Fertility awareness methods (FAM) vs Combined pill

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.

Amazing

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.

I was prescribed this by a gynecologist to treat PMDD. It has worked amazingly, my mood has been very stable since I started it 10 months ago. My symptoms are gone, my energy levels are normal, I’ve been more patient with the kids. The only issues are hair loss when I started (which sorted itself out after a few months), low sex drive (but it was low any way). The only issue is the slight clotting risk due to oestrogen, it fills me with fear. It is supposed to be lower than other combined pills but due to my age and other risk factors it concerns me. I am considering trying Slynd to see if it has a similar effect, but I’d happily go back to this if need be. A very good pill!

To be honest I’ve been on this before, but I took packets back to back so I wouldn’t get a period which worked, but now months later I’ve started it again, because my cycle was irregular from August due to plan b usage, and I now bleed on my pill free break, it gives me a sense of reassurance I’m not sexually active anyways it’s been like that for a month now, but atleast I know my cycle is more regular, only thing I would say is around day 4 of me being on the pill free break aka my first day of bleeding I experienced cramps and very bad breast pain PMS syndromes but it went down and it went from heavy bleeding to light bleeding.

I initially wanted a pill that would help decrease my light acne, address mood swings, and alleviate awful cramps. I also hated using pads as it made my skin irritated. In the first month, it was all fine; shortly after, my acne was pretty much gone with just a few pimples left at the end of the month due to PMS. My period almost stopped completely, and my cramps were significantly lowered. After 2 months of usage, I noticed a pattern: 3 weeks with constant anxiety and depression, and then in the fourth week, I felt normal, a few days before the end of the pills. It proceeded to be this way for 5 months. Then I started to feel nauseous, and my awful cramps were back, alongside the increased breakthrough bleeding. I'm now trying to find a combined pill that meets my needs and doesn't give me severe anxiety and depression for 3 weeks of the month. My advice is: if you are like me and naturally have long PMS, I don't recommend this pill. I've tried other birth control pills before, but none were worse than this one. My doctor said it happened due to the fact that Qlaira tries to imitate the natural flow by altering the hormone quantity throughout the month, and keeps up the promise, but when you naturally have bad mood swings, it is not a good thing.

I swapped to Yasmin after trying so many and I felt like I’d struck gold! My skin improved loads (but must also note was under a dermatologist as well) but my skin has continued to be really clear My mood is a lot better provided I run the packets back to back - do find my mood plummets whenever I have a 7 day break but only do this once every 3-6 months I do get headaches but unclear if it coincides with Yasmin but GP is requesting I stop due to this however I’m reluctant due to have good this pill has been!

I have been on the combined pill for over 5 years now. I went on it at 16 and I am now 21 years old, whilst I have been on it it’s served me well no horrific side effects. However, over the years my sex drive has got worse and worse and I feel unless I’m on my pill break my mind doesn’t feel clear. I am scared to come off it as I do not know what other best alternative but I think I may change to the copper coil to natural cycles to let my body have a natural cycle. I just feel forcing your body to not ovulate cannot be good for it, I need my natural cycle back for peace of mind.

I was prescribed this an ‘equivalent’ pill to Yasmin. I trusted that it would be the same, as Yasmin is the only pill that has been okay for me. I had been on Yasmin a year and then they gave me dretine with no heads up. I gave it a chance but I am on week 4 I’ve had nearly 3 weeks of dark brown (occasionally red) bleeding. Bloating, increased spots on the first week but they have cleared up now by week 3. I have noticed a massive affect on my mood. I feel very down and sensitive, could cry any second and feel snappy and angry too. I need to change back to Yasmin. So disappointed

I was prescribed for PMDD and overall had a positive effect on my mood. However, I was constantly spotting when not on my period

Was put onto Rigevidon after being on the mini pill and not agreeing with it due to constant breakthrough bleeding and UTIs/vaginal dryness. Rigevidon was great for nearly a year and really liked how regular my periods were and had no breakthrough bleeding as long as I did 21 days on, 7 days off rather than taking back to back packs. After a while my mood declined to the point I felt numb and libido declined. I switched to a lower Oestrogen but then after another round at the mini pill as well went back onto Rigevidon as it had been the best one for me and wanted to try it again but I do suffer from migraines but never with aura so I had been deemed safe to use the combined pill as long as I was aware of symptoms to watch out but suddenly developed aura with my migraines so came off Rigevidon and have been fine since.

Has really helped with my PMDD and overall mood. Have had some weight gain but would take that over the depression.

This was the absolute perfect pill for me. I had no side effects other than slightly sore breasts in the first couple of months.