Fertility awareness methods (FAM) vs Combined pill
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Overview
Rated 4.3
158 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2615 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
158 reviews
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 3rd May 25
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
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3rd Apr 25
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 18 mo - 3 yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 3rd May 25
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
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3rd Apr 25
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
2615 reviews
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 2 days ago
This contraception changed my personality. It made me very angry, easily frustrated and issues that should be small seemed huge in my mind. Since changing contraception to the Yasmin pill, I honestly feel like a different person. I am quite upset that most of my twenties were spent in this state of constant anger. I thought it was just my personality but since changing pill I can now see that it was the contraception. I also got severe withdrawal headaches when I took the 7 day break.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 3 days ago
i have PCOS this pill was amazing for the first 3 1/2 years, it made me lose 10 pounds in two weeks from me changing nothing to my active levels and diet, my skin cleared up, i had lighter and regular periods, had a high sex drive until i started having very irregular periods in the last 6 months. including periods happening every other week and spotting between it even when taking it correctly so i decided to change contraception but this may be because of my PCOS
Improved skin
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
29 years old
🇬🇧 UK
• 2 days ago
This contraception changed my personality. It made me very angry, easily frustrated and issues that should be small seemed huge in my mind. Since changing contraception to the Yasmin pill, I honestly feel like a different person. I am quite upset that most of my twenties were spent in this state of constant anger. I thought it was just my personality but since changing pill I can now see that it was the contraception. I also got severe withdrawal headaches when I took the 7 day break.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 3 days ago
i have PCOS this pill was amazing for the first 3 1/2 years, it made me lose 10 pounds in two weeks from me changing nothing to my active levels and diet, my skin cleared up, i had lighter and regular periods, had a high sex drive until i started having very irregular periods in the last 6 months. including periods happening every other week and spotting between it even when taking it correctly so i decided to change contraception but this may be because of my PCOS
Improved skin
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
20 years old
🇬🇧 UK
• 2 weeks ago
For the first 2 years it was great. Then it got progressively worse, it severely affected my mental health and physical qualities of life too. Periods are so unpredictable by both pain and flow. As a contraceptive however, it works very well.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇬🇧 UK
• 2 weeks ago
Intended purpose is great- it’s stopped my debilitating periods and I can now carry on with my day when I first start my period, however I have experienced acid reflux and a lot of nausea specifically in the morning even after 8 months on this pill.
Decreased sex drive
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 3 weeks ago
I had several fortnight long periods on this pill. My regular periods are horrific so I was initially willing to take any side effects the pill had, and even though my regular level of pain/vomiting/fainting went away, I barely had rests from bleeding, my mood swings and hormonal breakdowns were uncontrollable, I gained a lot of weight, and I still had nausea and cramping. After over 18 months the side effects still had not dialled down so I had to quit.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 3 weeks ago
Nice to stop menstruation but in no way worth it for the awful psychological impacts. Mental breakdowns were indeed had.
Very negative mood
0 helpful
0 comments
Used for 3 - 5 yr
24 years old
🇬🇧 UK
• 3 weeks ago
My boobs have got so much bigger but my skin it completely cleared my awful awful acne and I have the clearest skin now.
Improved skin
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
19 years old
🇬🇧 UK
• 1 month ago
Little to no very noticeable side effects, my anxiety definitely heightened but that was a personal predisposition. Overall very happy experience but swapping due to some low moods
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 1 month ago
Been on this pill for years and it has treated me well. I have lighter periods and they are a lot less painful. I have suffered very badly with acne over the years and although my skin is not perfect, it has been the most stable on this pill. I don’t find any other side effects to my mood or body that I notice.
Improved skin
0 helpful
0 comments

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