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

Need help choosing? Speak to a doctor
Fertility awareness methods (FAM)

Add your fertility awareness methods (FAM) review

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 4.3

159 reviews

Daily

Frequency

92% - 98%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1451 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

50% very positive

64% no change

49% increased sex drive

82% 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

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

Try it now

Add your fertility awareness methods (FAM) review

Try it now

£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Fertility awareness methods (FAM) reviews

159 reviews

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

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!!

Read more

Top side effects not reported

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

2 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

2 helpful

0 comments

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

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

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

2 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

2 helpful

0 comments


Progestogen-only / Mini pill reviews

1451 reviews

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

Desogestrel pill  

My overall experience on this pill was a very negative one. I was on this pill for 12 months. I'm hoping to switch to the coil in January, still deciding which one, the copper or Mirena. I am 42 years old. On the mini pill I was emotional, very irritable and anxiety was through the roof. I could be okay one minute then the next I could flip a switch and be kicking off over minor things. I had racing thoughts most of the time which led me to be crying and causing my anxiety to be out of control. The spotting and breakthrough bleeding were horrendous which led to heavy clotting and sometimes it would happen unexpectingly. Sex most of the time wasn't happening due to this. The stomach cramps are so painful and because of this I felt unmotivated to do any hobbies and lost interest. I describe my hair as fine but I noticed it started to really thin and fall out which has led me to have low self-esteem and not wanting to engage in social events.


Very negative mood

1 more effect

1 helpful

0 comments

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

Slynd pill  

This pill made me feel emotionally empty and depressed. I know it wasn't placebo because I'm a pretty anxious person, and have tried everything to get rid of anxiety, without much success! A week on this pill and I had absolutely no anxiety because I had absolutely no emotions. I'm also a very motivated person normally, but I found it really hard to just get out of bed and function. It was wild. Took it for 2 weeks and then stopped, couldn't find any hard evidence that side effects improve after 3 months, and I genuinely didn't have time to be that unproductive and miserable for more than a couple of weeks.


Very negative mood

0 helpful

0 comments

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

Cerelle pill  

Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly


Very negative mood

0 helpful

0 comments

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

Desogestrel pill  

My overall experience on this pill was a very negative one. I was on this pill for 12 months. I'm hoping to switch to the coil in January, still deciding which one, the copper or Mirena. I am 42 years old. On the mini pill I was emotional, very irritable and anxiety was through the roof. I could be okay one minute then the next I could flip a switch and be kicking off over minor things. I had racing thoughts most of the time which led me to be crying and causing my anxiety to be out of control. The spotting and breakthrough bleeding were horrendous which led to heavy clotting and sometimes it would happen unexpectingly. Sex most of the time wasn't happening due to this. The stomach cramps are so painful and because of this I felt unmotivated to do any hobbies and lost interest. I describe my hair as fine but I noticed it started to really thin and fall out which has led me to have low self-esteem and not wanting to engage in social events.


Very negative mood

1 more effect

1 helpful

0 comments

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

Slynd pill  

This pill made me feel emotionally empty and depressed. I know it wasn't placebo because I'm a pretty anxious person, and have tried everything to get rid of anxiety, without much success! A week on this pill and I had absolutely no anxiety because I had absolutely no emotions. I'm also a very motivated person normally, but I found it really hard to just get out of bed and function. It was wild. Took it for 2 weeks and then stopped, couldn't find any hard evidence that side effects improve after 3 months, and I genuinely didn't have time to be that unproductive and miserable for more than a couple of weeks.


Very negative mood

0 helpful

0 comments

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

Cerelle pill  

Ive been on cerelle for 2 months so far but that is long enough. My hair and skin are extremely greasy all the time, i’m so moody and I keep getting bursts of anger. I have food cravings too so I have gained some weight! Sex drive did increase slightly


Very negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Norgeston pill  

I went on norgeston because although i didnt get many side effects on desogestrel, i did suffer from hairloss. I think it has given me less regulation over my anxiety and notnreally done anything to reduce pain from adenomyosis but other contraceptives disagree with me (to the point I have painfully expelled 2 mirena coils).


Somewhat negative mood

0 helpful

0 comments

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

Cerelle pill  

I’ve been on 3 different mini pills over the last 6 months and I have bled every single day since. 3 months ago I was recommended to double dose and take 2 mini pills a day to try and stop the bleeding. (I was previously on the combined pill and loved it but not allowed now as history of migraines with aura) It made no difference and actually made them heavier by the last month. Doctors just kept trying me on a different mini pill hoping it would stop the bleeding, so obviously my hormones have been all over the shop, when I would change to a new pill I couldn’t stop crying. It felt like no one really cared until today I sat in the doctors and just cried saying I just want someone to listen to me. I am now considering the hormonal coil.


Somewhat negative mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
25 years old
🇬🇧 UK
  •  3 weeks ago

Desorex pill  

The mini-pill has been a life saver for me. I’ve always struggled with combined pills, trying so many to control horrible periods and always having awful side effects. Since first trying the mini pill, I had spotting for about a week, and I haven’t had anything since, it’s been three years! The only side effect I have is that my skin is very sensitive and breaks out easily like it did before I started taking oral contraceptives, which started again about two months in, but it’s worth it for the benefits for me. No mood swings, no migraines, no bleeding, no hair loss, no weight gain, just a bit of manageable acne!


Very positive mood

2 more effects

0 helpful

0 comments

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

Progestogen-only / Mini pill  

Im a trans needing to help my breast fuller


Improved skin

0 helpful

0 comments

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

Progestogen-only / Mini pill  

Im a trans for estrogen therapy to help with my breast


Improved skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  3 weeks ago

Cerelle pill  

Good experience, not experienced many side effects.


Somewhat positive mood

0 helpful

0 comments

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

Slynd pill  

I have suffered with PMDD for years and Slynd has been a game changer for me- my PMDD has vanished completely! I’ve had very few side effects, literally some minor spotting at the start and a very slightly oiler hair. I’d say my sex drive is a little bit lower than before but not a huge difference. My skin is completely normal (other mini pills have given me acne but on Slynd my skin is as nice as always). The biggest positive impact has been on my mental health. I no longer get mood swings (unless I miss a pill) and my periods have completely stopped. I take my pills back to back (I skip the sugar pills) to keep my moods stable across the cycle. It’s such an amazing pill, I hope they will eventually licence this for PMDD so it can help lots of other women (slynd has the same progesterone as the combined pill Yaz which is licenced in the US for PMDD).


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Fertility awareness methods (FAM) with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them