Contraception Reviews

Hormonal IUD vs Withdrawal or pull out method

Hormonal IUD

Want to switch birth control?

Withdrawal or pull out method

Want to switch birth control?

Overview

Rated 3.6

69 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.6

9 reviews

During or before sex

Frequency

80% - 96%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

Withdrawal or pull out method ingredients

The withdrawal method (also known as the pull out method) relies on the penis being all the way out of the vagina before ejaculation and ejaculation occurring away from the vagina or vulva.

What Lowdown reviewers say

Mood

39% no impact on mood

Bleeds

44% stopped periods

Sex drive

41% no impact

Weight

46% no impact

Skin

44% no impact on skin

Cycle return

50% in 1 month

Mood

44% no impact on mood

Bleeds

44% no change

Sex drive

44% no impact

Weight

56% no impact

Skin

78% no impact on skin

Cycle return

Not enough data to say

Benefits: What this birth control can help with

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

There are no benefits that are recognised in scientific research or guidelines for this birth control

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Check out our latest reviews

Real life reviews from people like you

Hormonal IUD reviews

69 reviews

Hormonal IUD  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  1 week ago

Mirena IUD  

I’ve had the Mirena since 2022 and just got it taken out today. I will preface this with I do not do well with birth control in general and it’s a struggle. I did not realize the correlation between my Mirena and my side affects. I feel like my side affects got gradually worse. I already suffer from anxiety and depression but since the Mirena was put in I have had to add on another anxiety and depression medication. I’ve also had to get on an acne medication from the dermatologist because I was getting deep acne and my face chemistry had changed including a little more facial hair growth. Once on the medication I no longer had an issue the the hair growth or acne. Let me also point out that I’ve never had acne my entire life so this was new. Everyone’s body reacts differently to birth control. I just want to make sure that I said these things in case there is another person who thought they were going crazy. I had extreme exhaustion and this increased my depression and made things much worse. I am not the only one who has had these symptoms either so take comfort in knowing you are not alone.

Read more

Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
  •  7th Nov 25

Skyla IUD  

Has helped overall by stopping my periods which were long (5-7 days) and heavy.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  13th Oct 25

Kyleena IUD  

It's ok. No unplanned pregnancy but my periods last for 2-3 weeks and I gained 25lbs in 2 years with no changes to eating habits.


Improved skin

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  1 week ago

Mirena IUD  

I’ve had the Mirena since 2022 and just got it taken out today. I will preface this with I do not do well with birth control in general and it’s a struggle. I did not realize the correlation between my Mirena and my side affects. I feel like my side affects got gradually worse. I already suffer from anxiety and depression but since the Mirena was put in I have had to add on another anxiety and depression medication. I’ve also had to get on an acne medication from the dermatologist because I was getting deep acne and my face chemistry had changed including a little more facial hair growth. Once on the medication I no longer had an issue the the hair growth or acne. Let me also point out that I’ve never had acne my entire life so this was new. Everyone’s body reacts differently to birth control. I just want to make sure that I said these things in case there is another person who thought they were going crazy. I had extreme exhaustion and this increased my depression and made things much worse. I am not the only one who has had these symptoms either so take comfort in knowing you are not alone.


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 6 mo
Lowdown user
🇺🇸 US
  •  7th Nov 25

Skyla IUD  

Has helped overall by stopping my periods which were long (5-7 days) and heavy.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  13th Oct 25

Kyleena IUD  

It's ok. No unplanned pregnancy but my periods last for 2-3 weeks and I gained 25lbs in 2 years with no changes to eating habits.


Improved skin

2 more effects

0 helpful

0 comments


Withdrawal or pull out method reviews

9 reviews

Withdrawal or pull out method  
Used for 12 - 18 mo
34 years old
🇺🇸 US
  •  1 day ago

Withdrawal or pull out method  

I was on a iud for 9 years for endo


Very positive mood

3 more effects

0 helpful

0 comments

Withdrawal or pull out method  
Used for 5 - 8 yr
31 years old
🇺🇸 US
  •  24th Aug 25

Withdrawal or pull out method  

Made me gain weight


Gained weight

2 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
36 years old
🇺🇸 US
  •  30th Jun 25

Withdrawal or pull out method  

I have my tubes tied.


Top side effects not reported

2 helpful

0 comments

Withdrawal or pull out method  
Used for 12 - 18 mo
34 years old
🇺🇸 US
  •  1 day ago

Withdrawal or pull out method  

I was on a iud for 9 years for endo


Very positive mood

3 more effects

0 helpful

0 comments

Withdrawal or pull out method  
Used for 5 - 8 yr
31 years old
🇺🇸 US
  •  24th Aug 25

Withdrawal or pull out method  

Made me gain weight


Gained weight

2 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
36 years old
🇺🇸 US
  •  30th Jun 25

Withdrawal or pull out method  

I have my tubes tied.


Top side effects not reported

2 helpful

0 comments

Withdrawal or pull out method  
Used for 3 - 5 yr
24 years old
🇺🇸 US
  •  10th Apr 25

Withdrawal or pull out method  

I don't recommend going multiple rounds. Otherwise, seemed pretty effective.


Increased sex drive

3 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  28th Sep 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  20th Jun 24

Withdrawal or pull out method  

Still can get pregnant with pull out method or anal


Very negative mood

3 more effects

1 helpful

0 comments

Withdrawal or pull out method  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  20th May 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  27th Mar 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  26th Feb 24

Withdrawal or pull out method  

No side effects


Top side effects not reported

0 helpful

0 comments

Birth control alternatives and comparisons

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