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

160 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2795 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

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

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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
  •  25th Mar 26

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
  •  25th Mar 26

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

2795 reviews

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

Microgynon 30 pill  

I started Microgynon30 becase my previous mini-pill (Cerelle) made me bleed every other week. Pharmacist advised the combined would regulate the periods. Unfortunately within 24h of starting Microgynon30 I have severely painful breasts, swollen and itchy (I went up a full cup size and it's not fun, I can't fit into my bras and running has become impossible). Nipples are itchy and sensitive and get scabby and dry. I have sore muscles as if I was constantly PMSing. The worst side effect though has been migraines with aura. Never had migraines in my life before, and now I do. I'm gonna switch to Slynd now, I don't ever wanna go back on a combined pill ever again.


Top side effects not reported

0 helpful

0 comments

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

Gedarel 30/150 pill  

Only lasted a month on this pill as it made me incredibly low and irritable. Severe bloating


Very negative mood

2 more effects

0 helpful

0 comments

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

Levest pill  

Generally my mood on it was brilliant however it caused severe bloating and cravings so I gained weight


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Microgynon 30 pill  

I started Microgynon30 becase my previous mini-pill (Cerelle) made me bleed every other week. Pharmacist advised the combined would regulate the periods. Unfortunately within 24h of starting Microgynon30 I have severely painful breasts, swollen and itchy (I went up a full cup size and it's not fun, I can't fit into my bras and running has become impossible). Nipples are itchy and sensitive and get scabby and dry. I have sore muscles as if I was constantly PMSing. The worst side effect though has been migraines with aura. Never had migraines in my life before, and now I do. I'm gonna switch to Slynd now, I don't ever wanna go back on a combined pill ever again.


Top side effects not reported

0 helpful

0 comments

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

Gedarel 30/150 pill  

Only lasted a month on this pill as it made me incredibly low and irritable. Severe bloating


Very negative mood

2 more effects

0 helpful

0 comments

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

Levest pill  

Generally my mood on it was brilliant however it caused severe bloating and cravings so I gained weight


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

I have tried a few contraceptives including the implant, mini pill and a different combined pill before landing on this one and it was by far the best. Lighter periods, can predict them starting to the hour. No cramps or pains or nausea which i did have before contraception. I do have hormonal headache leading up to and during the break week. Moods were awful on the progesterone only pills but on gedarel I am very level to the point of sometimes feeling a bit numb.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Yacella pill  

I have been happy with this pill and haven’t really noticed anything significant and has been working as it should, however over the past 15ish months i have been having recurring thrush and i have worked it down to i believe being this pill. i have gone to the pharmacy today and gotten a new pill to try so fingers crossed but yeah turns out thrush is a symptom i believe 1 in 10 people on it


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
31 years old
🇬🇧 UK
  •  2 weeks ago

Yasmin pill  

no comment


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
39 years old
🇬🇧 UK
  •  3 weeks ago

Zoely pill  

Brilliant medication, the bio identical oestrogen is definitely kinder and easier to manage. I managed to gain weight and keep it, it's something I struggled with massively before. I have nicer bust size too 😁. Tbh is better than Eloine and I have less tension in my body. I recommend it to neurodiverse ppl for certain.


Very positive mood

1 more effect

0 helpful

0 comments

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

Eloine pill  

I have been taking for a month now and I was TERRIFIED after trying rigevidon when I was 16 (I’m 24 now). I have PMS (I believe PMDD) so I got to the point where I was desperate for help. My acne, fatigue and low moods were just too much for life and I needed to do something about it! The first couple of weeks I felt a tiny bit nauseous (no where near as bad as rigevidon which I assume is bc of the lower oestrogen in Eloine) and I got some night sweats which have calmed down also after a couple of weeks. I have also experienced some slight fluttering anxiety and heavy chest when I wake up (I take it at 11pm due to my schedule) which isn’t ideal but as someone who used to be extremely anxious I haven’t found this particularly overwhelming or affecting my life. It hasn’t been through the day so I believe it’s because of the time I am taking it but not a major issue. I have insatiable hunger but again, as someone who didn’t eat much and had low appetite (especially the week leading up to my period) this has had a majorly positive effect on my life, I’m fuelling myself more which is probably also helping my fatigue and mood in itself! Regarding weight gain, I have had no water retention type of weight gain from it, any weight gain will be due to eating more bc of the hunger but personally I have not noticed any gain yet. However, PMDD wise, it has changed my life so far. The week I usually feel down and sleep 14 hours I didn’t even realise that week had passed (I’m taking it continuously without the placebos). No acne, no low moods no fatigue, I just finally feel normal 🙏🏻 If you’re looking into this for PMS and PMDD that is becoming too much, I would honestly give this a go. As someone who had awful nausea with rigevidon, it took me two years to get the courage to try another but I’m so so happy I did. I used to spend the PMDD weeks struggling and my normal weeks recovering, now every week is just normal


Very positive mood

1 more effect

0 helpful

0 comments

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

Drovelis pill  

I haven’t used it for long but the side effects aren’t bad or huge.


Improved skin

1 more effect

0 helpful

0 comments

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

Qlaira pill  

I went on Qlaira after reading reviews that it helped with recurring thrush caused from other combination pills. It did - I haven't had thrush since being on this pill! However, definitely experience more mood swings and I bleed lightly for around 10 days which is really frustrating. Considering changing because of the bleed. First month of bleeding was also much more painful but think I was just getting used to it.


Increased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

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