Progestogen-only / Mini pill vs Fertility awareness methods (FAM)
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Overview
Rated 2.7
1369 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 4.3
156 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Progestogen-only / Mini pill ingredients
Main hormones in Progestogen-only / Mini pill
progestogen
Fertility awareness methods (FAM) ingredients
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Period pain
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
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Check out our latest reviews
Real life reviews from people like you
Progestogen-only / Mini pill reviews
1369 reviews
Used for 3 - 6 mo
36 years old
🇬🇧 UK
• today
I’ve gained some weight but I don’t think it was the pill alone, other factors such as other medication and enjoying food are at play! I’ve enjoyed having a regular cycle (still ovulating) with less intense highs and lows emotionally but no impact to libido. Has been helpful for PMS overall. Some side effects are headaches and tender/larger breasts. I’ve adjusted the 3 hour window to take this pill a few times with ease too.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• today
Tried the mini pill because combined contraception scared me and I knew I had to go on something as I had recently got an abortion and suffered badly with period cramps. So far I’ve had very few side effects in the first month I had a couple of acne spots popping up due to the change in hormones but they stopped towards the end of my second month. I’ve been keeping an eye on my weight and it’s had no effect and I haven’t had an increase in appetite as I take the pill before I go to sleep at 9:30pm which I recommend so much. Overall my mood hasn’t been affected at all and I have stopped bleeding pretty much, I have had a small period recently on my 2nd month of pills but no cramps or bloating. Overall I’m super happy I started this pill of course it’s different for everybody my advice go with what you think is best for you and regularly check in with your doctor. It’s trial and error but don’t read into it online as everyone has different side effects this pill may work really well for you and not for others! I defo recommend though 🫶
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
46 years old
🇬🇧 UK
• today
Hi in my experience the breakthrough bleeding was too much for me. I had to change pill due to starting on hrt. Previously used microgynon which was great periods were like clockwork. Short 4 days and fairly light. I stopped using it and now use noriday.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
36 years old
🇬🇧 UK
• today
I’ve gained some weight but I don’t think it was the pill alone, other factors such as other medication and enjoying food are at play! I’ve enjoyed having a regular cycle (still ovulating) with less intense highs and lows emotionally but no impact to libido. Has been helpful for PMS overall. Some side effects are headaches and tender/larger breasts. I’ve adjusted the 3 hour window to take this pill a few times with ease too.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• today
Tried the mini pill because combined contraception scared me and I knew I had to go on something as I had recently got an abortion and suffered badly with period cramps. So far I’ve had very few side effects in the first month I had a couple of acne spots popping up due to the change in hormones but they stopped towards the end of my second month. I’ve been keeping an eye on my weight and it’s had no effect and I haven’t had an increase in appetite as I take the pill before I go to sleep at 9:30pm which I recommend so much. Overall my mood hasn’t been affected at all and I have stopped bleeding pretty much, I have had a small period recently on my 2nd month of pills but no cramps or bloating. Overall I’m super happy I started this pill of course it’s different for everybody my advice go with what you think is best for you and regularly check in with your doctor. It’s trial and error but don’t read into it online as everyone has different side effects this pill may work really well for you and not for others! I defo recommend though 🫶
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
46 years old
🇬🇧 UK
• today
Hi in my experience the breakthrough bleeding was too much for me. I had to change pill due to starting on hrt. Previously used microgynon which was great periods were like clockwork. Short 4 days and fairly light. I stopped using it and now use noriday.
Top side effects not reported
0 helpful
0 comments
Fertility awareness methods (FAM) reviews
156 reviews
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3 weeks ago
I’ve been using NC since 2021, I use to love this app and tell everybody about it until I had sex on a green day and got pregnant. I used to think it would never happen to me as I’ll use the app right. Measured every day and was very religious with the app. However, I ovulated earlier and fell pregnant! The app only goes off previous ovulation compared to current meaning it doesn’t prevent pregnancy as yes you have red days but it’s just a prediction! For example green day on day 6 (had sex) and ovulated on day 10 (red days) and fell pregnant. Ovulated 5 days early! Sperm can live inside you for 5 days hence why I’m pregnant and will be getting an abortion.
