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

160 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1502 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

64% no change

49% increased sex drive

83% no impact

61% no impact on skin

Cycle return

67% in 1 month

32% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

39% 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

160 reviews

Fertility awareness methods (FAM)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  25th Mar 26

Natural Cycles App  

Hi everyone! I’ve been using Natural Cycles for a while now and it’s genuinely helped me feel more in control of my cycle and fertility awareness. If anyone here is thinking about trying it, I have a referral code that gives you a discount on subscription (and also helps me get closer to becoming a Star Cycler). If you’d like to use it, here it is: https://www.naturalcycles.com/refer-a-friend?name=QmV0aA%3D%3D&code=referralid20&referral=70eqzvinl2i98q15&utm_source=NCApp&utm_medium=inappbutton&utm_campaign=refer_a_friend_page No pressure at all — just sharing in case it helps someone save a bit while getting started. Happy to answer questions about my experience if that’s useful too 😊 With this you get a free thermometer and a 20% off :)

Read more

Very positive mood

1 more effect

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  17th Nov 25

Natural Cycles App  

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

1 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

3 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  25th Mar 26

Natural Cycles App  

Hi everyone! I’ve been using Natural Cycles for a while now and it’s genuinely helped me feel more in control of my cycle and fertility awareness. If anyone here is thinking about trying it, I have a referral code that gives you a discount on subscription (and also helps me get closer to becoming a Star Cycler). If you’d like to use it, here it is: https://www.naturalcycles.com/refer-a-friend?name=QmV0aA%3D%3D&code=referralid20&referral=70eqzvinl2i98q15&utm_source=NCApp&utm_medium=inappbutton&utm_campaign=refer_a_friend_page No pressure at all — just sharing in case it helps someone save a bit while getting started. Happy to answer questions about my experience if that’s useful too 😊 With this you get a free thermometer and a 20% off :)


Very positive mood

1 more effect

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  17th Nov 25

Natural Cycles App  

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

1 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

3 helpful

0 comments


Progestogen-only / Mini pill reviews

1502 reviews

Progestogen-only / Mini pill  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  1 day ago

Slynd pill  

I’ve had no serious side effects and the ones I’ve had are very minimal and don’t affect me


Worse skin

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

i have definitely noticed good and bad side effects just after a month of taking this mini pill, one of the good ones is i have lost weight without changing my diet or physical exercise, as well as an increased sex drive and enlarged breasts! (a positive for a smaller chest sized girlie like me) however i have also experienced negatives such as very drastic mood swings that change rapidly, as well as uncomfortable vaginal dryness and more bloating than usual. i am also spotting quite frequently but not heavy whatsoever, i only have to use a tampon a day to prevent the blood from ruining my nice underwear


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
35 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

I have been on this contraception since I was 17 and I am now 35. The contraception has done what it said it would do and provided me with a very low risk of pregnancy. During that time I had no scares or worries that i was pregnant. Whilst being on this pill I have had no bleeding for over 5 years. Prior to that the bleeding was very minimal and infrequent. I have suffered with hornmonal (neck and jaw) acne throughout the whole time I have been on this pill. I have had frequent lower back ache and stomach cramps. I have suffered with normal to severe anxiety which has fluctuated throughout the years.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  1 day ago

Slynd pill  

I’ve had no serious side effects and the ones I’ve had are very minimal and don’t affect me


Worse skin

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

i have definitely noticed good and bad side effects just after a month of taking this mini pill, one of the good ones is i have lost weight without changing my diet or physical exercise, as well as an increased sex drive and enlarged breasts! (a positive for a smaller chest sized girlie like me) however i have also experienced negatives such as very drastic mood swings that change rapidly, as well as uncomfortable vaginal dryness and more bloating than usual. i am also spotting quite frequently but not heavy whatsoever, i only have to use a tampon a day to prevent the blood from ruining my nice underwear


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
35 years old
🇬🇧 UK
  •  3 days ago

Desogestrel pill  

I have been on this contraception since I was 17 and I am now 35. The contraception has done what it said it would do and provided me with a very low risk of pregnancy. During that time I had no scares or worries that i was pregnant. Whilst being on this pill I have had no bleeding for over 5 years. Prior to that the bleeding was very minimal and infrequent. I have suffered with hornmonal (neck and jaw) acne throughout the whole time I have been on this pill. I have had frequent lower back ache and stomach cramps. I have suffered with normal to severe anxiety which has fluctuated throughout the years.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
34 years old
🇬🇧 UK
  •  4 days ago

Desogestrel pill  

I started taking desogestrel for Endometriosis symptoms, I was having a lot of fatigue and thought I would try altering my hormones. I saw on the packet that the pill contained lactose but after a google search I was fairly confident that it was a low enough level to not affect me too much (I have had quite a lot of gut symptoms due to Endo and eliminated a few foods, lactose was one of them). After being on the pill for 3 months I was sure that the lactose has been causing some significant side effects, including less control over my bowels. Through an e-consult, I requested a version of the pill that didn't contain lactose. It turns out that there is not one single oral contraceptive pill that does not contain lactose! This is unbelievable to me and I believe there should be more awareness of this.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Hana pill  

I think this is the best mini-pill I have taken so far as it has very little side effects for me personally speaking. Made my periods a lot lighter, almost non existent which is great for my endometriosis. Mood wise it didn't have much of an effect either, other mini pills made me sad or depressed. Its frustrating its not free on the NHS in the UK but you can buy it over the counter after you have consulted with a pharmacist. Worth a try if other mini-pills didnt agree with you.


Decreased sex drive

0 helpful

0 comments

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

Slynd pill  

Expect to bleed for up to 2 months while you shed your uterine lining (TMI, but you asked!) but if you stick it out, it will transform your life. My lower belly is flat, my skin improved massively, my moods are stable and my brainfog is gone too (though this could be blue light sensitivity/food intolerance-related). Try this if your experiencing massive spikes in estrogen levels around your ovulation, dangerous mood swings, or can’t take estrogen for whatever reason. Lifesaver!


Very positive mood

3 more effects

0 helpful

1 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  1 month ago

Cerazette pill  

It's stopped my period completely which is great, not that i had bad periods to begin with but it was definitely convenient. i've become quite irritable since being on cerazette and just overall heightened negative emotions. in the first couple months i had lots of nausea but that went away pretty quickly. overall it's been an alright experience, not bad but not amazing


Somewhat negative mood

0 helpful

0 comments

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

Cerelle pill  

This is my second time using Cerelle and I’m about a month into it. The first time, about a year ago, I decided to stop using it because I was constantly bleeding. However this time round my periods seem to have stopped all together.


Worse skin

1 more effect

0 helpful

0 comments

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

Slynd pill  

Had to stop after a month - constant headaches that turned into migraines every few days. Near constant bleeding for two weeks, cystitis and some swelling. I’m very sensitive to hormones and felt that even if I could get through the settling in phase this one wouldn’t work for me.


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
27 years old
🇬🇧 UK
  •  11th Jun 26

Zelleta pill  

Feel like the mini pill has levelled out my mood after years of going literally crazy 1-2 days before my period. Having no periods is a welcome relief but I have experienced a slight drop in libido and some dryness which isn’t ideal.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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