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

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Fertility awareness methods (FAM)

Add your fertility awareness methods (FAM) review

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 4.3

155 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1342 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

44% stopped periods

50% lost sex drive

44% no impact

46% 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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Add your fertility awareness methods (FAM) review

Try it now

£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

155 reviews

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  5th Jan 25

Natural Cycles App  

I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception

Read more

Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 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

2 helpful

0 comments

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

Natural Cycles App  

Amazing


Very positive mood

1 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  5th Jan 25

Natural Cycles App  

I've had an entirely positive experience using Natural Cycles. While using the impant I was struggling with acne, mood swings, irregular periods. And since swapping to use Natural Cycles I've felt much better in myself, my periods are very regular, I feel I understand my body and cycle so much more, and my skin has cleared up. In 5 years of using it it's been 100% effective at preventing pregnancy, I'm very careful to measure consistently, and I use the Oura Ring to help get accurate readings. But this small effort seems like a small price to pay in exchange for getting rid of all the nasty side effects of my previous contraception


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 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

2 helpful

0 comments

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

Natural Cycles App  

Amazing


Very positive mood

1 helpful

0 comments


Progestogen-only / Mini pill reviews

1342 reviews

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

Desogestrel pill  

Did not enjoy this pill! Tried for around 5 months, mood was poor and crying very easily or completely numb! Skin got bad at first but then was okay! Gained weight around increase by a dress size or two, felt bloated constantly and breast size increased but sore! Vaginal dryness was extreme was even sore to walk and have thrush twice in this 5 month period! Was spotting pretty much constantly and obviously unable to track periods with it being a continuous pill and they were irregular.


Very negative mood

2 more effects

0 helpful

0 comments

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

Progestogen-only / Mini pill  

there will always be side effects to any contraceptive pill, but if it wotks, it works


Somewhat negative mood

0 helpful

0 comments

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

Cerazette pill  

Was on this pill for about 4/5 months. Positives were that it got rid of any cramps/ period symptoms - great as I was previously prescribed meds for dysmenorrhea. However, it gave me constant spotting and light bleeding - I bled for about 75% of the time while on this pill and it didn’t get any better. Doctor recommended that I doubled dose (from 75 to 150mg) - this killed my sex drive and didn’t fix the bleeding issue, so I eventually came off.


Worse skin

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

Did not enjoy this pill! Tried for around 5 months, mood was poor and crying very easily or completely numb! Skin got bad at first but then was okay! Gained weight around increase by a dress size or two, felt bloated constantly and breast size increased but sore! Vaginal dryness was extreme was even sore to walk and have thrush twice in this 5 month period! Was spotting pretty much constantly and obviously unable to track periods with it being a continuous pill and they were irregular.


Very negative mood

2 more effects

0 helpful

0 comments

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

Progestogen-only / Mini pill  

there will always be side effects to any contraceptive pill, but if it wotks, it works


Somewhat negative mood

0 helpful

0 comments

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

Cerazette pill  

Was on this pill for about 4/5 months. Positives were that it got rid of any cramps/ period symptoms - great as I was previously prescribed meds for dysmenorrhea. However, it gave me constant spotting and light bleeding - I bled for about 75% of the time while on this pill and it didn’t get any better. Doctor recommended that I doubled dose (from 75 to 150mg) - this killed my sex drive and didn’t fix the bleeding issue, so I eventually came off.


Worse skin

1 more effect

0 helpful

0 comments

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

Cerelle pill  

I had an unpleasant experience using Cerelle. It was the first birth control I tried and wasn't given any other options or choice by the GP at the time. I had a 2month long heavy and painful period, worsened skin, hair loss, severe backne to name a few side effects. Really bad experience for me sadly. Having now tried over 10 other birth control pills- mini and combined, I learned that I am very sensitive to progesterone so the mini pill just isn't for me sadly. I'm now on the Patch and loving it.


Worse skin

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

I got put on this pill when i had a miscarriage, i get worried from time to time about my period. I have the flo app and i’m on my period about every 2 weeks, but it’s not exactly a period it’s just very very light and lasts for longer then a period should last this only started happening when i missed a pill for a day and the next day took 2 of them so it didn’t screw the pill up in my body and it has so it worries me. I’ve also put on so much weight using the pill.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

I was 30 when I started this for anyone wanting reference and have had three children. I suffered from horrific period and ovulation pain coupled with ovarian cysts. I had tried many different forms of contraception but I cannot take estrogen as it gives me Hyperemesis Gravidarum, not uncommon in those who have also experienced it in pregnancy, which I did. The first three months weren’t great, mood was all over the place and libido plummeted but after that it levelled out and I’m glad I waited it out. My periods stopped almost immediately and so did my ovulation pain. As I usually got ovarian cysts that burst at the time of ovulation, that’s pretty much stopped too and I’ve gone from having cysts burst monthly, to maybe once or twice a year. It’s dramatically improved my quality of life and I’m so happy on it. What with it being desogestrel, it has a 12 hour time window, so if you forget to take it at your usual time, as long as you take it in the 12 hours following, you’ll still be protected. I’m usually fine as I take it first thing, but it’s always good to know.


Very positive mood

0 helpful

0 comments

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

Zelleta pill  

Having never tried the mini-pill before, for the couple of months I finally thought I'd found the right contraception for me. Unfortunately, after about three months of taking it my periods became irregular, and I ended up having a really long period followed by two months of having no period. The issue was every time I had a period, the period itself would last longer and longer each time. After one period that lasted over two weeks and made me feel exhausted and anxious, I decided to stop taking it. They weren't light periods either, they were heavy with clots. Such a shame as I felt pretty good for the first couple of months, much better than I had done on any combined pill I had taken.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  2 weeks ago

Zelleta pill  

Switched to Zelleta (Desogestrel) from the combined pill because of side effects. Had one unusually long period (9 days) one month after starting Zelleta, after that my periods stopped completely and I only had minor spotting every now and then which almost completely disappeared over time. I gradually noticed a complete loss of sex drive which bothered me a lot and I ended up switching to non-hormonal contraception instead because of this.


Decreased sex drive

0 helpful

0 comments

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

Zelleta pill  

I was on Rigevidon for about 8 years and got on really well with it. After starting with migraines with aura, I had to change to a mini pill. I can’t believe the difference in my mental health, weight, spots. Everything has just taken a down hill. I’ve been bleeding nearly constantly for the last month, so I’m going to have to find something new. On top of that, my sex drive is low, mood is low, always tired, spots all over my back and shoulders and weight gain.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
35 years old
🇬🇧 UK
  •  3 weeks ago

Cerelle pill  

I took this for endometriosis, but not worth it because of facial hair growth. I had breakthrough bleeding every 4-6 months for about 4-5 days, fairly light and not too painful. My sex drive and weight were unaffected, however I got thick dark hair on my stomach, inner thighs, chest and face. This destroyed my self esteem so my mood was obviously low. After stopping the hair did not revert back which is common so I had electrolysis which took care of it. Then 2 years later I went back on this pill stupidly to try and help the endometriosis, the hair came back within 2 months. I have since stopped this pill, spent even more money on electrolysis and have had no issues after regarding that. It took about 3-5 months for my cycle to regulate after coming off birth control. I’m thinking about trying slynd as it is supposed to be anti androgenise, we’ll see.


Somewhat negative mood

0 helpful

0 comments

Contraceptive alternatives and comparisons

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