Fertility awareness methods (FAM) vs Injection

Need help choosing? Speak to a doctor
Fertility awareness methods (FAM)

Add your fertility awareness methods (FAM) review

Injection

Add your Injection review

Overview

Rated 4.3

155 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

277 reviews

Every 2-3 months

Frequency

94% - 99+%

Effectiveness

None

Blood clot risk

Short term

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.

Injection ingredients

Main hormones in Injection

progestogen

What Lowdown reviewers say

51% very positive

63% no change

49% increased sex drive

83% no impact

61% no impact on skin

Cycle return

64% in 1 month

32% somewhat negative

70% stopped periods

57% lost sex drive

49% gained weight

51% no impact on skin

Cycle return

42% 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

Endometriosis

Heavy periods

Period pain

Try it now

Add your fertility awareness methods (FAM) review

Try it now

Add your Injection review

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

155 reviews

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  4 days ago

Natural Cycles App  

I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  6th Jun 24

Natural Cycles App  

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.


Somewhat positive mood

2 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  4th Jun 24

Natural Cycles App  

Amazing


Very positive mood

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  4 days ago

Natural Cycles App  

I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  6th Jun 24

Natural Cycles App  

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.


Somewhat positive mood

2 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  4th Jun 24

Natural Cycles App  

Amazing


Very positive mood

1 helpful

0 comments


Injection reviews

277 reviews

Injection  
Used for 1 - 3 mo
39 years old
🇬🇧 UK
  •  3 weeks ago

Noristerat injection  

Its a right contraception but it stopped my periods since I was young end now I'm struggling to conceive end I think I'm running out of time and my marriage it's on thin ice here so I don't think that someone can still use it


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  1 month ago

Depo-Provera injection  

Great that it stopped my period completely, only have to remember to have it every 12 weeks


Somewhat negative mood

1 more effect

1 helpful

0 comments

Injection  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  1 month ago

Depo-Provera injection  

I’ve only had the injection once and had to come off, I already suffer mental health for years and the depo made my anxiety worse, constant bloated, the bleeding never stopped which led me to constant itch down below due to wearing constant pads, my hair was falling out so so badly, now my baby hairs are growing through and I look awful, not like my self asteem is poor already,


Very negative mood

2 more effects

1 helpful

0 comments

Injection  
Used for 1 - 3 mo
39 years old
🇬🇧 UK
  •  3 weeks ago

Noristerat injection  

Its a right contraception but it stopped my periods since I was young end now I'm struggling to conceive end I think I'm running out of time and my marriage it's on thin ice here so I don't think that someone can still use it


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  1 month ago

Depo-Provera injection  

Great that it stopped my period completely, only have to remember to have it every 12 weeks


Somewhat negative mood

1 more effect

1 helpful

0 comments

Injection  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  1 month ago

Depo-Provera injection  

I’ve only had the injection once and had to come off, I already suffer mental health for years and the depo made my anxiety worse, constant bloated, the bleeding never stopped which led me to constant itch down below due to wearing constant pads, my hair was falling out so so badly, now my baby hairs are growing through and I look awful, not like my self asteem is poor already,


Very negative mood

2 more effects

1 helpful

0 comments

Injection  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  22nd Nov 24

Injection  

Eix very terrible,,everything I eat taste very back even the food I love,have terrible headache n my period stopped with my first shot so was thinking I was pregnant,I’ve gained a lot lot of weight 😫😫


Somewhat negative mood

3 more effects

1 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  12th Nov 24

Depo-Provera injection  

I’ve had a really positive experience with depo. I was on it for around 4 years pre-covid, and have currently been using again for 18 months. Periods have completely stopped and I haven’t experienced side effects (my hair might be slightly thinner, but I’m not sure if I’d just never noticed I have thin hair). After stopping use the first time it did take many months for my periods to return. I’m only thinking about stopping taking it now with the recent studies on links to brain tumours.


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  11th Nov 24

Depo-Provera injection  

I have really enjoyed not having periods and not having to remember my pill as I am very forgetful. I have gained an increased sex drive and I used to get cramps all the time and it stopped most of those. I rarely get migraines. Maybe one every two months. My only major issue was my hair loss. I’ve lost about 50% of my hair and now it’s brittle but after taking calcium supplements and changing my diet it’s a bit more normal. It could be unrelated but around the same time as I started the depo I also got Dyshidrotic eczema on my feet. What makes me think this could be related is I’m also very itchy on my hands, and legs since starting. I could just be getting older and I’ve had issues in the past with my hips but I’ve also pulled my back, and badly sprained my ankle and hip. This has only happened after starting the depo. After a year of being on it everything seems to have leveled out. All bad points above have now become less noticeable and I feel very comfortable. External issues are still an issue like being constantly interrogated like I don’t know what I’m doing in the nurses office as I take my depo every 10 weeks due to bleeding for the last 3 weeks of the cycle. They also seem to want you on the coil I’m not sure what that is about but it’s very annoying. Also depending on who is administering the shot you may feel basically no pain or a ton that could last for a few hours These side effects may not be for some but from my past personal issues I am happy with the contraceptive compared to others I’ve tried


Improved skin

1 more effect

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  23rd Oct 24

Noristerat injection  

Since taking the injection I have experienced severe lower back pain. I sometimes struggle to sleep


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  21st Oct 24

Noristerat injection  

I felt like I was going crazy or losing my mind while on this contraceptive. I was an emotional wreck, I was not doing so well physically either. I had zero sex drive, so it did not make sense for me to be on birth control when I was not even having sex (markedly diminished libido).


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  12th Sep 24

Noristerat injection  

the side effects makes it feel like its not worth it. i cant eat the things i like as much because im gaining weight and dont want to be unhealthy. i feel way more fatigued


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  12th Sep 24

Noristerat injection  

the side effects makes it feel like its not worth it. i cant eat the things i like as much because im gaining weight and dont want to be unhealthy. i feel way more fatigued


Very negative mood

2 more effects

0 helpful

0 comments

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them