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

2803 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

2803 reviews

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

Microgynon 30 pill  

Painful sex painful vagina, pain when peeing, constipation, no sex drive, low mood, achey legs, insomnia, generally felt rubbish


Worse skin

2 more effects

0 helpful

0 comments

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

Rigevidon  

After having not been on any birth control for two years, I went to my GP to get a prescription for a new bc. I had previously been on Yasmin for 9 years but due to getting recurrent minor thrush, I was wondering if a different pill could avoid that side effect. They prescribed me Rigedevon and my god, I can’t believe how awful it was. My skin that very rarely breaks out became covered in acne, my mood went through the floor and I felt miserable about everything. My GP had suggested me to stick the pill out for two months but I never had any side effects even close to being this bad on Yasmin, I’ve stopped it after one month. NEVER AGAIN


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  1 week ago

Yasmin pill  

This pill was amazing for my skin, it looked amazing and as a result I also had less greasy hair! I was on it for many years but went off as I no longer needed birth control. One side effect I found annoying was I seemed to get recurrent thrush, even when I was abstinent. This completely went away when I was off the pill. Aside from that, this pill was pretty good


Improved skin

0 helpful

0 comments

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

Microgynon 30 pill  

Painful sex painful vagina, pain when peeing, constipation, no sex drive, low mood, achey legs, insomnia, generally felt rubbish


Worse skin

2 more effects

0 helpful

0 comments

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

Rigevidon  

After having not been on any birth control for two years, I went to my GP to get a prescription for a new bc. I had previously been on Yasmin for 9 years but due to getting recurrent minor thrush, I was wondering if a different pill could avoid that side effect. They prescribed me Rigedevon and my god, I can’t believe how awful it was. My skin that very rarely breaks out became covered in acne, my mood went through the floor and I felt miserable about everything. My GP had suggested me to stick the pill out for two months but I never had any side effects even close to being this bad on Yasmin, I’ve stopped it after one month. NEVER AGAIN


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  1 week ago

Yasmin pill  

This pill was amazing for my skin, it looked amazing and as a result I also had less greasy hair! I was on it for many years but went off as I no longer needed birth control. One side effect I found annoying was I seemed to get recurrent thrush, even when I was abstinent. This completely went away when I was off the pill. Aside from that, this pill was pretty good


Improved skin

0 helpful

0 comments

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

Yasmin pill  

I was on yasmin for 3 years, my first pill when i was freshly 16 and it was PERFECT. My skin cleared, breasts got bigger, i had a slightly heavier period but nothing over the top. I then came off it for 4 months before deciding i wanted to start again. This is where the issues started, I did 4 months and was genuinely evil, i felt like i was 13 again. I’m not a crier and i was bawling over absolutely everything, almost tantrum level crying. I was lashing out at everyone, and was just overall a mess. My skin also started breaking out badly, and i’ve now had to swap to a new pill(millinette)


Very negative mood

2 more effects

1 helpful

1 comments

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

Gedarel 20/150 pill  

After my bad experience with a different pill, the doctors put me onto a lower dose in August and felt fine, now it’s September (my 2nd month) and it didn’t come until a couple of days, but I feel fatigued during the day and exhausted.


Improved skin

1 helpful

1 comments

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

Rigevidon  

Ive been on rigivedon for about 21 days now my first packet so still quite early on. However I’ve been experiencing lower back ache which has been going on and off for a while and it is getting me down I have booked a GP appointment incase it’s something more serious or to change pill. I can see 1 in 3 women experience back ache on this pill so I am quite sure it’s this.i think I have also felt quite down within myself and my gums have been more tender and sensitive.


Top side effects not reported

0 helpful

0 comments

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

Rigevidon  

I was on Rigevidon when I was 20, switched to mini-pill then the coil. I asked to go back on Rigevidon because it worked for me the last time. Cut to 29, I am miserable. My main side effects are - Extreme fatigue Nausea Mood swings / irritability Not feeling myself Brain fog Low sex drive Skin worsen Headaches Tender and swollen breasts I am at the GP tomorrow to be asked to change to a different kind of hormone and smaller dose. The nausea and tiredness I cannot take anymore.


Somewhat negative mood

3 more effects

0 helpful

1 comments

Combined pill  
Used for 1 - 3 mo
25 years old
🇬🇧 UK
  •  1 month ago

Marvelon pill  

Been on it for 2 weeks now and my anxiety has gotten so bad, should I wait 3months for my body to adjust or just switch?


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  1 month ago

Microgynon 30 pill  

I started Microgynon30 becase my previous mini-pill (Cerelle) made me bleed every other week. Pharmacist advised the combined would regulate the periods. Unfortunately within 24h of starting Microgynon30 I have severely painful breasts, swollen and itchy (I went up a full cup size and it's not fun, I can't fit into my bras and running has become impossible). Nipples are itchy and sensitive and get scabby and dry. I have sore muscles as if I was constantly PMSing. The worst side effect though has been migraines with aura. Never had migraines in my life before, and now I do. I'm gonna switch to Slynd now, I don't ever wanna go back on a combined pill ever again.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
29 years old
🇬🇧 UK
  •  16th Aug 26

Gedarel 30/150 pill  

Only lasted a month on this pill as it made me incredibly low and irritable. Severe bloating


Very negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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