Contraception Reviews

Hormonal IUD vs Withdrawal or pull out method

Hormonal IUD

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Withdrawal or pull out method

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Overview

Rated 3.7

32 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.0

2 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

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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Real life reviews from people like you

Hormonal IUD reviews

32 reviews

Used for 8+ yr
27 years old
🇺🇸 US
  •  1 day ago

  •  Stopped using

I got my first Mirena when I was 17. I would describe the insertion process as uncomfortable but not painful. I did have a vagal response (came close to passing out) right after, but it didn't last long, I just needed to sit for a minute. I experienced very light cramping for about 4-6 days afterwards. I did lose some weight that year that may have been attributed to the birth control, I went from 120lbs to 100lbs (there were no other pressing reasons for the quick change in my weight other than the BC, perhaps stress as it was my senior year of high school). At the time, the Mirena was thought to be effective for five years, so I had it removed and replaced with another Mirena when I was 22. The removal and reinsertion was more uncomfortable than the initial insertion, but totally manageable in my experience. Overall, I did not experience many hormonal side effects that I noticed. I pretty much stopped menstruating after the first few months of having it, aside from very occasional, very light spotting. I would sometimes experience symptoms of PMS without the bleeding (a little fatigue, some mood changes). I did develop some cystic acne in the first 1-3 years of being on my second IUD, but it was truly not much and never lasted long. My favorite part of this method is how effective and easy to use it is. I was truly never concerned about pregnancy from 17-27 which allowed for a lot of freedom in terms of my sex life. In my long term relationship, we do not use condoms (both have been screened for STIs) and I feel completely safe and comfortable with my partner not pulling out (I know that's a personal detail but I what to emphasize that that's how effective it truly is in my experience). I did recently decide to remove my hormonal IUD and replace it with the non-hormonal IUD. My Mirena still had at least 2 years left in it, but since I had not had a period or had gone through that natural, hormonal process in 10 years, I wanted to give my body a break from hormonal birth control to develop that relationship with my body. If I did not have the option/privilege to change methods, I would have 100% kept my Mirena until it expired, and probably got a third one.

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Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
46 years old
🇺🇸 US
  •  1 week ago

  •  Still using

Love the Mirena!


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  1 month ago

  •  Stopped using

This caused pain/vomiting/inability to sleep for 3 months after insertion. I was promised it would improve, and told to just keep giving it time. Severe menstrual cramps continued the whole 2 years that I had this. Doctors promised many times over the 2 years that my symptoms were normal and/or not due to the IUD(both incorrect). Around the 9 month mark I began to develop progesterone hypersensitivity autoimmune disease. This continued to progress until I removed it. This new condition landed me in the ER multiple times due to anaphylaxis: asthma, heart palpitations, high BP, frequent fainting, extreme rashes etc. I had to quit my job because I was not functional on any level. Luckily I eventually figured it out.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
27 years old
🇺🇸 US
  •  1 day ago

  •  Stopped using

I got my first Mirena when I was 17. I would describe the insertion process as uncomfortable but not painful. I did have a vagal response (came close to passing out) right after, but it didn't last long, I just needed to sit for a minute. I experienced very light cramping for about 4-6 days afterwards. I did lose some weight that year that may have been attributed to the birth control, I went from 120lbs to 100lbs (there were no other pressing reasons for the quick change in my weight other than the BC, perhaps stress as it was my senior year of high school). At the time, the Mirena was thought to be effective for five years, so I had it removed and replaced with another Mirena when I was 22. The removal and reinsertion was more uncomfortable than the initial insertion, but totally manageable in my experience. Overall, I did not experience many hormonal side effects that I noticed. I pretty much stopped menstruating after the first few months of having it, aside from very occasional, very light spotting. I would sometimes experience symptoms of PMS without the bleeding (a little fatigue, some mood changes). I did develop some cystic acne in the first 1-3 years of being on my second IUD, but it was truly not much and never lasted long. My favorite part of this method is how effective and easy to use it is. I was truly never concerned about pregnancy from 17-27 which allowed for a lot of freedom in terms of my sex life. In my long term relationship, we do not use condoms (both have been screened for STIs) and I feel completely safe and comfortable with my partner not pulling out (I know that's a personal detail but I what to emphasize that that's how effective it truly is in my experience). I did recently decide to remove my hormonal IUD and replace it with the non-hormonal IUD. My Mirena still had at least 2 years left in it, but since I had not had a period or had gone through that natural, hormonal process in 10 years, I wanted to give my body a break from hormonal birth control to develop that relationship with my body. If I did not have the option/privilege to change methods, I would have 100% kept my Mirena until it expired, and probably got a third one.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
46 years old
🇺🇸 US
  •  1 week ago

  •  Still using

Love the Mirena!


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
26 years old
🇺🇸 US
  •  1 month ago

  •  Stopped using

This caused pain/vomiting/inability to sleep for 3 months after insertion. I was promised it would improve, and told to just keep giving it time. Severe menstrual cramps continued the whole 2 years that I had this. Doctors promised many times over the 2 years that my symptoms were normal and/or not due to the IUD(both incorrect). Around the 9 month mark I began to develop progesterone hypersensitivity autoimmune disease. This continued to progress until I removed it. This new condition landed me in the ER multiple times due to anaphylaxis: asthma, heart palpitations, high BP, frequent fainting, extreme rashes etc. I had to quit my job because I was not functional on any level. Luckily I eventually figured it out.


Top side effects not reported

0 helpful

0 comments


Withdrawal or pull out method reviews

2 reviews

Used for 1 - 3 mo
24 years old
🇺🇸 US
  •  1 month ago

  •  Stopped using

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.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
41 years old
🇺🇸 US
  •  26th Feb 24

  •  Still using

No side effects


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
24 years old
🇺🇸 US
  •  1 month ago

  •  Stopped using

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.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
41 years old
🇺🇸 US
  •  26th Feb 24

  •  Still using

No side effects


Top side effects not reported

0 helpful

0 comments

Birth control alternatives and comparisons

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