Fertility awareness methods (FAM) vs Combined pill
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Overview
Rated 4.3
156 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2563 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Fertility awareness methods (FAM) ingredients
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
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
Check out our latest reviews
Real life reviews from people like you
Fertility awareness methods (FAM) reviews
156 reviews
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3 weeks ago
I’ve been using NC since 2021, I use to love this app and tell everybody about it until I had sex on a green day and got pregnant. I used to think it would never happen to me as I’ll use the app right. Measured every day and was very religious with the app. However, I ovulated earlier and fell pregnant! The app only goes off previous ovulation compared to current meaning it doesn’t prevent pregnancy as yes you have red days but it’s just a prediction! For example green day on day 6 (had sex) and ovulated on day 10 (red days) and fell pregnant. Ovulated 5 days early! Sperm can live inside you for 5 days hence why I’m pregnant and will be getting an abortion.
Worse skin
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 5th Jan 25
I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 6th Jun 24
I started using Natural Cycles a few years back. I was never on any birth control as a teenager as my mum didn't want my young body being put on hormones. However, once I settled down with my current long-term partner, I wanted to have the peace of mind that I wasn't going to fall pregnant. The first few years of using Natural Cycles were great and empowering, understanding the changes in my body and knowing when I had ovulated was great. What I had failed to understand was it predicted with its algorithm your date of next month's ovulation based on your previous month. Well. I managed to fall pregnant not once, but twice in the space of 8 months. The first time around, I thought it was my fault and I had not taken my temps properly (even though I never had an issue in the past). I had a surgical abortion as I was 3 months pregnant before I actually found out. I was willing to try again and really get to grips with it even though the clinic was very strongly advising me to go on some form of HBC. In the past 6 months, my body has recovered from the abortion and got back into its usual swing of periods and I saw I was ovulating again. This time around I invested in an Oura ring to pair with my NC app to be certain of my temps being taken. All was well, I stuck to my green and red days religiously. I use the pull-out method on red days (if we do have sex). And I trust our pull-out method completely because we definitely know he does not ejaculate inside of me or we tend to stick to oral sex rather than penetrative. I noticed my temperatures lately had been higher than usual and my ovulation was confirmed a bit earlier than usual. I didn't think much of it as I had stuck to our red days and green days as shown. When I went on calendar view, I saw that my fertile window just gone was a lot shorter than 6 days and I had unprotected sex (on a green day) that was 2 days before I ovulated. I did a test and indeed am pregnant yet again. I contacted NC straight away and got them to go through my data, which they did and have taken full responsibility for the muck up with their algorithm. I advise you to check your fertile windows and note any other observations (cervical mucus), because the algorithm cannot be trusted. And from what I now know, ovulation may change throughout different cycles (stress, sleep etc). I will no longer be using them ever again which is sad as I did so enjoy using it.
Somewhat positive mood
2 helpful
1 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3 weeks ago
I’ve been using NC since 2021, I use to love this app and tell everybody about it until I had sex on a green day and got pregnant. I used to think it would never happen to me as I’ll use the app right. Measured every day and was very religious with the app. However, I ovulated earlier and fell pregnant! The app only goes off previous ovulation compared to current meaning it doesn’t prevent pregnancy as yes you have red days but it’s just a prediction! For example green day on day 6 (had sex) and ovulated on day 10 (red days) and fell pregnant. Ovulated 5 days early! Sperm can live inside you for 5 days hence why I’m pregnant and will be getting an abortion.
Worse skin
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 5th Jan 25
I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception
Very positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 6th Jun 24
I started using Natural Cycles a few years back. I was never on any birth control as a teenager as my mum didn't want my young body being put on hormones. However, once I settled down with my current long-term partner, I wanted to have the peace of mind that I wasn't going to fall pregnant. The first few years of using Natural Cycles were great and empowering, understanding the changes in my body and knowing when I had ovulated was great. What I had failed to understand was it predicted with its algorithm your date of next month's ovulation based on your previous month. Well. I managed to fall pregnant not once, but twice in the space of 8 months. The first time around, I thought it was my fault and I had not taken my temps properly (even though I never had an issue in the past). I had a surgical abortion as I was 3 months pregnant before I actually found out. I was willing to try again and really get to grips with it even though the clinic was very strongly advising me to go on some form of HBC. In the past 6 months, my body has recovered from the abortion and got back into its usual swing of periods and I saw I was ovulating again. This time around I invested in an Oura ring to pair with my NC app to be certain of my temps being taken. All was well, I stuck to my green and red days religiously. I use the pull-out method on red days (if we do have sex). And I trust our pull-out method completely because we definitely know he does not ejaculate inside of me or we tend to stick to oral sex rather than penetrative. I noticed my temperatures lately had been higher than usual and my ovulation was confirmed a bit earlier than usual. I didn't think much of it as I had stuck to our red days and green days as shown. When I went on calendar view, I saw that my fertile window just gone was a lot shorter than 6 days and I had unprotected sex (on a green day) that was 2 days before I ovulated. I did a test and indeed am pregnant yet again. I contacted NC straight away and got them to go through my data, which they did and have taken full responsibility for the muck up with their algorithm. I advise you to check your fertile windows and note any other observations (cervical mucus), because the algorithm cannot be trusted. And from what I now know, ovulation may change throughout different cycles (stress, sleep etc). I will no longer be using them ever again which is sad as I did so enjoy using it.
