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 3.7

62 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.1

7 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

42% no impact on mood

Bleeds

44% stopped periods

Sex drive

44% no impact

Weight

48% no impact

Skin

42% no impact on skin

Cycle return

50% in 1 month

Mood

43% no impact on mood

Bleeds

57% no change

Sex drive

43% no impact

Weight

71% no impact

Skin

86% 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

62 reviews

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

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.

Read more

Somewhat positive mood

2 more effects

0 helpful

1 comments

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  3 weeks ago

Mirena IUD  

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

Hormonal IUD  
Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  3 weeks ago

Kyleena IUD  

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain


Very negative mood

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
  •  2 weeks ago

Mirena IUD  

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

Hormonal IUD  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  3 weeks ago

Mirena IUD  

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

Hormonal IUD  
Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  3 weeks ago

Kyleena IUD  

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain


Very negative mood

0 helpful

0 comments


Withdrawal or pull out method reviews

7 reviews

Withdrawal or pull out method  
Used for 8+ yr
36 years old
🇺🇸 US
  •  1 month ago

Withdrawal or pull out method  

I have my tubes tied.


Top side effects not reported

0 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

1 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
36 years old
🇺🇸 US
  •  1 month ago

Withdrawal or pull out method  

I have my tubes tied.


Top side effects not reported

0 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

1 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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