Fertility awareness methods (FAM) vs Progestogen-only / Mini pill
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Overview
Rated 4.3
159 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1460 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Fertility awareness methods (FAM) ingredients
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
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
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
Progestogen-only / Mini pill reviews
1460 reviews
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 2 days ago
I used zelleta for 2 months within a few days of starting the pill my period started it lasted for 3 weeks with heavy bleeding then it stopped for 5 days the started again for 3 weeks and stopped for 3 days then started again for 3 weeks when I phoned the doctor they said it was normal when I told them I was using 1 to 2 pads in an 1 and a half they said it was normal I then stopped the pill in December my period started lasted 5 days and stopped now my next period is due to start. I would not recommend to anyone.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 4 days ago
Completely ruined my skin and gave me awful acne after already suffering with it for years. Also gave me horrible headaches and migraines. Would never recommend this to anyone.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
43 years old
🇬🇧 UK
• 5 days ago
Been on Desogestrel for just over 3 months now, started October. Had a good run with no side effects until 6th Jan and have been spotting ever since with no sign of it stopping. Told by nurse it can take 3+ months for body to get used to it. Also have a big increase in spots on face, majority chin and neck but can be all over which is really annoying. Lower back pain and some cramps experienced also. Unsure how long I’ll leave it before asking GP to change as spotting everyday is a little annoying.
Worse skin
1 more effect
0 helpful
1 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 2 days ago
I used zelleta for 2 months within a few days of starting the pill my period started it lasted for 3 weeks with heavy bleeding then it stopped for 5 days the started again for 3 weeks and stopped for 3 days then started again for 3 weeks when I phoned the doctor they said it was normal when I told them I was using 1 to 2 pads in an 1 and a half they said it was normal I then stopped the pill in December my period started lasted 5 days and stopped now my next period is due to start. I would not recommend to anyone.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 4 days ago
Completely ruined my skin and gave me awful acne after already suffering with it for years. Also gave me horrible headaches and migraines. Would never recommend this to anyone.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
43 years old
🇬🇧 UK
• 5 days ago
Been on Desogestrel for just over 3 months now, started October. Had a good run with no side effects until 6th Jan and have been spotting ever since with no sign of it stopping. Told by nurse it can take 3+ months for body to get used to it. Also have a big increase in spots on face, majority chin and neck but can be all over which is really annoying. Lower back pain and some cramps experienced also. Unsure how long I’ll leave it before asking GP to change as spotting everyday is a little annoying.
Worse skin
1 more effect
0 helpful
1 comments
Used for 1 - 3 mo
34 years old
🇬🇧 UK
• 6 days ago
Was put on zeletta 5 weeks ago had one normal period 2 weeks later, then 2 weeks ago I started heavily bleeding a week later it became even heavier especially at night where i get intense cramping and fill a pad or tampon every 1-2hrs losing significantly large blood clots, several phone calls to doctors who claimed "its normal" on zelleta then prescribed me tranexamic acid 4 days ago which has not helped at all the large blood clots, cramping and heavy bleeding still continues so today 2 weeks later my doctor has asked me to stop and up dosage of tranexamic acid. I also noticed a breakout with large spots on face that ive never had! Very low mood and loss of motivation crying over the most smallest of things! This pill has ruined me this past 2 weeks and wreaked havoc on my body hoping now ive stopped the bleeding and cramping will ease, I honestly wish id looked into this more before started but was told it was the same as the last brand cerelle (which I had no issues with) so started to take. I have never experienced anything like this and its really taken a toll on me.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
35 years old
🇬🇧 UK
• 2 weeks ago
Hi everyone, I’ve been on Cerazette since October. Before that I had a Mirena coil, but I was bleeding constantly and had it removed after 10 months. First month on Cerazette was great period on time, only 4 days. Since then it’s been a mess: weeks of spotting short breaks a few days of bleeding then spotting again now spotting again with very sore breasts, which feels like another period starting My GP says to wait 6 months for things to settle, but I was told the same with Mirena and it never improved. I can’t use other hormonal methods and coils don’t suit me, so I’m really stuck. This constant bleeding/spotting is physically and mentally exhausting, and it’s affecting my relationship too. Did anyone actually see improvement on Cerazette? If yes, how long did it take? Or did you eventually have to stop? Thanks for any honest experiences.
Increased sex drive
1 more effect
2 helpful
1 comments
Used for 3 - 6 mo
34 years old
🇬🇧 UK
• 1 month ago
I felt satisfied until I came on here and realised my symptoms might be to do with this pill. I had a baby 14 months ago and have recently felt awful - low self esteem,anxiety, back pain, bad skin, weight gain, bloating, headaches, migraines... The list goes on. I thought it was part and parcel of having a small human but I'm starting to think it might be because of the noriday. In terms of my periods this is the best mini pill I've tried which is why I've still given it 3 stars. They're shorter and not too heavy or painful so an improvement for me. But due to the other symptoms I might have to look at an alternative. Maybe the dreaded coil.
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 12 - 18 mo
23 years old
🇬🇧 UK
• 1 month ago
The good thing about Cerelle is that it stopped my periods. However, it triggered an androgenic response for me so I gained weight on it, got lots of stretch marks (which I have never had before), experienced hair loss, experience increased and darker body hair, and it gave me bad skin, also seemed to be more irritable all the time. I have been changed to a combined pill now so fingers crossed everything gets better!
Somewhat negative mood
2 more effects
1 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 30th Dec 25
it has helped massively with my cramps which is the reason i was put onto it. my tender breasts and spotting are what i have struggled with the most
Somewhat negative mood
1 more effect
0 helpful
3 comments
Used for 6 - 12 mo
18 years old
🇬🇧 UK
• 18th Dec 25
I started the pill 12 months ago and it was fine for the first 2 months,no pain or anything but then i started bleeding and i havnt stopped bleeding for 10 months straight,it ranges in how heavy it is but it is constant everyday
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
42 years old
🇬🇧 UK
• 17th Dec 25
My overall experience on this pill was a very negative one. I was on this pill for 12 months. I'm hoping to switch to the coil in January, still deciding which one, the copper or Mirena. I am 42 years old. On the mini pill I was emotional, very irritable and anxiety was through the roof. I could be okay one minute then the next I could flip a switch and be kicking off over minor things. I had racing thoughts most of the time which led me to be crying and causing my anxiety to be out of control. The spotting and breakthrough bleeding were horrendous which led to heavy clotting and sometimes it would happen unexpectingly. Sex most of the time wasn't happening due to this. The stomach cramps are so painful and because of this I felt unmotivated to do any hobbies and lost interest. I describe my hair as fine but I noticed it started to really thin and fall out which has led me to have low self-esteem and not wanting to engage in social events.
Very negative mood
1 more effect
1 helpful
0 comments
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