues. After 4.5 years I started getting severe sharp head pains as well as lower back and pelvic pain which my gp said was from the pill. I swapped to Desogestril which I didn’t like to came off the pill and the pains stopped. I started back on Millinette after a couple of months and have been fine for 5 years until this year I have had an upset stomach and severe dizziness which has been put down to Vestibular Migraines. I have also had severe anxiety. I came off the pill and my stomach has gone back to normal but the constant dizziness, vertigo and severe anxiety is ongoing
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
22 years old
🇬🇧 UK
• 2 days ago
Don’t listen to everyone fear mongering about the combined pill . As a young adult , I’ve had zero issues with taking it . I was at first so so scared of the side effects but I have had zero !! Literally no changed whatsoever. I have endometriosis and pcos and the pill so far hasn’t made a huge difference but then again I don’t have very many symptoms or pain for either of the conditions . No mood swings , no anxiety depression or anything . I feel exactly as before , more balanced maybe ? No weight gain at all , didn’t kill my libido either . Actually I would say it made my libido a bit stronger . No change in personality , sense of smell taste or anything else . I’ve had literally zero effects and feel just like before . So honestly if you’re thinking of going on it , try it for a month , you can always quit if you don’t like it . Remember everyone’s body is different though and may react in a different way.
Increased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I decided to try Eloine due to negative experiences with other combined pills and the low-dose appealed to me. Unfortunately this turned out to be the worst decision I've ever made. In the first month I felt fine but soon after I began experiencing cramps, headaches and significant mood swings. After 4 months, I was suffering from daily severe headaches and migraines with aura. These migraines were consistent, occurring at the same time each week and lasting nearly two hours (something I had never dealt with before). I often had to take afternoons off work and isolated myself in a dark, quiet room until my vision returned and the dizziness subsided. The only times these migraines didn’t occur was the week I had off for my period. I also started experiencing regular spotting. Alongside the physical symptoms, my mood deteriorated. I became easily irritable, leading to frequent arguments with my partner… something that was rare for us before. This change in my behavior left me feeling down and my anxiety gradually worsened. My sex drive plummeted and eventually vanished altogether. The only positives from this pill was my heavy periods and awful period pain decreased and I lost weight. After discussing my symptoms with a doctor, I was advised to stop taking Eloine immediately. Since stopping, my headaches and migraines have ceased (I haven't had a migraine since) and I began feeling like my old self again within 6 months. The impact of this pill extended beyond my health; it affected my relationship as well. This experience has left me wary of contraceptive pills, making me hesitant to try another option.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
23 years old
🇬🇧 UK
• 2 weeks ago
I have tried about 4 different types of birth control. This one is the only one that has not made be spot for months at a time. This is the first time in my life I have a normal 5-7 day period once a month. My cystic acne has also improved a lot. My boobs did get bigger and it’s more difficult to maintain my weight but with more effort the weight gain is only minimal. Cramps were only bad the first couple months starting it. I also get a headache the entire time I am on my 7 days off the pill. I also get depressed close to my period. Overall the side effects are bad but better than any other I’ve tried and it actually regulates my cycle. I can’t wait until I’m old enough to get my tubes tied because I am over pumping my body with hormones
Improved skin
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 2 weeks ago
Tricycled Femodene for about three years, cleared my skin up but mood swings were apparent. Started having an increased and unusual discharge (with no infection) GP advised to stop taking this pill and change contraception. Just a heads up in case this happens to anyone else as was a very alarming thing to go through with no advice!
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
36 years old
🇬🇧 UK
• 2 weeks ago
I’m pleased with the lack of periods on this pill (despite the 4 day sugar pill break), and therefore the monthly pain from endometriosis. However, I have gained quite a lot of weight and often feel bloated, so I’m considering changing meds.
Gained weight
0 helpful
0 comments
Used for 3 - 6 mo
39 years old
🇬🇧 UK
• 2 weeks ago
At first I spotted almost everyday but after 2 months the spotting stopped. I noticed that I started having mood swings, 😔. The most uncomfortable though is the breast enlargement. My breasts have grown bigger. They're mostly feeling tender and sore. It's uncomfortable. Other than that the pill didn't change my menstrual cycle.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
44 years old
🇬🇧 UK
• 2 weeks ago
If you have androgenic hair loss this makes this worse. My GP put me on it to manage my periods when I had originally asked for HRT. The hair loss is severe and is seriously affecting my mental health
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 3 weeks ago
Since taking this pill it has regulated my period , I take it 21 days then have a 7 day break , i stop on a Saturday then I come on , on the Thursday and I finish on the Wednesday. It’s like that every month , but when I do stop taking them I get cramps and a bellyache and also runny stools , but soon as I start them again the pains subside and my stools become harder . I am finding a little more discharge than usual but I’ve heard that’s normal because of the hormonal changes . But overall I’d definitely recommend to anyone who fits the criteria 🙂
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 3 weeks ago
Lucette has worked well for me for managing period cramps and acne. However since starting it I've had an increase in back pain, a flare up of eczema that I've never had before, and I can't have caffeine without having a bad reaction. My sex drive has also decreased a lot.
Improved skin
2 more effects
0 helpful
0 comments

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