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.

Thrush constantly. Horrible.

My worst side effects have been the mood swings, I am crying a lot more for no reason than I ever did before, it definitely has made me more emotional. My period has gone from being 3 to 4 days to being 1.5 / 2. My breasts become really sore and hard before and after my period. I don’t feel as sexually active as before and I experience dryness more regularly than normal. My skin is completely clear with the pill. Everything bad is / has been fairly manageable, not ideal but haven’t had any pregnancy scares.

I had very good experience for 2.5 years and then I got acne.

The “Nordette” pill was not much better than the Nur-Isterate injection. It just decreased my mood swings. I lost a bit of weight (went back to my normal size) my acne got worse . Libido was still incredibly low. And Vag still as dry as a desert

This contraception is highly effective, but for me the main side-effect is major hair loss and irregular periods.

My legs randomly ache, I have. 0 sex drive, the thought of being touched is making me sick. I have severe anxiety and I’m borderline suicidal. This is not the right pill for me but going back to my gp and getting another one seems exhausting.

I am 26. Have been on yasmin pill 7 months, I take in the evening just after food. I have PCOS and PMDD. I have found it to be good- it has really stabilised my mood as im not getting hormone fluctuations and has helped with insomnia and mood swings. The side effects: Breasts getting bigger [they might be slightly tender but also have large breasts to begin] and potentially more anxious/irritable but I also have more stress in my life so I think this is due to that. I have not noticed changes to skin [pimple every so often like before]. I also do 3 pill packs back to back without a break week and this caused some intermittent bleeding so now I do 2 pills back to back and this has gone away. I would recommend, once you get into the rhythm of taking a pill is easier.

I was on marvelon for 5 years and it really worked for me. Unfortunately I developed severe migraines in my pill free week so I had to stop taking it. But it was the best pill I ever tried.

This pill gave me severe emotional dysregulation (notably anger) to the point it almost felt like a fever dream. Granted, I only used it for a month, but that's because I genuinely couldn't tolerate it and had never experienced anything similar on other pills. I was angry to the point of having rage-inducing nightmares and feeling provoked by most harmless interactions. It also made me stress and ruminate a lot more. Frankly, I think it is appalling that such medication is deemed fit for use - which generally circles back to the issue of dismissal in women's healthcare. It was an absolute nightmare, and no one should have to tolerate going through that even if it does "get better eventually." To provide some perspective, the contraceptive pill in men's trials was shut down simply because it caused headaches. So why should we put up with symptoms that are a million times worse? Echoing other reviewers, I'd rather switch to a brand that doesn't come with the hassle (though ideally, the whole industry needs to fix up). Why this is the most commonly prescribed brand in the UK is beyond me.

I used this quite a while ago, I do not notably recall any mood-altering changes (hence why I rated "poor" instead of "terrible" to be fair, since every individual is different). But I will list below effects from when I was actively taking it and afterwards: - Heavier and more painful periods. I already struggle with painful periods, but while using Levest, they became unbearably painful (OTC barely helped, sweating, dizziness & nausea due to the pain). - I subtly started gaining more weight, despite no lifestyle or dietary changes. - I believe I had increased bodily hair growth. - After a period of heavy and painful periods, I eventually stopped having my period altogether, despite the 7 day break each month. When I stopped using it altogether, my cycle didn't resume. At one point, I didn't get my period for half a year until eventually being diagnosed with PCOS. However, Levest did not mask my symptoms during use either, it felt like it induced them (weight gain, hair growth, cycle dysregulation). I read another comment on here on hyperandrogenism concerns - and this symptom also relates to PCOS. While the issue of "pill-induced PCOS" is controversial and unconfirmed, it's still relatively acknowledged that those predisposed to the condition may find that using certain birth controls can induce it when otherwise dormant (especially progestin dominant ones, such as Levest). Synthetic progestin is often structured very similarly to androgens, hence why the body may register it as such. I heard that more recent brands have improved upon its configuration, so it's less similar - but from experience, I would say Levest hasn't quite got it yet.