Fertility awareness methods (FAM) vs Injection
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Overview
Rated 4.3
159 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.9
305 reviews
Every 2-3 months
Frequency
94% - 99+%
Effectiveness
None
Blood clot risk
Short term
Effect on fertility
Fertility awareness methods (FAM) ingredients
Injection ingredients
Main hormones in Injection
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
Endometriosis
Heavy periods
Period pain
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Real life reviews from people like you
Fertility awareness methods (FAM) reviews
159 reviews
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 17th Nov 25
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
1 helpful
0 comments
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
3 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
3 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 17th Nov 25
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
1 helpful
0 comments
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 13th Jun 25
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
3 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
3 helpful
0 comments
Injection reviews
305 reviews
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 3 days ago
I would have rated this 5 stars last year. I used to be on the depo jab that had to be done at the doctors but I work 12 hour shifts meaning it was a struggle to attended every 12 weeks. So I was over the moon when I found out about sayana press that I could do myself. I usually do the injection around 11 weeks but the last 3 times I get to 10 weeks and get crippling period pain that completely debilitates me. Even after I’ve done the injection this will continue for about a week afterwards. I’ve never experienced child birth but the pain is horrendous. It will wake me up in the middle of the night, happen at work and is just completely random spouts of unbearable pain until at whatever point doesn’t happen again until I am next at the 10 week mark. I’ve recently learned that it’s a lower strength to Depo-Provera and maybe that’s why however I’m confused as to why it’s only started happening. My gp surgery is useless and it the whole process of going back to having the higher strength at the surgery is going to take some time but being able to do it at home is not worth this horrendous ordeal. I would not recommend switching
Top side effects not reported
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 3rd Jan 26
Great if you’re looking to prevent pregnancy with less admin. Having the year’s supply ant home and not needing to see a doctor every few months was handy. Stopped my periods aside from some very minimal spotting and my skin was great - I barely had any spots over the years I was on it. I did feel like I was quite numb emotions wise. I didn’t experience mood swings but it was alarming that I often didn’t really feel anything! My libido was extremely low too.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 1st Dec 25
I experience mood swings, low libido, aura migraine, my face got darker than usual and I stopped seeing my period.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
37 years old
🇬🇧 UK
• 3 days ago
I would have rated this 5 stars last year. I used to be on the depo jab that had to be done at the doctors but I work 12 hour shifts meaning it was a struggle to attended every 12 weeks. So I was over the moon when I found out about sayana press that I could do myself. I usually do the injection around 11 weeks but the last 3 times I get to 10 weeks and get crippling period pain that completely debilitates me. Even after I’ve done the injection this will continue for about a week afterwards. I’ve never experienced child birth but the pain is horrendous. It will wake me up in the middle of the night, happen at work and is just completely random spouts of unbearable pain until at whatever point doesn’t happen again until I am next at the 10 week mark. I’ve recently learned that it’s a lower strength to Depo-Provera and maybe that’s why however I’m confused as to why it’s only started happening. My gp surgery is useless and it the whole process of going back to having the higher strength at the surgery is going to take some time but being able to do it at home is not worth this horrendous ordeal. I would not recommend switching
Top side effects not reported
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 3rd Jan 26
Great if you’re looking to prevent pregnancy with less admin. Having the year’s supply ant home and not needing to see a doctor every few months was handy. Stopped my periods aside from some very minimal spotting and my skin was great - I barely had any spots over the years I was on it. I did feel like I was quite numb emotions wise. I didn’t experience mood swings but it was alarming that I often didn’t really feel anything! My libido was extremely low too.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 1st Dec 25
I experience mood swings, low libido, aura migraine, my face got darker than usual and I stopped seeing my period.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
24 years old
🇬🇧 UK
• 18th Nov 25
I had a very bad experience using this contraceptive. Bad moods, bad skin, bad body image, depression, sweating, low libido. Just bad.
Very positive mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
23 years old
🇬🇧 UK
• 16th Oct 25
It's a good injection for me, I have been using it for longest time since I was 16 years started to use it. Who recommended it? Clinic nurse.
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
17 years old
🇬🇧 UK
• 11th Oct 25
took some time before i ever come here mainly because i was scared , shy , & hated myself for what im about to talk about here❤️ trust me when i say it’s hard ( im even trying not to cry ) shap so i started my pregnancy prevention journey this year on April it’s been 6 months now & never missed even a single dose (big ups!!) Starting it was so fun & games bcs i would notice some changes & that for me was a game changer bcs I’ve always wanned to gain weight so badzzzz ( i lost weight before so starting this journey for me was a bounce back ) may started eating a lot!! , June my periods desappeared July i got some pimples , august i experienced painful headaches, September my mood swings would change here & there & all that came unoticed to me because that one thing I’ve always wanned does not happen im not gaining still , bro im so drained i feel like it’s so useless for me to inject i don’t know but yeah hey i just hope god pulls through im even thinking of leaving it
Very negative mood
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
• 11th Oct 25
I have had no negative side effects with Sayana Press and my periods have stopped completely, of the four different contraceptives I've tried over the years, this one is my favourite.
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
• 11th Oct 25
Depo-Provera was great for me and it stopped my periods completely. I liked not having to take a pill everyday and I didn't want to get another copper coil so this worked well for me. However after being on it for quite a while I got unlucky and ended up with an abscess at the injection site which eventually had to be operated on, however this could have happened with any kind of injection and was just bad luck. I have since switched to Sayana Press so that I can do my own injections at home and clean the injection site beforehand to prevent another abscess.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 6th Oct 25
Worst experience I’ve ever had. Since taking this I’ve felt constantly irritated, had complete lack of concentration and it’s completely wiped out my sex drive. I have now been bleeding for 2 months with no break. I have never regretted taking something so much it’s honestly made me miserable.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 28th Aug 25
I’ve used it on an off for years sudden lost of weight within a month since using it again.
Very positive mood
2 more effects
0 helpful
0 comments
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