Fertility awareness methods (FAM) vs Injection

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Fertility awareness methods (FAM)

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Injection

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Overview

Rated 4.3

156 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

283 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

64% no change

49% increased sex drive

83% no impact

60% no impact on skin

Cycle return

64% in 1 month

33% somewhat negative

70% stopped periods

57% lost sex drive

50% gained weight

50% no impact on skin

Cycle return

43% 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

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Real life reviews from people like you

Fertility awareness methods (FAM) reviews

156 reviews

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3 weeks ago

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.

Read more

Worse skin

1 more effect

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  5th Jan 25

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

1 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3 weeks ago

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

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  5th Jan 25

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

1 comments


Injection reviews

283 reviews

Injection  
Used for 3 - 5 yr
41 years old
🇬🇧 UK
  •  2 weeks ago

Sayana Press injection  

I like the injection as no periods at all but gained over 2 stone in weight and no amount of dieting, eating less or exercising helps loose any weight at all I just gain even more.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Noristerat injection  

I didn't notice any changes at first. I got my period for the first month or two, then the bleeding was irregular and lighter and eventually it stopped completely. I gained weight quickly. I would get hungry even after eating. I would get severe vaginal itching a few days after the shot.


Worse skin

2 more effects

0 helpful

0 comments

Injection  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  1 month ago

Noristerat injection  

It is effective and it's convenient but unfortunately the side effects are really bad but it depends on different body types


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 3 - 5 yr
41 years old
🇬🇧 UK
  •  2 weeks ago

Sayana Press injection  

I like the injection as no periods at all but gained over 2 stone in weight and no amount of dieting, eating less or exercising helps loose any weight at all I just gain even more.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Noristerat injection  

I didn't notice any changes at first. I got my period for the first month or two, then the bleeding was irregular and lighter and eventually it stopped completely. I gained weight quickly. I would get hungry even after eating. I would get severe vaginal itching a few days after the shot.


Worse skin

2 more effects

0 helpful

0 comments

Injection  
Used for 3 - 5 yr
20 years old
🇬🇧 UK
  •  1 month ago

Noristerat injection  

It is effective and it's convenient but unfortunately the side effects are really bad but it depends on different body types


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Depo-Provera injection  

This is pretty good for preventing pregnancy and my periods are thankfully gone, but now I have acne after having years of clear skin. It’s hormonal acne too due to the progesterone in the injection, so a nightmare to get rid of. I was prewarned about this issue but still hate it. I feel like my mood has gone lower too and I am more irritable than usual. Unsure whether I’ll get it again I will probably go back to the Lucette pill as that completely cleared my skin.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
41 years old
🇬🇧 UK
  •  21st Feb 25

Noristerat injection  

Caused me horrendous hunger such that i couldn't feel satisfied with any amount of food. It was terrible for me. And the side effects continue even after stopping. It was my first time in 11 years to back to hormonal contraception and l will never ever do it again. I only go non hormonal. I honestly can't take the risk.


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  29th Jan 25

Noristerat injection  

As a newer young and childless nuristrate injection patient I don't recommend it for use . So far my body is experiencing a hell of changes . Irregular periods ,green smelly discharge and ugly acne


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
39 years old
🇬🇧 UK
  •  24th Dec 24

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
  •  17th Dec 24

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
  •  9th Dec 24

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

Contraceptive alternatives and comparisons

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