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

158 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

293 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

82% no impact

60% no impact on skin

Cycle return

64% in 1 month

32% somewhat negative

70% stopped periods

56% lost sex drive

49% gained weight

47% 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

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

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

0 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

0 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

0 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

0 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

0 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

0 helpful

0 comments


Injection reviews

293 reviews

Injection  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  1 month ago

Injection  

Side effects are bad


Worse skin

1 more effect

0 helpful

0 comments

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

Depo-Provera injection  

All women should really do the research before starting this medication. I have read quite a few stories online of women who have felt the same. I have basically felt like a completely different person. I am near on the end of one injection and I will not be going back for another. It’s absolutely ruined my relationship with my partner. I’ve been absolutely horrible to him and it’s only now I’m starting to realise just what this injection did to me. Thank goodness he’s so understanding and helped me through it because I was literally horrendous. Literally a few days after I had it I was a different person, I hated him. Everything he done annoyed me, I was rude and hurtful and I couldn’t control it. I would snap in and out of moods so badly that we named the other “person” Patrica. He was constantly walking on egg shells as he never knew which version he would get. I am so upset that I have felt this way in the last few months. So much so I was having suicidal thoughts. I pray that anyone doesn’t risk it because it’s been 3 months of hell for us.


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  1 month ago

Depo-Provera injection  

This has been great for me helped regulate my moods no longer huge crashes i get around periods. Also it has completely stopped my periods which were heavy and painful, I get the occasional period pain leading up to when my injection is due but they are very very mild and don’t really effect me.


Very positive mood

1 more effect

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  1 month ago

Injection  

Side effects are bad


Worse skin

1 more effect

0 helpful

0 comments

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

Depo-Provera injection  

All women should really do the research before starting this medication. I have read quite a few stories online of women who have felt the same. I have basically felt like a completely different person. I am near on the end of one injection and I will not be going back for another. It’s absolutely ruined my relationship with my partner. I’ve been absolutely horrible to him and it’s only now I’m starting to realise just what this injection did to me. Thank goodness he’s so understanding and helped me through it because I was literally horrendous. Literally a few days after I had it I was a different person, I hated him. Everything he done annoyed me, I was rude and hurtful and I couldn’t control it. I would snap in and out of moods so badly that we named the other “person” Patrica. He was constantly walking on egg shells as he never knew which version he would get. I am so upset that I have felt this way in the last few months. So much so I was having suicidal thoughts. I pray that anyone doesn’t risk it because it’s been 3 months of hell for us.


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  1 month ago

Depo-Provera injection  

This has been great for me helped regulate my moods no longer huge crashes i get around periods. Also it has completely stopped my periods which were heavy and painful, I get the occasional period pain leading up to when my injection is due but they are very very mild and don’t really effect me.


Very positive mood

1 more effect

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  26th Jun 25

Depo-Provera injection  

Things I’ve had history struggling with in the past: depression, anxiety, weight Things depo increased: depression, anxiety, weight


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  20th Jun 25

Noristerat injection  

im not gaining weight is that normal?


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  10th Jun 25

Noristerat injection  

started using it on April but so far my body is still the same & haven’t experienced breast enlargement yet


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  28th May 25

Sayana Press injection  

Used for over 10 years, completely stopped my periods which was fantastic. The devices became harder and harder to use, needing a lot of force to inject so I ended up turning myself into a pin cushion & wasting a few, which made reordering a faff. Don’t think I gained weight and if anything my skin improved (but that could just be normal from teenage to late 20s). The only negative I noticed was decreased sex drive - but it didn’t totally go so not a massive issue for me.


Improved skin

1 more effect

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
16 years old
🇬🇧 UK
  •  13th May 25

Sayana Press injection  

I was on this injection for 2 years, the whole process put me off . when i started the injection i had a period of 16 days (over two weeks) and it was so heavy, months went on and my periods stopped all together, i didn’t have a period for minus 2 years , i’m now on the combined pill but i did receive higher anxiety and depression towards taking it for ages, the doctor offered me antidepressants but i didn’t want to be taking them as i am a quite smily happy person but i literally lost all my energy and motivation to do anything.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
  •  8th May 25

Noristerat injection  

With the contraception I experience a lot of abdominal pains frequently


Somewhat negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  2nd May 25

Depo-Provera injection  

Worst decision I’ve ever made Gained a lot of weight Depressed Anxious Moods all over the place


Very negative mood

2 more effects

1 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Fertility awareness methods (FAM) with other contraceptives

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