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

158 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2641 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

63% no change

49% increased sex drive

82% no impact

60% no impact on skin

Cycle return

64% 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

158 reviews

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.

Read more

Very positive mood

0 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

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3rd Apr 25

Natural Cycles App  

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

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

0 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

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3rd Apr 25

Natural Cycles App  

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


Combined pill reviews

2641 reviews

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

Eloine pill  

Eloine completely cleared up the acne I had for 6 years! I would definitely reccomend it, although I will say that when I first started using it I had very intense mood swings but I think that’s normal due to the hormone change.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Gedarel 30/150 pill  

Lost my sex drive, every birth control I’ve been on has this effect on me. The biggest change I noticed is I was so hungry on this, I was bingeing yet before I took it I had great self control and was working out. It makes me feel like I’ve got early pregnancy symptoms which isn’t good for when you worry about it. I get nausea a lot and cravings, I don’t know for sure if it’s this pill but it started about 4 weeks after I started on the pill and I’ve never had anything like this before except for when I was pregnant


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  3 days ago

Yasmin pill  

From the ages of 15-20 I took Yasmin for my acne and I remember it was wonderful for my skin, hair and lightening of periods. My moods were a bit erratic and I was always teary, but I could contribute some of that to puberty/developmental years. Fast forward 13 or so years and I’ve restarted the pill, and decided on Yasmin. The first two weeks on Yasmin have been absolute hell. The main and so far only issue has been nausea which has been extreme. I’ve taken the pill in the morning with food, then in the evening with food. No matter what, I wake up feeling extremely sick and I have to take anti-nausea tablets (dramamine) to get me through the day. Considering I’ve not been on hormonal oral contraceptives in years, I’m trying to ride out the first month and see if it gets better, but for now I’m seriously nauseous with tender boobs and a teary mood, and considering quitting. It’s a shame as I feel the skin benefits and lighter periods historically were worth it.


Very negative mood

1 more effect

0 helpful

0 comments

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

Eloine pill  

Eloine completely cleared up the acne I had for 6 years! I would definitely reccomend it, although I will say that when I first started using it I had very intense mood swings but I think that’s normal due to the hormone change.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Gedarel 30/150 pill  

Lost my sex drive, every birth control I’ve been on has this effect on me. The biggest change I noticed is I was so hungry on this, I was bingeing yet before I took it I had great self control and was working out. It makes me feel like I’ve got early pregnancy symptoms which isn’t good for when you worry about it. I get nausea a lot and cravings, I don’t know for sure if it’s this pill but it started about 4 weeks after I started on the pill and I’ve never had anything like this before except for when I was pregnant


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  3 days ago

Yasmin pill  

From the ages of 15-20 I took Yasmin for my acne and I remember it was wonderful for my skin, hair and lightening of periods. My moods were a bit erratic and I was always teary, but I could contribute some of that to puberty/developmental years. Fast forward 13 or so years and I’ve restarted the pill, and decided on Yasmin. The first two weeks on Yasmin have been absolute hell. The main and so far only issue has been nausea which has been extreme. I’ve taken the pill in the morning with food, then in the evening with food. No matter what, I wake up feeling extremely sick and I have to take anti-nausea tablets (dramamine) to get me through the day. Considering I’ve not been on hormonal oral contraceptives in years, I’m trying to ride out the first month and see if it gets better, but for now I’m seriously nauseous with tender boobs and a teary mood, and considering quitting. It’s a shame as I feel the skin benefits and lighter periods historically were worth it.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  3 days ago

Yasmin pill  

From the ages of 15-20 I took Yasmin for my acne and I remember it was wonderful for my skin, hair and lightening of periods. My moods were a bit erratic and I was always teary, but I could contribute some of that to puberty/developmental years. Fast forward 13 or so years and I’ve restarted the pill, and decided on Yasmin. The first two weeks on Yasmin have been absolute hell. The main and so far only issue has been nausea which has been extreme. I’ve taken the pill in the morning with food, then in the evening with food. No matter what, I wake up feeling extremely sick and I have to take anti-nausea tablets (dramamine) to get me through the day. Considering I’ve not been on oral contraceptives in years, I’m trying to ride out the first month and see if it gets better, but for now I’m seriously unwell and considering quitting. Shame as I feel the skin benefits and lighted periods generally are well worth it.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

other than my boobs getting bigger i experienced significant mood swings and emotions that didn't feel like me at all. in addition to this i noticed now after being off yasmin my sex drive is THROUGH THE ROOF. i felt as if yasmin took away my sex drive and made me into an angry emotional crazy lady. sadly im going to miss my d cups; it was hard to stop yasmin because of that but mentally im so much better. after reading the reviews from other people, im glad to see that i am not crazy about yasmin decreasing my libido.


Very negative mood

1 more effect

0 helpful

0 comments

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

Maexeni pill  

Loved Maexeni annoyingly however it’s pretty impossible to get in the UK due to medication shortages. Great sex drive, boobs got bigger and didn’t make me depressed like my first pill - what’s not love ahaha (minimal weight gain but may have also been due to uni lifestyle)


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Levest pill  

I got switched from Maexeni to Levest due to medication shortages. Despite levest having few negative side effects, it’s caused vaginal dryness especially during sex. My sex drive has also disappeared and it is now very painful to have, which is obviously very frustrating (and embarrassing when hooking up with people), not something I had ever experienced before January this year. I’ve noticed this seems to be a very common side effect so beware. Safe to say I will be switching back to Maexeni asap!!!!


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

Overall okay, main side effect affecting me is the loss of libido and vaginally dryness as someone in a long-term relationship.


Improved skin

2 more effects

0 helpful

0 comments

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

Zoely pill  

I’ve been on this for 2 1/2 months for perimenopause. My mood has been so bad I’ve had to have 2 weeks off work. I’m tired to the point even the smallest of things seem overwhelming. No sex drive whatsoever and unable to orgasm. I’m crying all the time and my poor husband doesn’t know what to do. The worst pill I’ve ever had.


Very negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

I have had a positive experience overall with minimal side effects. The most notable was becoming more emotional (crying more easily) but I haven’t minded that.


Somewhat negative mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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