Fertility awareness methods (FAM) vs Progestogen-only / Mini pill

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Fertility awareness methods (FAM)

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Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 4.3

154 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1293 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

Blood clot risk

None

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.

Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

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

43% stopped periods

50% lost sex drive

44% no impact

47% no impact on skin

Cycle return

38% 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

Period pain

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£From £0.22/day

Check out our latest reviews

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


Progestogen-only / Mini pill reviews

1293 reviews

Progestogen-only / Mini pill  
Used for 1 - 3 mo
54 years old
🇬🇧 UK
  •  1 day ago

Slynd pill  

I was put on Slynd to control heavy bleeding caused by perimenopause and blood thinners , I am so happy that my periods are much lighter. I am able to leave the house without concern of bleeding through my clothes. I do get frequent headaches and feel bloated, but I was told that the bloating should subside after a few months. overall, very happy with this birth control pill!


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
33 years old
🇬🇧 UK
  •  5 days ago

Noriday pill  

I got pregnant whilst using Noriday i was on Yasmin but because of migrains with aura i decided to change the docs put me on Noriday and i never had any problems what so ever appart from the fact i got pregnant lucky i still had regular periods so i knew straight away i was deverstated i felt let down by the pill and i couldnt trust it anymore sex hasnt been the same scince im now on the implant and ask men to use condoms cause im paranoid contrception will let me down again.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

I have only been on this pill for around 2 months however my side effects have been so drastic in this time period. My mood is unstable and I have become more irritable and quick to be upset, as for periods they have been irregular and my cramps have been the same if not worse than before i started contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
54 years old
🇬🇧 UK
  •  1 day ago

Slynd pill  

I was put on Slynd to control heavy bleeding caused by perimenopause and blood thinners , I am so happy that my periods are much lighter. I am able to leave the house without concern of bleeding through my clothes. I do get frequent headaches and feel bloated, but I was told that the bloating should subside after a few months. overall, very happy with this birth control pill!


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
33 years old
🇬🇧 UK
  •  5 days ago

Noriday pill  

I got pregnant whilst using Noriday i was on Yasmin but because of migrains with aura i decided to change the docs put me on Noriday and i never had any problems what so ever appart from the fact i got pregnant lucky i still had regular periods so i knew straight away i was deverstated i felt let down by the pill and i couldnt trust it anymore sex hasnt been the same scince im now on the implant and ask men to use condoms cause im paranoid contrception will let me down again.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

I have only been on this pill for around 2 months however my side effects have been so drastic in this time period. My mood is unstable and I have become more irritable and quick to be upset, as for periods they have been irregular and my cramps have been the same if not worse than before i started contraception.


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

it’s really good, like that there’s no estrogen and doesn’t make me feel like i’m going crazy. only annoying thing is the loss of sex drive but that’s something i work through with my partner


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  2 weeks ago

Cerazette pill  

I had breakthrough bleeding every day for almost 6 months starting from the day after my first pill. Sometimes heavy like a period but mainly spotting but it never stopped. Eventually the nurse advised it’s probably not for me and told me to stop taking it. It gave me no other negative effects but I thought that was negative enough!


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

Norgeston pill  

I would bleed for 4-6 days every 14 days with cramps the whole “period”. I seemed to feel every emotion much more intensely and felt rather negative a lot more than usual. I was also very bloated a lot.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
29 years old
🇬🇧 UK
  •  3 weeks ago

Cerazette pill  

Since beginning this pill I have been strictly observing my weight and other side effects. Other birth control methods were unsuitable for me as I experience migraines. So far, I have had minimal side effects and have not noticed any impact on my mood or weight. I have had some small spots appear on my chin, I feel my breasts have gotten a little bit bigger (but I have actually lost weight since starting cerazette). I have had irregular bleeding/periods as the hormones are settling into my system, which has been annoying for myself and for my partner but better than the alternative, which is the point in taking the pill anyway. So far I'm happy to have chosen Cerazette and hope this will continue.


Worse skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

This was my first time using a hormonal contraception method and was given this by my doctor to start with. I persevered for 3-4 months but experienced continuous medium break through bleeding that didn’t show any sign of stopping. At this point my sex drive had disappeared and I switched over to a combined pill which I now have a much better time with.


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

This is the first time I’ve tried the mini pill after using the combined pill since I was 15 (until 18), the hormonal coil (18-22) and then experiencing my adult body for around 3 months with no hormones. After this contraceptive break, I fell pregnant and had a really rough abortion. After this experience I was terrified of this happening again and noticed my weight had increased due to pregnancy and my moods were really up and down in the last 6-8 weeks. After speaking to a doctor I got given this pill due to optical migraines and high risk of stroke. It was fine for the first few weeks and got used to it very quick, however, I noticed an insane decrease in sex drive. I never think about sex now and it’s really hard to get in the mood, this had led to me getting too in my head during sex and ruining it for me, a constant cycle!! Recently I’ve also became really irritable and short tempered which is very out of character for me. *Really important note* that I’ve not seen in many reviews!! After a quarterly checkup with the nurse she told me this pill is one of the worst for weight gain!! Saying that basically no matter how much of a calorie deficit you’re in/how active you are, you’re going to gain some weigh. Wasn’t informed about this prior to prescription. For context I was 69kg prior to taking this pill and in 6 months I’ve gained 11kg without changing my diet and increasing my cardio and general exercise. Apart from this the pros are no periods, very minimal cramps. I’m leaving this (very long) review to help anyone else who’s using this or considering it, like other reviews say, it really depends on you and unfortunately you’ll never know how these things affect you until you try. To help some sisters out, I’m now considering the copper coil as I’m missing having periods (sounds crazy I know) and really want a non-hormonal option


Somewhat negative mood

3 more effects

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
51 years old
🇬🇧 UK
  •  24th Jun 24

Cerelle pill  

Overall it’s excellent and all positive, no periods at all and steady mood


Very positive mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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