Fertility awareness methods (FAM) vs Progestogen-only / Mini pill
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Overview
Rated 4.3
155 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.7
1356 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
155 reviews
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 5th Jan 25
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 6th Jun 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 4th Jun 24
Very positive mood
1 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 5th Jan 25
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 6th Jun 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 4th Jun 24
Very positive mood
1 helpful
0 comments
Progestogen-only / Mini pill reviews
1356 reviews
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 4 days ago
I have been on Cerazette for 4 years now. Initially, I had headaches, breast tenderness and mood swings. These symptoms subsided after 3 months. My periods became very irregular and then stopped altogether. Although my doctors deny this all the time, I feel like the pill caused excessive weight gain. Yes, I have had circumstances that affected my life but the weight gain was dramatic. In the first year alone, I gained 15 kilograms. After 4 years, I am up to 25 kg extra weight (BMI 29) and I am struggling to lose the weight with diet and exercise. Lately, I have had more bodily hair growth and am losing some hair on my head. Not many mood swings but definitely feeling angry most of the time. I am also struggling with a very low sex drive, which is starting to affect my marriage. I have an appointment with my GP, will try to switch to the combined pill to try.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 4 days ago
This pill stopped me from getting pregnant and that was the only good thing about it. Constant spotting, sore nipples, and decreased sex drive. Now on norgeston and so much happier!
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 4 days ago
I moved onto Norgeston after trialling desogestrel for a few months (it gave me near constant spotting and super decreased sex drive). I was optimistic as levonorgestrel was the hormone I used to have in my combined pill and so far it’s been great for me - I do get periods, but these are regular and of a normal flow each month and thankfully my sex drive has come back.
Increased sex drive
0 helpful
0 comments
Used for 3 - 5 yr
32 years old
🇬🇧 UK
• 4 days ago
I have been on Cerazette for 4 years now. Initially, I had headaches, breast tenderness and mood swings. These symptoms subsided after 3 months. My periods became very irregular and then stopped altogether. Although my doctors deny this all the time, I feel like the pill caused excessive weight gain. Yes, I have had circumstances that affected my life but the weight gain was dramatic. In the first year alone, I gained 15 kilograms. After 4 years, I am up to 25 kg extra weight (BMI 29) and I am struggling to lose the weight with diet and exercise. Lately, I have had more bodily hair growth and am losing some hair on my head. Not many mood swings but definitely feeling angry most of the time. I am also struggling with a very low sex drive, which is starting to affect my marriage. I have an appointment with my GP, will try to switch to the combined pill to try.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 4 days ago
This pill stopped me from getting pregnant and that was the only good thing about it. Constant spotting, sore nipples, and decreased sex drive. Now on norgeston and so much happier!
Decreased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 4 days ago
I moved onto Norgeston after trialling desogestrel for a few months (it gave me near constant spotting and super decreased sex drive). I was optimistic as levonorgestrel was the hormone I used to have in my combined pill and so far it’s been great for me - I do get periods, but these are regular and of a normal flow each month and thankfully my sex drive has come back.
Increased sex drive
0 helpful
0 comments
Used for 12 - 18 mo
19 years old
🇬🇧 UK
• 5 days ago
honestly haven’t experience any negative side effects, it was a bit rough for the first couple of months but after about 8-12 weeks it settled and it’s been great, i gained a little weight but no more than about 7lbs so overall it’s been brilliant
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
24 years old
🇬🇧 UK
• 6 days ago
I’ve been taking the pill since I was 17, I’m now 25 and have never had an issue with it! I’ve not had any side effects at all! It stopped my periods after about 2/3 months and has been smooth sailing since then. I find the ‘window’ in which you can take it without it being considered a ‘missed pill’ is also really reassuring if you suffer with anxiety! Would definitely recommend.
Improved skin
0 helpful
0 comments
Used for 8+ yr
35 years old
🇬🇧 UK
• 1 week ago
Been on this pill for about 15years its great i have no periods at all, i have no symptoms of periods etc and i have gained weight but i dont think i can put that down to taking cerelle haha all in all i love this pill and most importantly i havent gotten pregnant while taking it so its main job is done
Very positive mood
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 1 week ago
I really tried to give it a chance and persevere despite a lot of breakthrough bleeding. My skin got worse. My mood/anxiety got worse. The bleeding never stopped. I would be spotting nonstop for 2 weeks, get a period (heavier bleeding), then no bleeding for ~1 week, and then back to spotting. I didn't notice any changes to my sex drive but the constant spotting was a huge deterrent. I am now switching to a combined pill.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
21 years old
🇬🇧 UK
• 2 weeks ago
Monitor your moods closely. Don’t recommend using if you’re not in a somewhat ok place mentally.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
48 years old
🇬🇧 UK
• 2 weeks ago
I started bleeding the following day and it was heavy
Somewhat negative mood
0 helpful
0 comments
Used for 1 - 3 mo
40 years old
🇬🇧 UK
• 3 weeks ago
The chest pain was really awful, and that’s a big red flag. Even though a month might not seem like long enough to make a final judgment, the intensity of the chest pain and other symptoms definitely made me question whether this was the right pill for me. It's important to listen to your body, and in my case, the discomfort and pain outweighed any potential benefits. I would highly recommend discussing these symptoms with a healthcare provider to explore alternative options or further guidance
Somewhat positive mood
1 more effect
0 helpful
0 comments

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