Fertility awareness methods (FAM) vs Combined pill
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Overview
Rated 4.3
156 reviews
Daily
Frequency
92% - 98%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2569 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Fertility awareness methods (FAM) ingredients
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
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£From £0.16/day
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Real life reviews from people like you
Fertility awareness methods (FAM) reviews
156 reviews
Used for 3 - 5 yr
26 years old
🇬🇧 UK
• 1 month 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
• 1 month 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
Combined pill reviews
2569 reviews
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• today
My psychiatrist put me on Zoely in August of 2024, I had recently been diagnosed with PMDD (pre menstrual dysphoric disorder) and was at a point in my life where if I didn’t find a way to manage the symptoms I was at breaking point. I’d been misdiagnosed with bipolar, major depression, borderline personality disorder and had been on a rollercoaster of treatments from ages 13-30. So I was hesitant to trust this psychiatrist and go on another potentially damaging rollercoaster of meds. Alas, after 3 weeks I noticed dramatic changes to my moods, I was balanced! I felt in control, grounded and sane! Obviously my period stopped and my cycle was no longer existent but this medication saved my life, my relationship, my mental health and gave me back my life! The only negative side is my low to zero sex drive, that’s been tough but I’m navigating it now, my partner doesn’t feel desirable because I don’t want sex.. like ever but we are both just happy to have a peaceful life without the ups and down. It seems like a fair trade to me. So very grateful for this medication.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 6 days ago
This pill ruined my mental health, doctor told me it was the best option despite me telling her i was worried about the mental effects. I lost all confidence- felt disgusting all the time. Made my anxiety and overthinking 10 times worse, i was crying multiple times every day. It felt like i had no control over my emotions, i could go from happy to crying within seconds and this could be set off by anything at all. Would not recommend this to anyone, have an appointment to come off it this week.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
13 years old
🇬🇧 UK
• 6 days ago
overall made periods easier but changed my mood to be lower. it definitely improved things for me.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• today
My psychiatrist put me on Zoely in August of 2024, I had recently been diagnosed with PMDD (pre menstrual dysphoric disorder) and was at a point in my life where if I didn’t find a way to manage the symptoms I was at breaking point. I’d been misdiagnosed with bipolar, major depression, borderline personality disorder and had been on a rollercoaster of treatments from ages 13-30. So I was hesitant to trust this psychiatrist and go on another potentially damaging rollercoaster of meds. Alas, after 3 weeks I noticed dramatic changes to my moods, I was balanced! I felt in control, grounded and sane! Obviously my period stopped and my cycle was no longer existent but this medication saved my life, my relationship, my mental health and gave me back my life! The only negative side is my low to zero sex drive, that’s been tough but I’m navigating it now, my partner doesn’t feel desirable because I don’t want sex.. like ever but we are both just happy to have a peaceful life without the ups and down. It seems like a fair trade to me. So very grateful for this medication.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 6 days ago
This pill ruined my mental health, doctor told me it was the best option despite me telling her i was worried about the mental effects. I lost all confidence- felt disgusting all the time. Made my anxiety and overthinking 10 times worse, i was crying multiple times every day. It felt like i had no control over my emotions, i could go from happy to crying within seconds and this could be set off by anything at all. Would not recommend this to anyone, have an appointment to come off it this week.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
13 years old
🇬🇧 UK
• 6 days ago
overall made periods easier but changed my mood to be lower. it definitely improved things for me.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
46 years old
🇬🇧 UK
• 1 week ago
Stopped my periods which I love. Not liking the weight gain. Which has been about 7lbs. I exercise and watch what I eat. I only continue with it because I don't have a period. I couldn't cope with the breakthrough bleeding on cerelle. I can only use progesterone pills due to Hrt unfortunately.
Somewhat negative mood
3 more effects
0 helpful
1 comments
Used for 1 - 3 mo
18 years old
🇬🇧 UK
• 2 weeks ago
doesn’t make me feel crazy but have been quite dry in sex which wasn’t the case before going on it. boobs are bigger but have had a few cramps but i have suspected endometriosis which is probably the reason.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
18 years old
🇬🇧 UK
• 2 weeks ago
Began taking this when i was 14 when i got my first boyfriend and I am now 18 so it is very hard to determine or remember what things i suffered with prior to the pill and what increased while on it. One thing i can say is my skin has never been more oily in my whole life, regular bumps on my forehead which i don’t recall ever having. I can only put this down to hormones/the pill, i’ve tried antibiotics, thousands of pounds worth of skincare, changing shampoos, stopping vaping, bettering my diet, replacing makeup brushes regularly (im talking fortnightly!) and so much more and nothing seems to even touch the sides. cystic acne bumps on my back which seem to worsen in the winter/autumnal months. I have been seen to by uncountable doctors and a dermatologist who have all simply told me to wash my face with a cloth lol (wish i tried that one!!???). I have found my skins got worse through the years but now it’s totally uncontrollable, skincare does not even seem to touch the sides which also convinces me it’s something to do with my contraception. Have found myself very snappy and irritable 24/7 i feel very low… nothing major is happening in my life to be making me feel like that and it’s getting draining. booking another doctors appointment tomorrow to consider changing.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 2 weeks ago
For me personally, the pill is great for periods. I haven’t had a period while using it. However, I did have 1-2 weeks of very light breakthrough bleeding. I found the pill made me severely depressed and I had absolutely no energy. I felt like I was just existing and not living. I was crying everyday and thinking everyone hated me. It also made me lose all my confidence I took so long to gain (I had none). Since being off it for 3 days I’ve seen a huge difference in my energy and my mood is slowly getting better. It didn’t make me gain weight as such, but my stomach is usually flat and now it’s round and more bloated. I’m hoping this will go away. I’d say I’ve gained more fat on my stomach than weight. I am more then happy to answer any questions <3
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 6 mo
16 years old
🇬🇧 UK
• 2 weeks ago
while it's generally alright while I'm on it, the periods are terrible. way more painful than normal and extremely heavy. I've gotta give it credit for the skin though- alot clearer than before
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 2 weeks ago
Please consider the effects AFTER you stop taking Yaz or Eloine (same pill different brand). I never had acne or even spots my whole life and 4 months after stopping Yaz I got post-pill acne. My whole face is red and scarred and there isn’t a part of it that isn’t swollen and bumpy with cystic acne. If I could show you photos you would immediately think twice about trying an anti-androgen contraceptive like Yaz/eloine. I have tried everything with my derm to cure the acne but I wish I had known before taking yaz that this might happen when I stopped. I’m honestly devastated. It’s now been two years since I stopped yaz..
Very negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
19 years old
🇬🇧 UK
• 2 weeks ago
Has been really helpful for my moods as i would get bad pms, i feel a lot more stable through the months. i gained a lot of weight at one point but then lost it. my boobs consistently got bigger, at certain times in the month they are very very tender. i had lost my sex drive for a few months when i first started but it then came back, but i was really not eager for anything for ages. It’s helped my back and chest acne, and my face is better but has flare ups. I get a period every 3 months but it lasts like 14 days but not that heavy.
Somewhat positive mood
3 more effects
0 helpful
0 comments

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