Fertility awareness methods (FAM) vs Progestogen-only / Mini pill
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Overview
Rated 4.3
158 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1406 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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Check out our latest reviews
Real life reviews from people like you
Fertility awareness methods (FAM) reviews
158 reviews
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
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
• 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
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
Progestogen-only / Mini pill reviews
1406 reviews
Used for 3 - 6 mo
30 years old
🇬🇧 UK
• 1 day ago
It feels nice not having a period. But I’ve noticed I’ve become more spotty , I sweat more also & get thrush
Somewhat positive mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
31 years old
🇬🇧 UK
• 2 days ago
Has helped with PMDD symptoms, have not had a period since I’ve been using it. Complete loss of sex drive which I really don’t like.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 6 days ago
I spotted for 3 months straight, but then stopped periods all together. I felt a bit sick after taking it, so i should’ve probably taken it after food or at night but i took in the morning. I feel like it made me quite anxious, but i’ve been off it for two years and still have anxiety problems so i’m not 100% whether it’s related! The sickness feeling made me feel quite nervous i think. No other side effects.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
30 years old
🇬🇧 UK
• 1 day ago
It feels nice not having a period. But I’ve noticed I’ve become more spotty , I sweat more also & get thrush
Somewhat positive mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
31 years old
🇬🇧 UK
• 2 days ago
Has helped with PMDD symptoms, have not had a period since I’ve been using it. Complete loss of sex drive which I really don’t like.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 6 days ago
I spotted for 3 months straight, but then stopped periods all together. I felt a bit sick after taking it, so i should’ve probably taken it after food or at night but i took in the morning. I feel like it made me quite anxious, but i’ve been off it for two years and still have anxiety problems so i’m not 100% whether it’s related! The sickness feeling made me feel quite nervous i think. No other side effects.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 2 weeks ago
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 2 weeks ago
Compared to other mini pills ive tried, this one has the least side effects by far. The side effects I do get include slightly reduced sex drive, very sore breasts and I cry more easily. All of them are managable though.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
40 years old
🇬🇧 UK
• 2 weeks ago
Ive been on this pill for a few years..Mood okay most of month but then after my period it seems to drop quite alot to low levels..which concerned me when im not depressed.. sore breasts at times .bleeding very little .no spotting.. but that could be my age. Sex drive okay. Skin seems okay- normal acne. I'm might try cerazette see if it helps mood issue.
Somewhat positive mood
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 2 weeks ago
i’m not sure if it is normal but i have been on this pill for 3 months. a week into the taking the pill my period finally came back after around 100 days. since then ive had very irregular periods often bleeding for extended periods of time and also spotting more often with the periods being closer together. i have also experienced much more mood changes as i have felt somewhat more depressed on this pill. this might just be my experience and might also be influenced by the fact i am still going through pubity as i’m 16 yet i still can’t stop thinking that something is wrong .
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 3 weeks ago
I’m was happy with the mini pill as I took it while breastfeeding my son, however as soon as I weaned him my periods came back but they were all over the place. I bled for nearly 2 weeks straight then it finally stopped, but only for 3 days then it started again. If it wasn’t for this issue I’d have kept using the mini pill but I couldn’t deal with it anymore as it was preventing me from living my life normally
Somewhat positive mood
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 3 weeks ago
Started this purely to help my skin after experiencing constant hormonal breakouts, which it did clear up and meant I could eat however I wanted basically with no consequences on my skin (sugar and fatty foods). However I feel as thought the pill has really dampened my mood making me low level depressed all the time. Also experienced a decreased sex drive and lots of hair loss - but still unsure whether these are directly related.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 1 month ago
After coming off a combined pill (Yasmin) that I was on for 14 years - I am now on Desogestrel, within a week I suffered a mild acne rash/breakout on chin and neck but some gel from my GP quickly sorted that. I am now 2 days late to what would have been a bleed/period and my lower back and period cramps are quite severe and prolonged - my breasts are bigger and tender to touch - hoping these symptoms begin to decrease if I get my bleed or not! Saw GP today to discuss and they’re just general side effects whilst my hormones adjust (I’m told to allow >3 months to review) - general mood has decreased a bit and I feel a bit numb emotionally but started feeling better today so fingers crossed I’m on the up!
Somewhat negative mood
2 more effects
0 helpful
0 comments

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