Somewhat positive mood
2 helpful
1 comments
Combined pill reviews
2563 reviews
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• today
For me personally, the pill is great for periods. I haven’t had a period while using it. However, I did have 1-2 weeks of very light breakthrough bleeding. I found the pill made me severely depressed and I had absolutely no energy. I felt like I was just existing and not living. I was crying everyday and thinking everyone hated me. It also made me lose all my confidence I took so long to gain (I had none). Since being off it for 3 days I’ve seen a huge difference in my energy and my mood is slowly getting better. It didn’t make me gain weight as such, but my stomach is usually flat and now it’s round and more bloated. I’m hoping this will go away. I’d say I’ve gained more fat on my stomach than weight. I am more then happy to answer any questions <3
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
16 years old
🇬🇧 UK
• 4 days ago
while it's generally alright while I'm on it, the periods are terrible. way more painful than normal and extremely heavy. I've gotta give it credit for the skin though- alot clearer than before
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 4 days ago
Please consider the effects AFTER you stop taking Yaz or Eloine (same pill different brand). I never had acne or even spots my whole life and 4 months after stopping Yaz I got post-pill acne. My whole face is red and scarred and there isn’t a part of it that isn’t swollen and bumpy with cystic acne. If I could show you photos you would immediately think twice about trying an anti-androgen contraceptive like Yaz/eloine. I have tried everything with my derm to cure the acne but I wish I had known before taking yaz that this might happen when I stopped. I’m honestly devastated. It’s now been two years since I stopped yaz..
Very negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• today
For me personally, the pill is great for periods. I haven’t had a period while using it. However, I did have 1-2 weeks of very light breakthrough bleeding. I found the pill made me severely depressed and I had absolutely no energy. I felt like I was just existing and not living. I was crying everyday and thinking everyone hated me. It also made me lose all my confidence I took so long to gain (I had none). Since being off it for 3 days I’ve seen a huge difference in my energy and my mood is slowly getting better. It didn’t make me gain weight as such, but my stomach is usually flat and now it’s round and more bloated. I’m hoping this will go away. I’d say I’ve gained more fat on my stomach than weight. I am more then happy to answer any questions <3
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
16 years old
🇬🇧 UK
• 4 days ago
while it's generally alright while I'm on it, the periods are terrible. way more painful than normal and extremely heavy. I've gotta give it credit for the skin though- alot clearer than before
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 4 days ago
Please consider the effects AFTER you stop taking Yaz or Eloine (same pill different brand). I never had acne or even spots my whole life and 4 months after stopping Yaz I got post-pill acne. My whole face is red and scarred and there isn’t a part of it that isn’t swollen and bumpy with cystic acne. If I could show you photos you would immediately think twice about trying an anti-androgen contraceptive like Yaz/eloine. I have tried everything with my derm to cure the acne but I wish I had known before taking yaz that this might happen when I stopped. I’m honestly devastated. It’s now been two years since I stopped yaz..
Very negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇬🇧 UK
• 4 days ago
Has been really helpful for my moods as i would get bad pms, i feel a lot more stable through the months. i gained a lot of weight at one point but then lost it. my boobs consistently got bigger, at certain times in the month they are very very tender. i had lost my sex drive for a few months when i first started but it then came back, but i was really not eager for anything for ages. It’s helped my back and chest acne, and my face is better but has flare ups. I get a period every 3 months but it lasts like 14 days but not that heavy.
Somewhat positive mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 1 week ago
I have been on 3 different pills 10 years ago of which the last one was a pill prescribed for acne, before I decided to switch to a non-hormonal IUD, which resulted into heavy-flow periods that looked like someone had stabbed me everytime I got my period. I never had a heavy flow period but the copper IUD definitely increased this. After 2 years, I switched to the hormonal IUD Mirena and no complaints except that my hormonal acne is still present. I actually lost weight and no more periods. I went to my Gyno to ask for a solution against my acne and she prescribed the Yasmin pill. I took it and stopped after 9 days because I got super lethargic, emotional and cried almost every day, I started getting cystic acne even though I never had any cystic acne before, but a few small pimples on my jawline & chin. My breast were tender and in pain, I felt nauseous and I got 4 headaches in 9 days. Generally I don't get 5 headaches, maybe a maximum of 3-5 per year and that's it and my breasts are tender & in pain only when I am on my period. Needless to say that, I was not willing to go through the 3-month period with these symptoms just to see if my acne can disappear. I feel like there is no miracle solution and that's the most difficult to accept. My dermatologist prescribed spironolactone for my acne, which apparently has similar effects than the pill in terms of acne, without all the side effects.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
27 years old
🇬🇧 UK
• 2 weeks ago
I started taking Dianette as my first ever contraception pill. It is a combined pill which gives me migraines for a period of time. I was told to stop using it immediately as it put me at an increased risk of having blood clots and stroke. Now I am left not knowing what to do. Overall it did not give me any other side effect and I see a big difference on my skin. It is just me having a reaction to estrogen-related pills.
Improved skin
1 more effect
0 helpful
0 comments
Used for 8+ yr
37 years old
🇬🇧 UK
• 2 weeks ago
Worked really great for many years. Still had the ocassionally leg cramp, and my breast started to be really tender. After some years I got panic attacks and anxiety. Quit the pill in june 2023, still strugeling with panic and anxiety at times
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
37 years old
🇬🇧 UK
• 2 weeks ago
It went smoothly in the start. No side effects other than weight gain. Slowly the mood startet to be affected. I startet to swear more and react more angrily towards situations and people around me. Felt almost like I was a child and could not contain myself. My husband told me I had to get of because I was horrible to live with. The anger subsided when I stopped
Very negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 2 weeks ago
I essentially started crying almost every day and couldn't fully function like normal because of how low my mood was. I took it for bad period cramps and it definitely helped with this but had to get off it because of the effect on my mood
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
30 years old
🇬🇧 UK
• 2 weeks ago
I had a heavy painfull n long period after usage so i stoped it after 8 days but im still bleeding with pain after 2 weeks
Very negative mood
0 helpful
0 comments

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