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

2666 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

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 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

2 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 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

2 helpful

0 comments


Combined pill reviews

2666 reviews

Combined pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  1 day ago

Gedarel 20/150 pill  

Took this pill for around 4 months and it was really good, only issue I had with it was that I was getting pretty bad headaches around my period which I'd only started having since going on this pill. I switched to a different pill to try and stop this issue but had a very negative experience with mood swings and it made me realise that Gederel is actually a very good pill and helped with my mood and anxiety - makes the headaches worth it😂


Somewhat positive mood

0 helpful

0 comments

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

Millinette 20/75 pill  

This is the 3rd pill I've tried and unfortunately since being on this one I've had horrible mood swings and been more emotionally down - I'm normally quite a happy bubbly person but this pill has made me quite miserable and leaves me feeling as though I'm not in control of my emotions.


Very negative mood

1 more effect

0 helpful

0 comments

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

Millinette 30/75 pill  

Hormonally numbed me. Kept me very flat with no fluctuations in moods at all. Improved my skin but led to continuous cystitis that often spiralled into kidney infections


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  1 day ago

Gedarel 20/150 pill  

Took this pill for around 4 months and it was really good, only issue I had with it was that I was getting pretty bad headaches around my period which I'd only started having since going on this pill. I switched to a different pill to try and stop this issue but had a very negative experience with mood swings and it made me realise that Gederel is actually a very good pill and helped with my mood and anxiety - makes the headaches worth it😂


Somewhat positive mood

0 helpful

0 comments

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

Millinette 20/75 pill  

This is the 3rd pill I've tried and unfortunately since being on this one I've had horrible mood swings and been more emotionally down - I'm normally quite a happy bubbly person but this pill has made me quite miserable and leaves me feeling as though I'm not in control of my emotions.


Very negative mood

1 more effect

0 helpful

0 comments

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

Millinette 30/75 pill  

Hormonally numbed me. Kept me very flat with no fluctuations in moods at all. Improved my skin but led to continuous cystitis that often spiralled into kidney infections


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
18 years old
🇬🇧 UK
  •  4 days ago

Yasmin pill  

VERY mixed emotions about Yasmin. I've been on it for ages, and I'm still on it. yes the boobs grow a lot. at the beginning my mood changes were crazy I thought I was losing my mind. Anxiety and depression symptoms surfaced (mostly anxiety - intense panic attacks), when I didn't have issues with it prior. They're still there but after years of dealing with it I don't notice as much as I used to. I have noticed that water retention is a big issue, as well as increased appetite - it's much harder to lose weight on the pill compared to off it. I also have an extremely lower libido, like crazy low. My skin cleared so fast and i had really bad dermatitis around my mouth and nose, not to mention hormonal acne on the rest of my face - now i get pimples almost never. Also please please be careful when drinking if you've newly started the pill, it made me a lightweight overnight i swear. Also I skip the sugar pills most of the time, only having my period about 3 times a year which is FANTASTIC


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  6 days ago

Microgynon 30 pill  

.


Very negative mood

2 more effects

0 helpful

0 comments

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

Levest pill  

I am one of the happiest people you will ever meet, I’ve always been positive and upbeat and although of course I have down times like anyone I never stay down for long. Within 3 weeks of taking Levest contraceptive tablets I was like a completely different person and I didn’t know what was happening to me, I cried uncontrollable every day, I didn’t want to be here anymore and was actually thinking of ways I could end my life, I was waking up in the middle of the night with a dark pit feeling in my stomach and felt unbelievably low I didn’t know what was happening to me, then it clicked, the only thing I was doing differently to usual was taking the levest pill. I called the GP the next day and they told me to stop taking it immediately, within 4 days I was back to my usual self mentally then I came on the worst period of my life, like a slaughtered animal and so many blood clots. I’ll never take this pill ever again and would definitely warn others about taking it, who’d have thought a simple contraceptive pill could cause so much harm


Very negative mood

0 helpful

0 comments

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

Drovelis pill  

I guess like any pill it took my body a while to get used to the new hormones, and then after about three months I felt like I’d found the best pill ever! No side effects - or so I thought. I didn’t break out, no major mood swings, periods slowly disappeared, cramps weren’t as bad. Then eventually I realised I have absolutely no sexual desire. This pill has completely obliterated my libido. Ironic since I decided to come on the pill to enjoy my honeymoon without worry of pregnancy. Such a shame as well but I’ll have to come off it.


Decreased sex drive

0 helpful

0 comments

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

Yasmin pill  

This pill does what it claims, I noticed some improvement in my skin, I’m prone to mild acne on my chest, back, and face, and those areas have cleared up, which I’m pleased about. However, after 21 days of taking it, there’s a seven-day break, and within two days of that break I experience severe headaches and migraines. They’re often debilitating and leave me bedridden for one to three days. Because of this, I’ve decided to stop taking Yazmin altogether. Everyone reacts differently, but due to the recurring migraines and headaches, this pill just isn’t the right fit for me.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Gedarel 20/150 pill  

I’ve always struggled with my mental health, and believe I have PMDD. but before starting this pill I’d been in a really good place for quite while, the first few months where okay but then I started to become more emotional, progressing to depression and severe anxiety. I also experienced a lot of UTIs that led to me being on long term antibiotics, this only started when I started the pill. I did eventually learn to manage the utis and didn’t get any in the last couple of months. But in the week leading up to the break I became very dry and itchy down there. All together just a really bad experience with this one


Very negative mood

2 more effects

0 helpful

0 comments

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

Millinette 20/75 pill  

I'd take microgynon over this pill any day. I'm surprised that a lower dose pill has more unpleasant side effects. Bloating, fluid retention, extreme sickness the first couple of days followed by an insatiable appetite on day 3 plus mood swings and just feeling horrendous.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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