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

159 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2705 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

50% very positive

64% no change

49% increased sex drive

82% 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

44% improved skin

Cycle return

37% 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

159 reviews

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!!

Read more

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 3 - 5 yr
29 years old
🇬🇧 UK
  •  3rd May 25

Symptothermal method  

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.


Somewhat positive mood

2 more effects

3 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 3 - 5 yr
29 years old
🇬🇧 UK
  •  3rd May 25

Symptothermal method  

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.


Somewhat positive mood

2 more effects

3 helpful

0 comments


Combined pill reviews

2705 reviews

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

Yasmin pill  

Ok


Top side effects not reported

0 helpful

0 comments

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

Levest pill  

I switched to this pill after being on a mini pill and feeling a lack of emotion, not necessarily depression just nothingness. My doctor advised this pill would help with symptoms of PMS and I couldn’t disagree more, I am a usually very happy positive person. I felt angry, irritated, hopeless and then ultimately depressed in just 6 weeks on this pill. I ended up having a panic attack and it then dawned on me that the only thing that has changed recently is this new pill. I stopped taking it the day this happened and I have felt completely fine and back to my normal self since. Personally I would never recommend this pill, I never suffered from any mental health issues before the pill and it’s made me go off contraception completely. The ONLY thing I would say about this pill that is a positive is that my skin was flawless, but that isn’t worth it for me alone. My skin wasn’t bad before other than an occasional hormonal spot here and there.


Very negative mood

1 more effect

0 helpful

0 comments

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

Eloine pill  

I started taking Eloine for contraception but also as a way to mange my PMDD. It has definitely helped with managing the severe depression from PMDD and keep my mood more stable. I have more energy than I used to. I have felt slightly more hungry but also in a new relationship and started taking it just before Christmas so hard to tell if that is caused by the pill, or just general indulgence. The most annoying symptom I’ve had is irregular breakthrough bleeding, which has happened a lot. I bled continually for the first 5 weeks and now it comes and goes.


Somewhat positive mood

0 helpful

0 comments

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

Yasmin pill  

Ok


Top side effects not reported

0 helpful

0 comments

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

Levest pill  

I switched to this pill after being on a mini pill and feeling a lack of emotion, not necessarily depression just nothingness. My doctor advised this pill would help with symptoms of PMS and I couldn’t disagree more, I am a usually very happy positive person. I felt angry, irritated, hopeless and then ultimately depressed in just 6 weeks on this pill. I ended up having a panic attack and it then dawned on me that the only thing that has changed recently is this new pill. I stopped taking it the day this happened and I have felt completely fine and back to my normal self since. Personally I would never recommend this pill, I never suffered from any mental health issues before the pill and it’s made me go off contraception completely. The ONLY thing I would say about this pill that is a positive is that my skin was flawless, but that isn’t worth it for me alone. My skin wasn’t bad before other than an occasional hormonal spot here and there.


Very negative mood

1 more effect

0 helpful

0 comments

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

Eloine pill  

I started taking Eloine for contraception but also as a way to mange my PMDD. It has definitely helped with managing the severe depression from PMDD and keep my mood more stable. I have more energy than I used to. I have felt slightly more hungry but also in a new relationship and started taking it just before Christmas so hard to tell if that is caused by the pill, or just general indulgence. The most annoying symptom I’ve had is irregular breakthrough bleeding, which has happened a lot. I bled continually for the first 5 weeks and now it comes and goes.


Somewhat positive mood

0 helpful

0 comments

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

Lucette pill  

I've loved Lucette for control over my periods and it largely got rid of my acne. My boobs got bigger which I loved too because I felt better proportioned. I think I gained some weight in my midsection, I didn't mind that for the other benefits it gave me but also could have been due to age. I think I had more discharge and would wear dailies for comfort. I wouldn't have come off it but was told I shouldn't have been on it in the first place due to having a history of migraine with aura that wasn't picked up earlier.


Improved skin

1 more effect

0 helpful

0 comments

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

Yasmin pill  

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.


Improved skin

0 helpful

0 comments

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

Eloine pill  

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 :(


Very positive mood

2 more effects

0 helpful

1 comments

Combined pill  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  3 weeks ago

Microgynon 30 pill  

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.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Microlite pill  

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.


Very negative mood

1 more effect

0 helpful

0 comments

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

Femodene pill  

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.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 month ago

Yasmin pill  

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


Somewhat positive mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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