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

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!!

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.

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.

I was moved from Yasmin to Cerazette by my gp due to my blood pressure being affected. It's my second month and I hate it. I had no side effects from my other pill and was on it for 4 years. My periods used to last 4 days and were regular. Now I'm on day 12 of a very heavy and painful period. Even when I wasnt bleeding I was spotting. My skin has gotten worse, constantly oily and my hair is so greasy all the time. I used to be able to wash my hair once a week (curly), now I have to wash it 2 or 3 times a week due to build up of oils. I have also started losing a significant amount of hair Everytime I brush and wash it. I also lost all appetite and have lost almost 4kg. Also I've never struggled with body odor until now, no antiperspirant helps to prevent it and it's very embarrassing. My entire lower back and pelvis aches and I feel really depressed and fatigued.

I thought I would try this pill because it had some fairly good reviews and I cannot tolerate estrogen. The first week of taking this I had racing thoughts, felt extremely panicky and did not sleep well.. this settled down so I carried on. I strarted spotting a few days before the placebo pills which turned into light bleeding that lasted all the way through to pack 3 !!! It’s a great contraceptive because you can never have sex! My mood has been terrible. I have been tearful, very cranky and irritable at things that would never usually bother me. I have felt quite dizzy at times and almost “unreal.” I have experienced panic like never before. This pill is making me feel like I am going crazy. I’m stopping taking it as I would rather have period pains than feel like this! Awful .

I went on for 2 weeks, my skin went so oily and congested week 2. Constantly felt tired falling a sleep in the afternoon and unbelievably hungry. Probably gained 7 pounds in 2 weeks. But my skin was the worst part, it became unbelievable oily. It did chill me out but provably too much, i dont like to feel tired every day.

Overall, Slynd has been better for me than any other hormonal contraceptive ive tried befofe. I do get some spotting every once in a while and my sex drive is a little bit lower (compared to when i used to ovulate) but its been good. I have no period pain and no severe mood swings which was my goal. Have started to get some minimal acne on my forehead and chin now that im 5 months into it, fingers crossed it will settle down soon. Nothing major though!

I switched to Slynd having previously taken Hana but been unsatisfied with the experience, and can't ask much more from it. I found that my mood almost immediately improved, and I continued to experience a more stable mood. I do occasionally experience headaches around the time of the placebo break, but this was normal for me without medication anyway, and it's better overall to know exactly when this will happen. In my first month taking Slynd, I did experience a lot of bleeding - but I had been bleeding constantly on Hana, and I think this is down to the Hana pill insufficiently thinning my uterine lining and then the Slynd pill starting to work correctly, meaning I had to shed the build-up. In the second month I didn't bleed at all. After that, I did start to bleed in the placebo break, and experience increasing spotting between breaks, but this was still a very light amount overall (I am starting to think I might have just been a heavy bleeder to begin with!). After around 6 months of taking the pill, I did have one day of very heavy bleeding at the start of my Placebo break. From the next day I returned to having no spotting and a lighter bleed the next month. I am happy with this cadence personally, and I do suspect that someone who already bled lightly wouldn't experience this at all.

Genuinely hate this pill. I have always experienced acne but rarely on my body until now. My back chest and shoulders are covered. I have had bleeding about 2 times a month with no changes to the pain scale. I have gained a bit of weight. Where on the last pill I was on I had lost some. Which certainly effected my already down mood. Just is not working for me.

Using Sltnd for Endo rather than a contraceptive, this is my second month. First month I had breakthrough bleeding for 23 days but no period this month. Not had awful ovulation pain like before and my pain has reduced somewhat. Headaches are a bit of a pain as I am not a headachy person usually. Had a very stressful two months so not sure if my mood is stress or the pill. It has affected my sex drive but this can be affected alot by pain so we manage that anyway. So far I feel like it's helped with pain definitely need to give it longer. I don't take the placebo pills until month 3 so I take slynd constantly till month 3 as doctor recommended to do so.

It's my 4th month, and I hate it. I have anxiety and a depressive mood, and I am so irritated with everyone and everything constantly for no reason, and I don't want it to affect my loved ones because I know this is not who I am. My hair's thinning vigorously, and my period, which was 5 days long, has increased to 15 and counting! And it's not just 15 days of light spotting, it's a full-on heavy period which has left me so damm tired and dizzy all the time with all the iron loss. yes i missed one day of the pill which i know can create spotting but that was 2 months ago. i have been consistantly taking my pills since and its just getting worse and worse for me. i honestly dont want to continue but i have heard it gets better after a while of use. but from what i see its doing to my body and mental state i just dont think i can continue like this. I dont know what to do.

I would have given this contraceptive 5 starts if it hadn’t caused me significant hair loss. It’s a shame because I didn’t experience any other negative side effects. I am lucky to have had thick hair to begin with, but after a few months of use and noticeable shedding I have ended up with nearly half the hair I started with.

6 - 12 months 15/04/2025 - currently in my third week of me 7th month of the pill. I’ve just had a period after 3 weeks of not bleeding (having pretty much spotting all of the time/constantly bleeding) I feel like we’re finally getting back on track. The period was however thicker and more like ‘old’ blood than usual with a day of normal bleeding. I’ve been quite emotional recently and I’m pretty sure my breast have gotten slightly bigger while being on the pill but I haven’t gone up a bra size. I did put on some weight but I think I’m finally dropping it slowly but it feels slow going. 30/04/2025 - So I had that last period and have been and and off since. I think I’ve only had a couple of days on not bleeding at all or spotting. Today it seems that there is nothing. My boobs definitely feel larger but still not up a bra size. I had an awful breakout last week on my chest and back but my face seems ok/if not better than usual. 12/05/2025 - I’ve just had THE WORST under the skin spots on my chest. Like really really bad to the point I’m going to scar. However, I did just have a period but it lasted 3 days at most. I did feel super strange before it and in pain but not my usual period cramps. More like a full body sensation of pain which wasn’t excruciating but still not pleasant. Otherwise, I’ve been fine on it. I think I had nearly 2 weeks of no bleeding or spotting at all before this small period? 22/05/2025 - I’ve actually been feeling fine recently. I think I only had about 13 days between my last bleed and the small bleed/period that I’ve just had but there was no blood/spotting in between again which was nice. 01/07/2025 - I’ve still been bleeding really regularly. I’m noticing weight gain now that I can’t shift and I’m sweating so much more than usual. I’m at the point where I’m considering going to the GP and telling them I’m coming off of the pill I’m really not having a great time. 17/07/2025 - I’m about month 9 now of starting the pill. I’ve gone from bleeding about every 2 weeks to now having bled for nearly 3 now which is great. I did take a pregnancy test even though pregnancy would be a miracle (we use condoms as well because I definitely don’t want to be pregnant) It was negative. I’ve changed eating habits and have been exercising regularly and my weight is still creeping up. If it doesn’t start to come down soon I’ll be chatting to the GP about it. My mood is also really low. I’ve said this before but the spots on my face are definitely better than they were pre-pill but other body acne/spots are definitely worse. 15/08/2025 - So I still haven’t really had a period. I had a couple of days of cramps and old blood in mucus at the start of this week but nothing I’d really describe as a period. (definitely not pregnant). The issue I’m having is the increased sweating. It’s unbearable. My sister says that she has suffered the same since starting the pill. I’ve never in my life sweat this much. 4/11/25 - Yes it’s been over a year since being on the pill now. I’ve still not had a period since June so I guess it’s decided that it's not happening anymore (not pregnant) Breast tenderness is still here as well.