Fertility awareness methods (FAM) vs Combined pill

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!!

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.

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.

I’ve been on Yasmin consistently for 13 years and have never had issues. I remember the first 1-3 months of taking it I did have a bit of nausea but after that, no side effects. I know I am one of the lucky few, but I really love this pill. I never have any issues and never period pain, I have great skin, no weight gain or libido loss. I haven’t changed brands because of how amazing it has been for me.

Such a shame my body didn’t like it because my brain definitely did! I have felt so much happier in the 6 weeks I’ve been taking this (compared to years of being on Microgynon) BUT I have had thrush 3 times in those 6 weeks!!! It caused a lot of vaginal dryness which led to thrush :(

I first started using microgynon aged 19 (it was the first pill offered to me when I wanted to go on the pill) and aside from weight gain, I didn’t really have that many side effects and got on well with it. I stopped using I when I was 22 after a break up. I then went back on it aged 25 and had a totally different experience. I didn’t gain as much weight the second time round but my breasts did go up a cup size which was annoying as none of my nice bras fitted me anymore!! I experienced period like cramps constantly, enough to need to take painkillers sometimes. At first I ignored it but after a few months of being in constant low level pain I couldn’t take it anymore. I have now switched to Yasmin after the pharmacist suggested it may be due to the type of progesterone in microgynon causing the cramps.

It’s made my skin worse, my anxiety is terrible, I am a lot more emotional and I feel worse. It did make me periods go from 11 days to 3 days though which was the point of me going on it.

I started Femodene when I was 16 for my acne, this was for my face and bacne/chest. I found it worked well for me however I did get the odd “hormonal” spot on my face when coming back onto the pill. When it comes to day to day though, I won’t lie everything felt numb. I had no excitement anymore, no motivation, I felt grumpy and tired and 0 sex drive. I felt alone but had people all around me. From being on it for so long I couldn’t remember what I was like before so have nothing really to compare it to. I train in the gym 4-5 times a week and I found I wasn’t seeing as much progress as I should have been as well.

It seems with this I lose and gain weight easily, overall loose weight I don’t have much appetite and I’ve lost a lot of breast fullness which is a shame

I think it caused decidual cast both times years apart. They passed both times when stopping the pill. Once didn’t feel it. Second time excruciating pain.

A week after starting to take this pill, I started having recurring UTIs triggered by sexual activity. I stopped taking the pill 6 months in for this reason, but still have constant issues. Aside from the recurrent UTIs, which have impacted both uni and work lives (I have to miss days due to the pain), I also get a frequent burning sensation with no trigger, which causes general discomfort in my day-to-day life. Due to the massive negative impact this pill has had, I am now extremely wary of any form of contraception and wish I had never started taking microgynon in the first place.

i gained a lot of weight (10kg), i am depressed, no libido

So I was prescribed the yasmin pill for my PCOS after being on desogestrel since I was about 14 for my periods. I’ve always had really really irregular periods, and bled very heavily. They would last for 2 weeks roughly and sometimes id have two in one month. In my particular case, I was told to take yasmin continuously, so all 3 packets in a row and then stop for a 7 day break, and start a new box. This has worked well for me i think (baring in mind i’ve only just started my 2nd box). At the beginning I had severe nausea, not to the point of throwing up but it was there constantly all day. I started taking the pill just before bed, so 11pm- midnight roughly and that seemed to help with the nausea. That was the side effect that has affected me the most, and since restarting after my 7 day break I am still experiencing nausea. I’m just praying it goes away after 1-2 weeks like it did before. Aside from that, my sex drive historically has been really high. I was down to do it whenever, and no issues whatsoever. Since being on yasmin, i literally could not think of ANYTHING worse than having sex with my partner. (it is nothing to do with him!!) I just have absolutely 0 sex drive, I can’t even get horny unless i really stick with it- so that’s been another big issue for me. I have also had quite bad acne since I was in school, and i’ve always struggled with it especially on my chin, forehead and back. I haven’t noticed a change in my acne yet but praying yasmin is able to clear some of it up! In terms of my PCOS management aswell, yasmin has made my first period during my 7 day break incredibly light, I hardly needed to wear a pad at all. I had cramps but nowhere near as bad as they used to be and it also seemed to completely stop around the 4 day mark out of 7. So if i’m being completely honest, my experience on yasmin so far has been okay- i’m struggling with the nausea and low sex drive but hoping as the weeks/ months go on my body will adapt to the hormones and i’ll be back to normal. If anyone out there is struggling with severe irregular periods and pcos symptoms I would recommend giving it a try and sticking it out for atleast 6 months to 1 year. for me personally my periods are so much easier to deal with, and i will do an update in a few months time to see if my skin and other side effects have cleared!