Contraception Reviews

Hormonal IUD vs Withdrawal or pull out method

Hormonal IUD

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Withdrawal or pull out method

Want to switch birth control?

Overview

Rated 3.6

36 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.5

4 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

47% no impact on mood

Bleeds

56% stopped periods

Sex drive

36% no impact

Weight

47% no impact

Skin

42% no impact on skin

Cycle return

56% in 1 month

Mood

50% no impact on mood

Bleeds

50% no change

Sex drive

50% no impact

Weight

75% no impact

Skin

75% 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

36 reviews

Hormonal IUD  
Used for 18 mo - 3 yr
38 years old
🇺🇸 US
  •  28th May 24

Kyleena IUD  

Getting it in hurt briefly, but tolerable. The first period after getting it was early and super intense, and I continued having spotting most days for the first three months or so, but bleeding dwindled over time and by a year later I was barely getting periods at all, which was great.

Read more

Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
31 years old
🇺🇸 US
  •  24th May 24

Kyleena IUD  

I have been on kyleena almost 5 years, January 2025 it will be 5 and little to no problems. But I didn't know there was a mucus discharge, had thought I always had a yeast infection. Almost time to get a new one and I've started spotting again.


Increased sex drive

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  17th May 24

Liletta IUD  

I could feel it when I exercised always. Starting year 5 I had terrible cystic acne and lower back pain that travelled down my left leg to my knee. It’s been 4 days since it was removed and my back is already feeling better. A heavy period starting the night I had it removed. It’s been going on 4 days and it is still heavy. I am hoping the acne goes away over time since it is out. It was nice not having heavy periods but not at the expense of my face and back. I have had to see a Dermatologist for several years now and the treatments don’t help much. I also saw a back doc and had a shot to help with the pain along with physical therapy for a few months. The shot helped for a month or two but the pain returned. I gained weight because it was uncomfortable to exercise and feel the IUD even when I walked uphill and the back and left leg pain. Insertion was traumatizing and I was conscious sedated for the removal which was a much better experience. Women should not have to go through that without conscious sedating. We should also be provided with more info on what to expect when we get it, how it might age, what to look for side effect wise, and guidance on getting it out and the aftermath. Terrible experience


Somewhat negative mood

3 more effects

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
38 years old
🇺🇸 US
  •  28th May 24

Kyleena IUD  

Getting it in hurt briefly, but tolerable. The first period after getting it was early and super intense, and I continued having spotting most days for the first three months or so, but bleeding dwindled over time and by a year later I was barely getting periods at all, which was great.


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
31 years old
🇺🇸 US
  •  24th May 24

Kyleena IUD  

I have been on kyleena almost 5 years, January 2025 it will be 5 and little to no problems. But I didn't know there was a mucus discharge, had thought I always had a yeast infection. Almost time to get a new one and I've started spotting again.


Increased sex drive

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 5 - 8 yr
44 years old
🇺🇸 US
  •  17th May 24

Liletta IUD  

I could feel it when I exercised always. Starting year 5 I had terrible cystic acne and lower back pain that travelled down my left leg to my knee. It’s been 4 days since it was removed and my back is already feeling better. A heavy period starting the night I had it removed. It’s been going on 4 days and it is still heavy. I am hoping the acne goes away over time since it is out. It was nice not having heavy periods but not at the expense of my face and back. I have had to see a Dermatologist for several years now and the treatments don’t help much. I also saw a back doc and had a shot to help with the pain along with physical therapy for a few months. The shot helped for a month or two but the pain returned. I gained weight because it was uncomfortable to exercise and feel the IUD even when I walked uphill and the back and left leg pain. Insertion was traumatizing and I was conscious sedated for the removal which was a much better experience. Women should not have to go through that without conscious sedating. We should also be provided with more info on what to expect when we get it, how it might age, what to look for side effect wise, and guidance on getting it out and the aftermath. Terrible experience


Somewhat negative mood

3 more effects

0 helpful

0 comments


Withdrawal or pull out method reviews

4 reviews

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  1 month ago

Withdrawal or pull out method  

Still can get pregnant with pull out method or anal


Very negative mood

3 more effects

0 helpful

0 comments

Withdrawal or pull out method  
Used for 18 mo - 3 yr
44 years old
🇺🇸 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

0 helpful

0 comments

Withdrawal or pull out method  
Used for 1 - 3 mo
24 years old
🇺🇸 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 8+ yr
Lowdown user
🇺🇸 US
  •  1 month ago

Withdrawal or pull out method  

Still can get pregnant with pull out method or anal


Very negative mood

3 more effects

0 helpful

0 comments

Withdrawal or pull out method  
Used for 18 mo - 3 yr
44 years old
🇺🇸 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

0 helpful

0 comments

Withdrawal or pull out method  
Used for 1 - 3 mo
24 years old
🇺🇸 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
41 years old
🇺🇸 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

Compare the Hormonal IUD with other birth control

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