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

154 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2489 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

83% no impact

61% no impact on skin

Cycle return

64% in 1 month

32% 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

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£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

154 reviews

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  6th Jun 24

Natural Cycles App  

I started using Natural Cycles a few years back. I was never on any birth control as a teenager as my mum didn't want my young body being put on hormones. However, once I settled down with my current long-term partner, I wanted to have the peace of mind that I wasn't going to fall pregnant. The first few years of using Natural Cycles were great and empowering, understanding the changes in my body and knowing when I had ovulated was great. What I had failed to understand was it predicted with its algorithm your date of next month's ovulation based on your previous month. Well. I managed to fall pregnant not once, but twice in the space of 8 months. The first time around, I thought it was my fault and I had not taken my temps properly (even though I never had an issue in the past). I had a surgical abortion as I was 3 months pregnant before I actually found out. I was willing to try again and really get to grips with it even though the clinic was very strongly advising me to go on some form of HBC. In the past 6 months, my body has recovered from the abortion and got back into its usual swing of periods and I saw I was ovulating again. This time around I invested in an Oura ring to pair with my NC app to be certain of my temps being taken. All was well, I stuck to my green and red days religiously. I use the pull-out method on red days (if we do have sex). And I trust our pull-out method completely because we definitely know he does not ejaculate inside of me or we tend to stick to oral sex rather than penetrative. I noticed my temperatures lately had been higher than usual and my ovulation was confirmed a bit earlier than usual. I didn't think much of it as I had stuck to our red days and green days as shown. When I went on calendar view, I saw that my fertile window just gone was a lot shorter than 6 days and I had unprotected sex (on a green day) that was 2 days before I ovulated. I did a test and indeed am pregnant yet again. I contacted NC straight away and got them to go through my data, which they did and have taken full responsibility for the muck up with their algorithm. I advise you to check your fertile windows and note any other observations (cervical mucus), because the algorithm cannot be trusted. And from what I now know, ovulation may change throughout different cycles (stress, sleep etc). I will no longer be using them ever again which is sad as I did so enjoy using it.

Read more

Somewhat positive mood

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  4th Jun 24

Natural Cycles App  

Amazing


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  20th May 24

Natural Cycles App  

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.


Very positive mood

3 more effects

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  6th Jun 24

Natural Cycles App  

I started using Natural Cycles a few years back. I was never on any birth control as a teenager as my mum didn't want my young body being put on hormones. However, once I settled down with my current long-term partner, I wanted to have the peace of mind that I wasn't going to fall pregnant. The first few years of using Natural Cycles were great and empowering, understanding the changes in my body and knowing when I had ovulated was great. What I had failed to understand was it predicted with its algorithm your date of next month's ovulation based on your previous month. Well. I managed to fall pregnant not once, but twice in the space of 8 months. The first time around, I thought it was my fault and I had not taken my temps properly (even though I never had an issue in the past). I had a surgical abortion as I was 3 months pregnant before I actually found out. I was willing to try again and really get to grips with it even though the clinic was very strongly advising me to go on some form of HBC. In the past 6 months, my body has recovered from the abortion and got back into its usual swing of periods and I saw I was ovulating again. This time around I invested in an Oura ring to pair with my NC app to be certain of my temps being taken. All was well, I stuck to my green and red days religiously. I use the pull-out method on red days (if we do have sex). And I trust our pull-out method completely because we definitely know he does not ejaculate inside of me or we tend to stick to oral sex rather than penetrative. I noticed my temperatures lately had been higher than usual and my ovulation was confirmed a bit earlier than usual. I didn't think much of it as I had stuck to our red days and green days as shown. When I went on calendar view, I saw that my fertile window just gone was a lot shorter than 6 days and I had unprotected sex (on a green day) that was 2 days before I ovulated. I did a test and indeed am pregnant yet again. I contacted NC straight away and got them to go through my data, which they did and have taken full responsibility for the muck up with their algorithm. I advise you to check your fertile windows and note any other observations (cervical mucus), because the algorithm cannot be trusted. And from what I now know, ovulation may change throughout different cycles (stress, sleep etc). I will no longer be using them ever again which is sad as I did so enjoy using it.


Somewhat positive mood

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  4th Jun 24

Natural Cycles App  

Amazing


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  20th May 24

Natural Cycles App  

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.


Very positive mood

3 more effects

0 helpful

0 comments


Combined pill reviews

2489 reviews

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

Dianette pill  

I wish that I never stopped taking this pill! It was brilliant. Cleared up my skin very quickly. Doctor took me off it because I had some headaches. I don’t know whether these headaches were connected but the rest of my experience with this pill was positive !


Improved skin

0 helpful

0 comments

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

Logynon pill  

DO NOT TAKE IF YOU ARE TAKING PILL CONTINUOUSLY! This pill made me bleed when I wasn’t supposed to and have 4 UTIs. Each pill contains a different amount of hormones which sent my period haywire!


