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

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Fertility awareness methods (FAM)

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Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 4.3

154 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1283 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

54% no change

49% increased sex drive

83% no impact

61% no impact on skin

Cycle return

64% in 1 month

32% somewhat negative

37% stopped periods

50% lost sex drive

43% no impact

46% no impact on skin

Cycle return

37% 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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£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

154 reviews

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  3 weeks ago

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.

Read more

Somewhat positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
33 years old
🇬🇧 UK
  •  3 weeks ago

Natural Cycles App  

Amazing


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  20th May 24

Natural Cycles App  

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.


Very positive mood

3 more effects

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  3 weeks ago

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

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
33 years old
🇬🇧 UK
  •  3 weeks ago

Natural Cycles App  

Amazing


Very positive mood

0 helpful

0 comments

Fertility awareness methods (FAM)  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  20th May 24

Natural Cycles App  

First few months lots of ‘red’ days (no unprotected sex days). Coming off the pill was a personal choice and brought back lots of issues i.e needing prescription pain medication. However, my sex drive and mental health have significantly improved and impacted on my relationship. I’ve used natural cycles for 2 years religiously and no problems or pregnancy.


Very positive mood

3 more effects

0 helpful

0 comments


Progestogen-only / Mini pill reviews

1283 reviews

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

Cerazette pill  

Was great for 2 years, no side effects. Then after 2 years was getting very irregular bleeding even though you get no periods on this pill. That is why I stopped using it.


Top side effects not reported

0 helpful

0 comments

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

Cerelle pill  

I'm giving this pill more time because maybe it's just an adjustment. But I've been a bit weepy with sore breasts and spotting every week. Also a really tender feeling in my lower abdomen-especially during sex. Which I hate obviously. So I'm definitely not getting pregnant because I no longer enjoy sex.. so in that respect it is effective. It's getting one more month and then I'm done.


Somewhat negative mood

0 helpful

0 comments

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

Cerazette pill  

Took it for 2 years. It numbed and blunted my feelings and led to outbursts because I wasn’t aware I was feeling bad in the first place. Had a terrible effect on my ADHD and made my meds much less effective, leading to massive burn out. I was sooo depressed and angry, and couldn’t figure out why. I had a light period non stop!!! I started getting the worst acne, which I found out was hormonal acne. This was what prompted me to stop! And I’m so glad I did!!! Using a combined pill with some estrogen right now and it’s been a total game changer!


Very negative mood

2 more effects

0 helpful

0 comments

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

Cerazette pill  

Was great for 2 years, no side effects. Then after 2 years was getting very irregular bleeding even though you get no periods on this pill. That is why I stopped using it.


Top side effects not reported

0 helpful

0 comments

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

Cerelle pill  

I'm giving this pill more time because maybe it's just an adjustment. But I've been a bit weepy with sore breasts and spotting every week. Also a really tender feeling in my lower abdomen-especially during sex. Which I hate obviously. So I'm definitely not getting pregnant because I no longer enjoy sex.. so in that respect it is effective. It's getting one more month and then I'm done.


Somewhat negative mood

0 helpful

0 comments

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

Cerazette pill  

Took it for 2 years. It numbed and blunted my feelings and led to outbursts because I wasn’t aware I was feeling bad in the first place. Had a terrible effect on my ADHD and made my meds much less effective, leading to massive burn out. I was sooo depressed and angry, and couldn’t figure out why. I had a light period non stop!!! I started getting the worst acne, which I found out was hormonal acne. This was what prompted me to stop! And I’m so glad I did!!! Using a combined pill with some estrogen right now and it’s been a total game changer!


Very negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

I have endometriosis and this is the only pill I’ve tried that has stopped my daily pain. After a couple of failed attempts at a coil fitting my doctor suggested the progesterone only pill and I wish I had started taking it years ago! It’s increased my sex drive, dramatically reduced my endometriosis pain, had a positive impact on my mood and hasn’t caused weight gain or acne. The two main side effects I’ve had are occasional spotting and nausea, I’m still only on my 2nd month of the pill so hoping these settle down soon.


Very positive mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 5 - 8 yr
23 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

This pill has been amazing for me, I went on it because of very heavy periods and it really helped with that, I would really recommend it. I have heard a lot of bad stories from friends about their (different) pills but for me I don’t think I’ve had any bad side effects or experiences with it and I’ve been on it for nearly 7 years!


Very positive mood

0 helpful

0 comments

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

Noriday pill  

I have PCOS, so don’t get regular periods and take the mini pill in order to balance my hormones. However, I don’t feel that it truly does balance them; I frequently get break through bleeding, feel bloated, have very low energy and experience cramps even when not on my period. As there is no breaks in this pill cycle, I never know if bleeding is a real period or an effect from this pill which concerns me. If I forget to take this pill, it can trigger a hormonal migraine.


Increased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
35 years old
🇬🇧 UK
  •  3 weeks ago

Desogestrel pill  

I completely lost my appetite for sex and became very irritable


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

I have tried lots of contraception and this has not been good for me. I was in agony with abdominal pain for a week and had period symptoms with no bleeding, followed by random bleeds.


Worse skin

1 more effect

0 helpful

0 comments

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

Slynd pill  

Lowered my Bp to the point that I’m off meds. Only mini pill that I haven’t bled through.


Improved skin

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

Spotting, headaches, period type pains. Not for me


Very negative mood

2 more effects

0 helpful

0 comments

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