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

158 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1413 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

82% no impact

60% no impact on skin

Cycle return

64% in 1 month

31% somewhat negative

44% stopped periods

49% 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

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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

158 reviews

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  13th Jun 25

Symptothermal method  

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.

Read more

Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  3rd May 25

Symptothermal method  

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

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3rd Apr 25

Natural Cycles App  

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

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
35 years old
🇬🇧 UK
  •  13th Jun 25

Symptothermal method  

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

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  3rd May 25

Symptothermal method  

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

Fertility awareness methods (FAM)  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3rd Apr 25

Natural Cycles App  

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

1413 reviews

Progestogen-only / Mini pill  
Used for 3 - 6 mo
22 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I stopped taking the pill yesterday. I used desogestrel for four months for my endometriosis. I tried really hard to stay positive, to remind myself that it takes time for the side effects to go away and for my endo pain to lessen. Well, unfortunately desogestrel hasn't helped at all, but has made everything worse for me. I've gained 5 kgs in these four months. I've always been naturally skinny and never gained (or lost) weight, so gaining this much in such a short amount of time is a lot for my body and self-esteem. Most of my pants don't fit anymore. Sure, some of it is just endo bloating, but the weight gain does play a part in it. And then there's the hot flashes. One minute I'm sweating like crazy, the next I'm feeling cold. I've also had constant breakthrough bleeding, so I'm using pantyliners daily. For the last two months of using the pills, I've had my periods every other week, which means I'm in terrible pain more often than I was without the pills. That's why I finally decided I've had enough and stopped taking desogestrel. I can't stand all the side effects and the pain. But this is just my experience, the pills might work for someone else! :)


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Cerazette pill  

I used this for a month hoping it would help with period cramps. Do not recommend. I used it perfectly and felt nauseous everyday after taking it. I got a 9 day period (with cramps) during what was supposed to be my "ovulation" week.It had me feeling very anrgy, caused me period like pains and headaches daily.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Slynd pill  

In general I had a good experience with Slynd. It helped my underlying endometriosis significantly and for the 4 months I was on it I had no period cramps or pain for the first time ever. Unfortunately I had to stop taking it because I was spotting everyday. I thought my body needed time to adjust but after 4 months I was still wearing a pantyliner every day. It was very minimal and I had no pain but I just didn't want to wear liners every day. Once I stopped Slynd I went back to 'normal' after about 3 days but sadly my periods are back to being painful. As an aside, I noticed a reduction in sweating whilst on Slynd and several days I would go without antiperspirant or deodorant.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
22 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I stopped taking the pill yesterday. I used desogestrel for four months for my endometriosis. I tried really hard to stay positive, to remind myself that it takes time for the side effects to go away and for my endo pain to lessen. Well, unfortunately desogestrel hasn't helped at all, but has made everything worse for me. I've gained 5 kgs in these four months. I've always been naturally skinny and never gained (or lost) weight, so gaining this much in such a short amount of time is a lot for my body and self-esteem. Most of my pants don't fit anymore. Sure, some of it is just endo bloating, but the weight gain does play a part in it. And then there's the hot flashes. One minute I'm sweating like crazy, the next I'm feeling cold. I've also had constant breakthrough bleeding, so I'm using pantyliners daily. For the last two months of using the pills, I've had my periods every other week, which means I'm in terrible pain more often than I was without the pills. That's why I finally decided I've had enough and stopped taking desogestrel. I can't stand all the side effects and the pain. But this is just my experience, the pills might work for someone else! :)


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Cerazette pill  

I used this for a month hoping it would help with period cramps. Do not recommend. I used it perfectly and felt nauseous everyday after taking it. I got a 9 day period (with cramps) during what was supposed to be my "ovulation" week.It had me feeling very anrgy, caused me period like pains and headaches daily.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Slynd pill  

In general I had a good experience with Slynd. It helped my underlying endometriosis significantly and for the 4 months I was on it I had no period cramps or pain for the first time ever. Unfortunately I had to stop taking it because I was spotting everyday. I thought my body needed time to adjust but after 4 months I was still wearing a pantyliner every day. It was very minimal and I had no pain but I just didn't want to wear liners every day. Once I stopped Slynd I went back to 'normal' after about 3 days but sadly my periods are back to being painful. As an aside, I noticed a reduction in sweating whilst on Slynd and several days I would go without antiperspirant or deodorant.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  1 month ago

Cerelle pill  

Great pill been on and off twice for a few years, no side effects bar really really really tender and sore and sensitive breasts. I have such bad health anxiety and honestly this had my questioning if I needed to go to the doctors because of the scary big C that’s how sore and tender my breasts have been, can’t even lie on them.


Somewhat positive mood

0 helpful

0 comments

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

Cerazette pill  

Went on this for fibroid heavy bleeding and period pain. Have daily bleeding and spotting since starting, and periods are now more irregular and as heavy as before. It didn't help with pain at all. Im going to finish out this month's pack and go off them. However, I got some acupuncture two weeks ago and the pain during my period this month has been greatly reduced. Would reccommend trying it!


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

Since i was 18 i tried 7 different contraception methods (pills and nuvaring). However i had diagnosed migraines, but none of the OBGYNs i was seeing though this was a concern. Now i am 24 and i finally found a competent OBGYN thanks to my friend. She was the only one who really looked through and studied my medical history and suggested taking desogestrel for my ovarian cysts and corpus luteum cyst, which were more rare occasion. I started my second pack today and i’m scared to jinx but the last two weeks were amazing. The first two weeks were a hell, i had bleeding for quite some time and then spotting for a week or more. Now i don’t have any spotting, my sex drive is the same, i am happy and i feel like i even started to lose weight. I am planning to update my story next month to see how my body would feel on these pills.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
17 years old
🇬🇧 UK
  •  13th Aug 25

Cerelle pill  

I was taking the contraception to stop painful periods or although I wasn’t any physical pain, my mental health went in freefall.


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  7th Aug 25

Desogestrel pill  

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

Progestogen-only / Mini pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  6th Aug 25

Slynd pill  

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

Progestogen-only / Mini pill  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  2nd Aug 25

Desogestrel pill  

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

Contraceptive alternatives and comparisons

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