Worse skin
1 more effect
0 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
1 comments
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 3 weeks ago
I’ve been using NC since 2021, I use to love this app and tell everybody about it until I had sex on a green day and got pregnant. I used to think it would never happen to me as I’ll use the app right. Measured every day and was very religious with the app. However, I ovulated earlier and fell pregnant! The app only goes off previous ovulation compared to current meaning it doesn’t prevent pregnancy as yes you have red days but it’s just a prediction! For example green day on day 6 (had sex) and ovulated on day 10 (red days) and fell pregnant. Ovulated 5 days early! Sperm can live inside you for 5 days hence why I’m pregnant and will be getting an abortion.
Worse skin
1 more effect
0 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
1 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 4th Jun 24
Very positive mood
1 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 20th May 24
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
1 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 20th May 24
I’ve been using the Natural Cycles app with the Oura Ring for about 6 months now, and it has been the best thing I’ve ever done! No side effects and I’ve never felt so informed about my body. I love that the app also informs my partner of when green/red days begin, so the contraceptive burden is on him too (in that he doesn’t have to ask me what type of day it is - we both know, which is nice). For peace of mind, I used the Oura ring for an initial period of three months to let the Natural Cycles app gather data on my basal temperature, whilst using condoms as a contraceptive. Then, when I felt confident that the app had a few months of data (and I was familiar with my own patterns/regular cycles), my partner and I reduced condom use to red days only. We have had zero pregnancy scares in 6 months, and using this as contraception has vastly improved our sex life. I’d honestly recommend it to anyone who is looking to escape hormonal contraceptives. The Oura Ring is expensive, but there’s no way I could remember to take my temperature every morning otherwise (and no way am I setting my alarm every morning… Sundays are for sleeping in!), so I’d recommend buying one if you do plan to use this as a long-term contraceptive and don’t want to be chained to the digital thermometer/same wake-up time every day.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 15th May 24
I have used Natural Cycles for years now (alongside condoms when ovulating) and love using a non-hormonal method. I used to get side effects from the combined pill and mini pill so I have seen an improvement since coming off those. The data aspect of recording your temperature and seeing the patterns of my cycle is something I find really interesting. Plus the reminders of ovulation/upcoming period/breast checks are always helpful. I know myself and my body better since tracking my cycles.
Very positive mood
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 15th May 24
The Natural Cycles algorithm does not work to accurately track ovulation and therefore prevent pregnancy. Evidence based FAM/symptothermal methods use a '2 check method' including temperature and cervical fluid patterns. Natural Cycles only tracks your body temperature. After using for a few months I noticed my safe/green days changed after the date. So I had (what I thought was) safe unprotected sex in the non-fertile window, but then by the end of that cycle those days had changed to red/not safe. Surprise surprise, I got pregnant and had to arrange a termination. Since stopping this I have started using fertility awareness methods successfully for 4+yrs. Natural Cycles is just too risky without a 2 check method, and basing it on an algorithm.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 14th May 24
I loved using Natural Cycles as it let my body just be itself. It was very effective for four and a half years…until I unexpectedly got pregnant! I will fully admit though we would occasionally take risks on early red days, and we know where we went wrong the month I became pregnant (travelling with time and environment changes led to confusing temperature readings coupled with not using enough caution). The only downsides of NC for me were needing to be on a predictable routine for morning thermometer readings (may be challenging for those travelling a lot or on shift work) and we had to use condoms or abstain during ovulation - which is of course the peak time for when you want some action! Overall though I would recommend it and will probably resume using it once our sleep schedule normalises with our beloved new baby. Having been on the pill and using a copper iud for years, it’s just hard to beat having zero side effects and letting your body do its own thing.
Very positive mood
0 helpful
1 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 9th May 24
Absolutely brilliant - after being on hormonal contraception this has been like a breath of fresh air. Natural cycles works so brilliant for me and I’ve never felt so in touch with my body and emotions. Genuinely lifechanging - if the you meet the criteria for this (regular periods, fairly routine lifestyle) then I could not recommend it more.
Very positive mood
0 helpful
0 comments

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