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

154 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

273 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

69% stopped periods

57% lost sex drive

49% gained weight

51% no impact on skin

Cycle return

41% 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

154 reviews

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
24 years old
🇬🇧 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.

Read more

Somewhat positive mood

1 helpful

0 comments

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

Natural Cycles App  

Amazing


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  20th May 24

Natural Cycles App  

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.


Very positive mood

3 more effects

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
24 years old
🇬🇧 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

1 helpful

0 comments

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

Natural Cycles App  

Amazing


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  20th May 24

Natural Cycles App  

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.


Very positive mood

3 more effects

0 helpful

0 comments


Injection reviews

273 reviews

Injection  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

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
25 years old
🇬🇧 UK
  •  2 weeks ago

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
35 years old
🇬🇧 UK
  •  1 month ago

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 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

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
25 years old
🇬🇧 UK
  •  2 weeks ago

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
35 years old
🇬🇧 UK
  •  1 month ago

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
21 years old
🇬🇧 UK
  •  1 month ago

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
21 years old
🇬🇧 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
21 years old
🇬🇧 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 12 - 18 mo
18 years old
🇬🇧 UK
  •  11th Sep 24

Depo-Provera injection  

I went on thsi injection due to my terrible experience with rigevidon, at first everything was fine as my skin cleared up, i only get the odd spot which is supported by acne medication- which was great considering i am acne prone. However it was beginning clear that i was gaining weight, I started off as a size 8 (very slim and petite) to currently being a size 14, leading to a size 16. My hips have also widened, this has led to an increase of SO many stretch marks, it has had an affect on my confidence due to this durastic change, while having the same diet the whole time. Yet this may be because i began at 16 now 18, coming into adulthood maybe?? At the minute my moods are terrible, i am very irritable, riddled with anxiety and more sensitive; so if youre looking into this as someone who has suffers with mental health I would not recommend. The pain of the injection is not bad however I am attempting to come off of this contracpetive as soon as possible yet just struggling which pill to choose due to my fear of weight gain, poor skin and loosing my sex drive. Just remember eveyones experience is different this is just mine :)


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
32 years old
🇬🇧 UK
  •  28th Aug 24

Depo-Provera injection  

I would absolutely never recommend this to anyone. As someone who has previously struggled with mental health issues but has been well for about 10 years, my mood has been incredibly low and my anxiety through the roof. This is not something I’ve experienced for years (actually last time I was on hormonal contraception). I feel very lucky to be in touch with my moods and still having therapy so I’ve been able to quickly be aware this is likely to be the Depo as nothing else has changed to bring this on. I will not be using this again and would really recommend others proceed with caution.


Very negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  24th Aug 24

Depo-Provera injection  

I went on the depo injection after having my little boy as I thought it was an easy form of contraceptive as I didn’t have to remember to take it everyday. Fast forward a week post injection I started with the most horrific nausea, stomach pains, back pain and anxiety. I thought I maybe have a bug so went to the doctor who ran some bloods (all came back clean) never felt anxious or sick prior to having the injection so the only thing I can think of that is new is the depo. I have now been nauseas well over a month every single day to the point I am on anti - sickness tablets. I will not be having it again as it changes your body and emotions so much and the other downside there is no reversal so once it’s in if you suffer from the side effects you have to basically put up with it until it’s up for renewal. Wish I had done my research before as I have read on numerous sites that the hormone levels they give are so high and this is what causes all the adverse effects.


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 8+ yr
29 years old
🇬🇧 UK
  •  23rd Aug 24

Sayana Press injection  

Completely stopped my periods which has been amazing. Very convenient only have to think about 4 times a year and GP now very good at supplying in comparison to when this brand was new on the market. Have struggled to use the devices recently as have to apply a lot of pressure to inject the suspension and have therefore had to discard a few injections on occasion which isn’t ideal. Having using it for so long I can’t tell if my weight or mood have been negatively or positively impacted, but will be keen to see what happens when I stop using.


Improved skin

0 helpful

0 comments

Contraceptive alternatives and comparisons

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