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
2594 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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Real life reviews from people like you
Fertility awareness methods (FAM) reviews
158 reviews
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 2 weeks ago
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
• 2 weeks ago
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
2594 reviews
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
• 2 days ago
Absolutely legendary pill, I’ve been on a few others this one by far is the best. Haven’t had any changes in my emotions and most importantly not pregnant! And I really do push that to the test weekly. I was A cup before taking and now I’m pushing B cup so for me that’s great
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 2 weeks ago
I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.
Somewhat positive mood
2 more effects
1 helpful
0 comments
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
• 2 days ago
Absolutely legendary pill, I’ve been on a few others this one by far is the best. Haven’t had any changes in my emotions and most importantly not pregnant! And I really do push that to the test weekly. I was A cup before taking and now I’m pushing B cup so for me that’s great
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 2 weeks ago
I stopped taking the pill 2 years ago to see if my libido would improve. Ultimately, though my libido was better off the pill, it has not been worth the horrendous PMDD symptoms that accompany my period. I was experiencing heightened severe depression, anger, sadness, and brain fog in the 2 weeks before my period; I'd also been dealing with nasty cystic acne on my chin and cheeks that was so deep under my skin, that even when my period was over, my face would be blotched and swollen with scabs or scars. Not cool when you're about to turn 30! Having this incessant acne made me even more depressed and at times, antisocial. All I could do was doom spiral. I recently moved to the UK and decided to see a doctor about my PMDD again as healthcare is accessible (as it should be!), and she suggested Eloine for acne and mood fluctuations. I'm happy to report that 5 weeks in, my acne is subsiding and I'm less up and down / quick to overreact mood-wise. My breasts have gotten a bit larger and although I also have a bit of bloating in my stomach, I'll happily take bigger boobs. In the past month, I have gotten some pretty bad, throbbing headaches, but those have started to become less frequent. I have also felt strong nausea in the afternoons, not always but frequently. This is still occurring in my fifth week. I do think my libido is down... but frankly, my husband was more tortured by my monstrous moods and deep self-loathing, and we've committed to working through it and being patient. So far, I recommend this for any menstruating person that deals with cystic hormonal acne and depression. It's been a relief for me.
Somewhat positive mood
2 more effects
1 helpful
0 comments
Used for 3 - 6 mo
18 years old
🇬🇧 UK
• 2 weeks ago
Used Rigevidon for 6 months, had to stop due to mood. It didn't make me depressed or anxious just a lot more sensitive, took my quite a while (another 6 months) for my hormones to finally balance out again. My weight didn't change a massive deal, I gained a little bit, probably more due to me being more upset than usual. Stopped period pain and made periods a lot lighter and easier and grew my boobs a bit. Also very clear skin which is a bonus. Overall okay pill I just didn't like the mood swings.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 3 weeks ago
sadly got swapped as my pharmacy isn’t stocking it anymore. it served me well for 5 years. can’t really complain
Improved skin
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 3 weeks ago
I’ve managed 10 days on this pill - but have stopped for my mental health. Never have I suffered with anxiety like I have on this pill. It has been horrendous. My mood is so low and I’ve not been able to function normally for days. I’ve not eaten or drank normally. The headaches and nausea are constant.
Very negative mood
1 more effect
0 helpful
1 comments
Used for 3 - 6 mo
32 years old
🇬🇧 UK
• 3 weeks ago
I used this pill a few years ago during a difficult period and wondered then if it impacted my mood, but it was a difficult time so it was hard to gauge. Tried again this time around and sadly no the pill was definitely a contributing factor. My pill free week I had a constant feeling of anxiety, which then followed into my next round. Im not really an anxious person but by week 4 on this I felt constantly on edge. Im a light sleeper anyway so I didn't make the connection last time between insomnia symptoms and night sweats but I think this contributed. I wonder if its linked to the heightened anxiety. A shame because otherwise no impact on skin, weight or periods sadly it just does not work with my mental health. I recently switched to Yasmin and it was like a light came on almost to the day I switched. I'd avoided it because of some negative stories id heard but for me its been much better so far. Sadly its a bit of trial and error to find the right one for you.
Very negative mood
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 1 month ago
Vagina is very dry and sex has become a chore as I also have a low sex drive now
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
22 years old
🇬🇧 UK
• 1 month ago
This combined pill has been the best one for me that I have tried so far. It hasn’t impacted my mood (as far as I can tell) and I haven’t experienced many negative side effects.
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 1 month ago
Overall, Haven’t noticed any changes to mood, it’s definitely made me gain a little bit of weight. However, My period i had when coming off the pill was in one word…. Excruciating. I’ve never had bad period cramps but with this pill my period came out in massive blood clots and it was very very painful.
Somewhat positive mood
2 more effects
0 helpful
0 comments

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