Contraception Reviews

Birth control patch vs Withdrawal or pull out method

Birth control patch

Want to switch birth control?

Withdrawal or pull out method

Want to switch birth control?

Overview

Rated 2.9

9 reviews

Weekly

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.4

8 reviews

During or before sex

Frequency

80% - 96%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Birth control patch ingredients

Main hormones in Birth control patch

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

56% somewhat negative

Bleeds

44% spotting

Sex drive

56% no impact

Weight

44% no impact

Skin

33% don’t know impact

Cycle return

100% don’t know impact

Mood

50% no impact on mood

Bleeds

50% no change

Sex drive

50% no impact

Weight

63% no impact

Skin

88% no impact on skin

Cycle return

Not enough data to say

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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

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Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Birth control patch reviews

9 reviews

Birth control patch  
Used for 1 - 3 mo
20 years old
🇺🇸 US
  •  1 month ago

Xulane patch  

I was on Depo and the pill before this and this is the best one so far. I'm still in the adjustment phase. The main issue is that this month (month 2) I've felt uncomfortable in my skin and I've been dizzy. Not extreme but noticeable. I appreciate the ease of only dealing with it once a week. The adhesive is slightly irritating only because of sweat, but after the first month it's stopped itching and I don't notice it anymore.

Read more

Somewhat positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 12 - 18 mo
32 years old
🇺🇸 US
  •  30th Oct 25

Xulane patch  

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.


Very negative mood

0 helpful

0 comments

Birth control patch  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  5th Apr 25

Xulane patch  

Breakthrough bleeding lasted for 3 mos


Somewhat negative mood

1 more effect

1 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
20 years old
🇺🇸 US
  •  1 month ago

Xulane patch  

I was on Depo and the pill before this and this is the best one so far. I'm still in the adjustment phase. The main issue is that this month (month 2) I've felt uncomfortable in my skin and I've been dizzy. Not extreme but noticeable. I appreciate the ease of only dealing with it once a week. The adhesive is slightly irritating only because of sweat, but after the first month it's stopped itching and I don't notice it anymore.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 12 - 18 mo
32 years old
🇺🇸 US
  •  30th Oct 25

Xulane patch  

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.


Very negative mood

0 helpful

0 comments

Birth control patch  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  5th Apr 25

Xulane patch  

Breakthrough bleeding lasted for 3 mos


Somewhat negative mood

1 more effect

1 helpful

0 comments


Withdrawal or pull out method reviews

8 reviews

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 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

Compare the Birth control patch with other birth control

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