Hormonal IUD vs Withdrawal or pull out method
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
Withdrawal or pull out method ingredients
What Lowdown reviewers say
41% no impact on mood
43% stopped periods
43% no impact
49% no impact
43% no impact on skin
50% in 1 month
43% no impact on mood
57% no change
43% no impact
71% no impact
86% no impact on skin
Not enough data to say
Check out our latest reviews
Real life reviews from people like you
Hormonal IUD reviews
63 reviews
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 2 weeks ago
Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
• 1 month ago
This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.
Somewhat positive mood
2 more effects
0 helpful
1 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 13th Jul 25
So far i’m loving mine! The spotting for the first month has been very annoying but nothing horrible. Cramping went away in four days, only negative so far is i’ve had a lower heat tolerance and (i’m blonde) my leg hair has gotten DARK. I have been consistently loosing weight since starting and plus, in my opinion, my sex drive is way up. My partner is on testosterone therapy so i’m finally able to keep up with him and we love it! I highly recommend so far!
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 2 weeks ago
Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
• 1 month ago
This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.
Somewhat positive mood
2 more effects
0 helpful
1 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 13th Jul 25
So far i’m loving mine! The spotting for the first month has been very annoying but nothing horrible. Cramping went away in four days, only negative so far is i’ve had a lower heat tolerance and (i’m blonde) my leg hair has gotten DARK. I have been consistently loosing weight since starting and plus, in my opinion, my sex drive is way up. My partner is on testosterone therapy so i’m finally able to keep up with him and we love it! I highly recommend so far!
Somewhat positive mood
2 more effects
0 helpful
0 comments
Withdrawal or pull out method reviews
7 reviews
Used for 8+ yr
36 years old
🇺🇸 US
• 30th Jun 25
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
24 years old
🇺🇸 US
• 10th Apr 25
I don't recommend going multiple rounds. Otherwise, seemed pretty effective.
Increased sex drive
1 helpful
0 comments
Used for 8+ yr
Lowdown user
🇺🇸 US
• 28th Sep 24
Annoying to have to fuss with putting the condom on, and I don’t enjoy the change in sensation while using a condom. But I feel protected against pregnancy. I occasionally rely on pull out method, and the anxiety over my partner accidentally not timing this correctly (ie not pulling out soon enough) negatively affects my sexual experience.
Very positive mood
1 helpful
0 comments
Used for 8+ yr
36 years old
🇺🇸 US
• 30th Jun 25
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
24 years old
🇺🇸 US
• 10th Apr 25
I don't recommend going multiple rounds. Otherwise, seemed pretty effective.
Increased sex drive
1 helpful
0 comments
Used for 8+ yr
Lowdown user
🇺🇸 US
• 28th Sep 24
Annoying to have to fuss with putting the condom on, and I don’t enjoy the change in sensation while using a condom. But I feel protected against pregnancy. I occasionally rely on pull out method, and the anxiety over my partner accidentally not timing this correctly (ie not pulling out soon enough) negatively affects my sexual experience.
Very positive mood
1 helpful
0 comments
Used for 8+ yr
Lowdown user
🇺🇸 US
• 20th Jun 24
Still can get pregnant with pull out method or anal
Very negative mood
3 more effects
1 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
• 20th May 24
I get pretty sick on the pill and with same partner 3.5 yrs no issues but recognize not most effective practice.
Top side effects not reported
1 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 27th Mar 24
It worked but I was terrified I was pregnant until I got my period. I had no sex drive because of this and was incredibly stressed. It worsened my mood as well.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
• 26th Feb 24
Top side effects not reported
0 helpful
0 comments
Popular birth control
Combination pillImplantShotThe legal stuff
Terms of usePrivacy & cookieContent policy©The Lowdown 2025