Improved skin

0 helpful

0 comments

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

Gedarel 20/150 pill  

I was only on this for a month, no issues at the beginning, however gradually my mood worsened and I began getting very severe cramps and heavy bleeding. Checked with a doctor and was due to the pill not being strong enough for myself personally.


Very negative mood

1 more effect

0 helpful

0 comments

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

Dianette pill  

I wish that I never stopped taking this pill! It was brilliant. Cleared up my skin very quickly. Doctor took me off it because I had some headaches. I don’t know whether these headaches were connected but the rest of my experience with this pill was positive !


Improved skin

0 helpful

0 comments

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

Logynon pill  

DO NOT TAKE IF YOU ARE TAKING PILL CONTINUOUSLY! This pill made me bleed when I wasn’t supposed to and have 4 UTIs. Each pill contains a different amount of hormones which sent my period haywire!


Improved skin

0 helpful

0 comments

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

Gedarel 20/150 pill  

I was only on this for a month, no issues at the beginning, however gradually my mood worsened and I began getting very severe cramps and heavy bleeding. Checked with a doctor and was due to the pill not being strong enough for myself personally.


Very negative mood

1 more effect

0 helpful

0 comments

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

Drovelis pill  

Overall this is one of the better pills I've been on (previously tried Dianette and Marvelon) - I don't think I'll ever find a perfect solution! For PCOS it improved acne effectively and quickly. However, I've had much better results reducing hirsutism with previous pills and with the Mirena coil. Main perk of this pill compared to others is that I haven't experienced thrush (which was a regular issue before on other pills). I also feel like my sex drive, while reduced, isn't totally absent! The knowledge that this pill contains lower doses of active ingredients and is less 'synthetic' than traditional pills makes me feel like it's closer to my natural hormonal state. I'm hopeful that when I do come off the pill and try to get pregnant, it won't take many months for my periods to come back. It took several months to return with other pills. Mentally I think this pill is dampening my mood and energy a bit, but at least I don't experience the huge mood swings that I'd experience during my natural cycle. Finally I've heard anecdotes about ADHD medication not being as effective whilst on the pill. I haven't found this to be an issue taking Drovelis, and actually the consistency in my mood is fairly helpful for ADHD symptom management.


Improved skin

2 more effects

0 helpful

0 comments

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

Drovelis pill  

Drovelis was my first ever contraceptive pill. While I experienced very slight dizziness during the first month of taking it, this no longer persists and the only major side effect I got was breast enlargement and tenderness which started during 2nd month of taking this pill (which - enlargement - I actually absolutely loved).


Top side effects not reported

0 helpful

0 comments

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

Qlaira pill  

Start of it was great, made my periods less painful and lighter. After a while periods came back to lasting a long time, got extreme period pains, discharge in my nipple, blood clot in my leg and they said it was dangerous to continue it’s use since I’m a smoker.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  3 weeks ago

Gedarel 20/150 pill  

At the start all was going great but in the last 2/3 months things have started going really downhill, I have started shedding hair at an alarming rate, I have gained weight, I have developed thrush on my boob, my eczema is awful, the skin on my face is so oily, I constantly feel down and sad which I used to only experience when I was in the week before my period. It’s definitely not a long term solution.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  3 weeks ago

Zoely pill  

unfortunately caused severe negative effects on my mental health and quality of life. increased anxiety & depression (both were constant) and drastically reduced my confidence and body image. all symptoms intensified the week before a period was due - body image was so poor i wouldn't leave the house or wear anything other than baggy clothes, felt suicidal, cried over nothing, lost all motivation/drive, couldn't concentrate + poor short term memory, felt worthless, anhedonic, insomnia that was worst the few days before a bleed, and persistent fatigue & lethargy. i did try to stick it out as i assumed it was pre-existing conditions causing my symptoms, but they got progressively worse the longer i was on it. after i came off the pill i noticed pretty rapid improvement in my self confidence and overall mental health.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  1 month ago

Rigevidon  

This was my first contraception given to me by my GP at age 19. I believe Rigevidon is the cheapest which is why often it is what many are prescribed, that is what I learned from watching a doc by Davina McCall! It took me years to realise my mood swings and emotional outbursts were a side effect, not a true reflection of who I was. I felt like I had too many artificial hormones inside affecting my mental heath and the close relationships around me. I also suffered with acne. Once I moved to the implant (which really wasn’t a scary or painful procedure), mentally I have been in such a better place.


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  1 month ago

Rigevidon  

I was prescribed this pill mainly for my moods and it really did help. I was taking the pill for many years and every month when I had my break in tablets I would get a headache. I thought it was a symptom of PMS but after having a pill review with my GP they advised me to stop taking it. Since I stopped I haven’t had one headache which is quite worrying. They always ask about migraines in the questionnaire but never headaches so it didn’t even occur to me that it might be the pill causing this


Very positive mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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