Fertility awareness methods (FAM) vs Implant
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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
603 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Fertility awareness methods (FAM) ingredients
Implant ingredients
Main hormones in Implant
progestogen
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
Heavy periods
Ovulation pain
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
Implant reviews
603 reviews
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 3 weeks ago
I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account
Somewhat positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 24th May 25
I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 7th May 25
I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.
Worse skin
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 3 weeks ago
I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account
Somewhat positive mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 24th May 25
I’ve had the implant for 2 years and it’s great that I haven’t had a pregnancy scare. However, my periods are so irregular it’s a joke. I keep track of my periods on an app called Flo and my cycle seems really abnormal. One month I’d be spotting for a week then my period would be over, the next month I’d either miss the whole month or I’d be bleeding on and off for 12 days or more, stop and be on again a week or 2 later, it’s never the same week every month. I can’t keep up with how irregular it is so I’m thinking to change contraception.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
• 7th May 25
I found the procedure fine. Changed from the pill so I didn’t have to take medication daily which was convenient. I did get acne on this contraception which did get severe so had to change.
Worse skin
0 helpful
0 comments
Used for 18 mo - 3 yr
38 years old
🇬🇧 UK
• 28th Apr 25
Loved that it was bullet proof and low maintenance + Long lasting. Didn't like the irregular bleeding in the last year so changed to the pill early for more flexibility and control
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
33 years old
🇬🇧 UK
• 27th Apr 25
Have been using the implant for years. Went to clinic to get replacement, would be my fourth, and practice didn't put implant in. Only discovered months later. Scary process all round, getting 10+ appointments to locate it! Only to be told it wasn't inserted in the first place.
Very negative mood
0 helpful
0 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 26th Apr 25
my periods stopped but i noticed when i wanted to have sex i wasn’t able to get wet easily. i also developed acne for the first time after i stopped due to the sudden loss of hormones. overall it worked and i enjoyed no periods and no other symptoms outside of sex.
Improved skin
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
25 years old
🇬🇧 UK
• 17th Mar 25
took the bandage and plaster off to let the area breathe. (Added new plaster on the second day then removed it once I was sure that the bleeding stopped/wopuld stop. Noticed some bruising, but nothing too bad. A bit of clear, yellowish vaginal discharge No other issues so far!
Worse skin
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇬🇧 UK
• 13th Mar 25
I feel really happy about my experience on the implant. The first 6 months while it settled in were hard, I had a month long period then no bleeding since then. Emotionally speaking I cried every day for the first 6 months, then it was like a light switch went off and I've been fine since! Towards the end of my 3 years I started to get some break through bleeding so had it changed and a new one put in about 3 months earlier than expected but this was no trouble. I have been on it now for 4.5 years and would recommend to everyone but I know I've been lucky having no bleeding at all. I am looking to get off hormonal contraception and want to regulate my cycle to hope to have children in the next few years and want to experience a normal hormonal cycle so this is the only reason I'm changing from the implant! Overall I've had a really great time on the implant and feel reassured while being on the most effective form of birth control against unwanted pregnancy- which is a nice plus for the implant!
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 6th Mar 25
Have chronic thrush. Trying to constantly battle doctors to get it treated but they say it’s nothing to do with the implant 😕
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 28th Feb 25
Normal for me I’m a U.S. bodybuilder nothing has change a lot of women gain weight because it can be an appetite enhancing affect. I’ve stayed the same tracking calories my spotting is normals as other off and on some missed periods and most lighter and little do not heavy. Experiencing hard sore nipples. And depression seems more there but not to bad. Do feel tired though out the day.
Somewhat negative mood
1 more effect
0 helpful
0 comments

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