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
1451 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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£From £0.22/day
Check out our latest reviews
Real life reviews from people like you
Fertility awareness methods (FAM) reviews
159 reviews
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 1 month ago
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
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
2 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
2 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 1 month ago
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
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
2 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
2 helpful
0 comments
Progestogen-only / Mini pill reviews
1451 reviews
Used for 12 - 18 mo
42 years old
🇬🇧 UK
• 1 day ago
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
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 5 days ago
This pill made me feel emotionally empty and depressed. I know it wasn't placebo because I'm a pretty anxious person, and have tried everything to get rid of anxiety, without much success! A week on this pill and I had absolutely no anxiety because I had absolutely no emotions. I'm also a very motivated person normally, but I found it really hard to just get out of bed and function. It was wild. Took it for 2 weeks and then stopped, couldn't find any hard evidence that side effects improve after 3 months, and I genuinely didn't have time to be that unproductive and miserable for more than a couple of weeks.
Very negative mood
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 1 week ago
Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly
Very negative mood
0 helpful
0 comments
Used for 12 - 18 mo
42 years old
🇬🇧 UK
• 1 day ago
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
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 5 days ago
This pill made me feel emotionally empty and depressed. I know it wasn't placebo because I'm a pretty anxious person, and have tried everything to get rid of anxiety, without much success! A week on this pill and I had absolutely no anxiety because I had absolutely no emotions. I'm also a very motivated person normally, but I found it really hard to just get out of bed and function. It was wild. Took it for 2 weeks and then stopped, couldn't find any hard evidence that side effects improve after 3 months, and I genuinely didn't have time to be that unproductive and miserable for more than a couple of weeks.
Very negative mood
0 helpful
0 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 1 week ago
Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly
Very negative mood
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 2 weeks ago
I went on norgeston because although i didnt get many side effects on desogestrel, i did suffer from hairloss. I think it has given me less regulation over my anxiety and notnreally done anything to reduce pain from adenomyosis but other contraceptives disagree with me (to the point I have painfully expelled 2 mirena coils).
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇬🇧 UK
• 2 weeks ago
I’ve been on 3 different mini pills over the last 6 months and I have bled every single day since. 3 months ago I was recommended to double dose and take 2 mini pills a day to try and stop the bleeding. (I was previously on the combined pill and loved it but not allowed now as history of migraines with aura) It made no difference and actually made them heavier by the last month. Doctors just kept trying me on a different mini pill hoping it would stop the bleeding, so obviously my hormones have been all over the shop, when I would change to a new pill I couldn’t stop crying. It felt like no one really cared until today I sat in the doctors and just cried saying I just want someone to listen to me. I am now considering the hormonal coil.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 5 yr
25 years old
🇬🇧 UK
• 3 weeks ago
The mini-pill has been a life saver for me. I’ve always struggled with combined pills, trying so many to control horrible periods and always having awful side effects. Since first trying the mini pill, I had spotting for about a week, and I haven’t had anything since, it’s been three years! The only side effect I have is that my skin is very sensitive and breaks out easily like it did before I started taking oral contraceptives, which started again about two months in, but it’s worth it for the benefits for me. No mood swings, no migraines, no bleeding, no hair loss, no weight gain, just a bit of manageable acne!
Very positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
64 years old
🇬🇧 UK
• 3 weeks ago
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
64 years old
🇬🇧 UK
• 3 weeks ago
Im a trans for estrogen therapy to help with my breast
Improved skin
0 helpful
0 comments
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 3 weeks ago
Somewhat positive mood
0 helpful
0 comments
Used for 3 - 6 mo
41 years old
🇬🇧 UK
• 3 weeks ago
I have suffered with PMDD for years and Slynd has been a game changer for me- my PMDD has vanished completely! I’ve had very few side effects, literally some minor spotting at the start and a very slightly oiler hair. I’d say my sex drive is a little bit lower than before but not a huge difference. My skin is completely normal (other mini pills have given me acne but on Slynd my skin is as nice as always). The biggest positive impact has been on my mental health. I no longer get mood swings (unless I miss a pill) and my periods have completely stopped. I take my pills back to back (I skip the sugar pills) to keep my moods stable across the cycle. It’s such an amazing pill, I hope they will eventually licence this for PMDD so it can help lots of other women (slynd has the same progesterone as the combined pill Yaz which is licenced in the US for PMDD).
Very positive mood
1 more effect
0 helpful
0 comments
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