Fertility awareness methods (FAM) vs Injection
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Overview
Rated 4.3
158 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.9
288 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
158 reviews
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
• 3 days 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
• 3 days 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
Injection reviews
288 reviews
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 6 days ago
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
Used for 8+ yr
30 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 18 mo - 3 yr
16 years old
🇬🇧 UK
• 13th May 25
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
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 6 days ago
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
Used for 8+ yr
30 years old
🇬🇧 UK
• 3 weeks ago
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
Used for 18 mo - 3 yr
16 years old
🇬🇧 UK
• 13th May 25
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
Used for 18 mo - 3 yr
19 years old
🇬🇧 UK
• 8th May 25
With the contraception I experience a lot of abdominal pains frequently
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
27 years old
🇬🇧 UK
• 2nd May 25
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
Used for 3 - 5 yr
41 years old
🇬🇧 UK
• 8th Apr 25
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
1 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 5th Apr 25
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
1 helpful
0 comments
Used for 3 - 5 yr
20 years old
🇬🇧 UK
• 22nd Mar 25
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
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 21st Mar 25
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
Used for 1 - 3 mo
41 years old
🇬🇧 UK
• 21st Feb 25
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

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