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

2772 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

2772 reviews

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

Rigevidon  

Need change for another one


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Millinette 30/75 pill  

Had it for almost a year now, I’ve been on the pill (around 5 different ones) since I was 13 due to heavy non stop bleeding. This one had the fewest noticeable side effects that didn’t make me want to change, apart from the sex drive. I don’t know if it’s because my hormones have been tampered with since I started puberty but I’m 18 now and this low libido, sex drive and vaginal dryness is not ideal. It’s a bit of a hindrance.


Improved skin

1 more effect

0 helpful

0 comments

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

Drovelis pill  


Improved skin

0 helpful

0 comments

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

Rigevidon  

Need change for another one


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Millinette 30/75 pill  

Had it for almost a year now, I’ve been on the pill (around 5 different ones) since I was 13 due to heavy non stop bleeding. This one had the fewest noticeable side effects that didn’t make me want to change, apart from the sex drive. I don’t know if it’s because my hormones have been tampered with since I started puberty but I’m 18 now and this low libido, sex drive and vaginal dryness is not ideal. It’s a bit of a hindrance.


Improved skin

1 more effect

0 helpful

0 comments

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

Drovelis pill  


Improved skin

0 helpful

0 comments

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

Zoely pill  

I requested Zoelly after attending a talk at spire about endometriosis as it was recommenced. For the first 3 months I loved it! Minimal cramps and much lighter periods lasting 2 and a half days (always been 6-7 days and heavy for me). After about 9 months - 1 year. Periods went back to 6 days but lighter. However, my endo symptoms have worsened. I can’t say if that’s is due to the pill though. I was taken off this due to developing migraines (I think developed due to stress rather than the pill) and endo symptoms worsening so to try another option.


Top side effects not reported

0 helpful

0 comments

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

Dianette pill  

Went in it for my acne which it massively improved, however experienced a lot of mental health issues (but obviously can’t be certain that’s from the pill) and a loss of libido.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Zoely pill  

Honestly the best of all of the pills I’ve taken. However, after 18m on this I’m going to come off it and go back to natural cycles due to the following - loss of sex drive, constant and I mean constant headaches, generally feeling a bit ‘flat’ and tired all the time. I also have heavy limbs which is a weird side effect. That said, Zoely did not have any negative implications on my skin, weight, appetite and I don’t get mood swings- in fact I just feel a bit too flat overall so perhaps If mood swings are an issue it might suit you! But I’ve gone the other way


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
32 years old
🇬🇧 UK
  •  3 weeks ago

Gedarel 20/150 pill  

Regular and shorter period (4 days) and light flow. It made my skin perfect and my hair a bit thinner. I gained a lot of weight while on it and it was impossible for me to lose it, no matter how much I worked out or what diet I was doing. If I could go back I wouldn’t start using it, as in my case I only needed it for contraception.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Rigevidon  

Within the 1st month, I had terrible mood swings; I become angry and irritable towards my parent. I seemed to calm down but then pick back up again in the next week. From withdrawal from this, everything was ok, apart from having a few pains and it also made my periods light. I didn’t have any symptoms of nausea or vomiting but I did gain a bit of weight and had breast tenderness (i dont know if my breast got bigger). By the 2nd month, I ended up feeling really low and had quite dark thoughts; my headache got worse and I was crying a lot during the day/night. Because of this I’m no longer taking this pill.


Somewhat negative mood

2 more effects

0 helpful

1 comments

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

Ovranette pill  

I was extremely anxious. I would be extremely jittery and uncomfortable in my own body each day I took it. I was very emotional by the evenings and tired from being so anxious..


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
35 years old
🇬🇧 UK
  •  3 weeks ago

Yaz pill 🇺🇸  

I felt my best on Yaz. I had lots of energy, my mood was always good. But I got over 10 UTIs a year. I was on so many antibiotics. I couldn't get to the bottom of it. We looked at everything with my Dr. Only when I went to treat my reoccurring dry eyes it clicked. The week after I switched pills from Yaz, I havnt had a UTI since. I spent years suffering and countless antibiotics


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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