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

159 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2686 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

50% very positive

64% no change

49% increased sex drive

82% 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

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

159 reviews

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  3 weeks ago

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!!

Read more

Top side effects not reported

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

2 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

2 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  3 weeks ago

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

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

2 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

2 helpful

0 comments


Combined pill reviews

2686 reviews

Combined pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  1 day ago

Qlaira pill  

I have been prescribed Qlaira for heavy periods and excessive bleeding. I might have endometriosis but they didn't prove it yet. Qlaira stopped my excessive bleeding the very next day after taking the first pill. I also didn't notice any major side effects beside a little soreness in my breasts. My skin is crystal clear. I suffer from PMDD very bad and have bad pains in my abdomen during ovulation. It fixed all of these issues in the first month and I'm happy. My vaginal lubrication improved as well. Mood swings improved significantly.


Very positive mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
24 years old
🇬🇧 UK
  •  3 days ago

Yasmin pill  

Love this pill, I've been on it for nearly 10 years now and have noticed few changes and side effects. If anything, my skin is more clear and my periods are light (3-4 days instead of my usual 6-7). I feel more emotional than baseline but it does not bother my day-to-day activities.


Very negative mood

2 more effects

0 helpful

0 comments

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

Combined pill  

Overall its fine, slowed down my metabolism and made me pretty dry but that's all


Gained weight

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  1 day ago

Qlaira pill  

I have been prescribed Qlaira for heavy periods and excessive bleeding. I might have endometriosis but they didn't prove it yet. Qlaira stopped my excessive bleeding the very next day after taking the first pill. I also didn't notice any major side effects beside a little soreness in my breasts. My skin is crystal clear. I suffer from PMDD very bad and have bad pains in my abdomen during ovulation. It fixed all of these issues in the first month and I'm happy. My vaginal lubrication improved as well. Mood swings improved significantly.


Very positive mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
24 years old
🇬🇧 UK
  •  3 days ago

Yasmin pill  

Love this pill, I've been on it for nearly 10 years now and have noticed few changes and side effects. If anything, my skin is more clear and my periods are light (3-4 days instead of my usual 6-7). I feel more emotional than baseline but it does not bother my day-to-day activities.


Very negative mood

2 more effects

0 helpful

0 comments

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

Combined pill  

Overall its fine, slowed down my metabolism and made me pretty dry but that's all


Gained weight

0 helpful

0 comments

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

Dretine pill  

This has by far been the best pill for me I love how confident and comfortable I feel


Very positive mood

3 more effects

0 helpful

0 comments

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

Microlite pill  

Thrush constantly. Horrible.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

My worst side effects have been the mood swings, I am crying a lot more for no reason than I ever did before, it definitely has made me more emotional. My period has gone from being 3 to 4 days to being 1.5 / 2. My breasts become really sore and hard before and after my period. I don’t feel as sexually active as before and I experience dryness more regularly than normal. My skin is completely clear with the pill. Everything bad is / has been fairly manageable, not ideal but haven’t had any pregnancy scares.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Zoely pill  

I had very good experience for 2.5 years and then I got acne.


Worse skin

1 more effect

0 helpful

0 comments

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

Microgynon 30 ED pill  

The “Nordette” pill was not much better than the Nur-Isterate injection. It just decreased my mood swings. I lost a bit of weight (went back to my normal size) my acne got worse . Libido was still incredibly low. And Vag still as dry as a desert


Somewhat positive mood

3 more effects

0 helpful

0 comments

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

Zoely pill  

This contraception is highly effective, but for me the main side-effect is major hair loss and irregular periods.


Top side effects not reported

0 helpful

0 comments

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

Rigevidon  

My legs randomly ache, I have. 0 sex drive, the thought of being touched is making me sick. I have severe anxiety and I’m borderline suicidal. This is not the right pill for me but going back to my gp and getting another one seems exhausting.


Very negative mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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