Contraception Reviews

Withdrawal or pull out method vs Hormonal IUD

Withdrawal or pull out method

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Hormonal IUD

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Overview

Rated 3.6

9 reviews

During or before sex

Frequency

80% - 96%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

74 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

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.

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

What Lowdown reviewers say

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

Mood

38% no impact on mood

Bleeds

45% stopped periods

Sex drive

41% no impact

Weight

47% no impact

Skin

43% no impact on skin

Cycle return

50% in 1 month

Benefits: What this birth control can help with

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

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Check out our latest reviews

Real life reviews from people like you

Withdrawal or pull out method reviews

9 reviews

Withdrawal or pull out method  
Used for 12 - 18 mo
34 years old
🇺🇸 US
  •  15th Jan 26

Withdrawal or pull out method  

I was on a iud for 9 years for endo

Read more

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

3 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
  •  15th Jan 26

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

3 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


Hormonal IUD reviews

74 reviews

Hormonal IUD  
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
  •  1 day ago

Mirena IUD  

Side affects can change as time passes. I noticed more side effects the longer I was on it.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  5 days ago

Mirena IUD  

I love mirena


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
27 years old
🇺🇸 US
  •  2 weeks ago

Kyleena IUD  

Better than copper IUD. Similar in side effects to birth control ring except less effect on sex drive.


Increased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
  •  1 day ago

Mirena IUD  

Side affects can change as time passes. I noticed more side effects the longer I was on it.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 8+ yr
Lowdown user
🇺🇸 US
  •  5 days ago

Mirena IUD  

I love mirena


Worse skin

0 helpful

0 comments

Hormonal IUD  
Used for 1 - 3 mo
27 years old
🇺🇸 US
  •  2 weeks ago

Kyleena IUD  

Better than copper IUD. Similar in side effects to birth control ring except less effect on sex drive.


Increased sex drive

0 helpful

0 comments

Hormonal IUD  
Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  1 month ago

Hormonal IUD  

DO NOT GET


Top side effects not reported

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
34 years old
🇺🇸 US
  •  23rd Jan 26

Kyleena IUD  

I initially thought I was having a positve experience, but after 3 months was diagnosed with Sebohrreic Dermatitis with an extremely itchy scalp and bumps on jawline. Within 5 months I started having noticeable hair loss. I have lost at least 50% density. It is now 11 months from insertion and still shedding drastically. 8 months after insertion, I started having cystic acne which Ive never experienced before. I use to have the Paraguard IUD and didnt have these symptoms


Somewhat positive mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 3 - 5 yr
Lowdown user
🇺🇸 US
  •  9th Jan 26

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

Hormonal IUD  
Used for 6 - 12 mo
Lowdown user
🇺🇸 US
  •  3rd Oct 25

Hormonal IUD  

Went on the IUD bc I had super painful periods. Modena stopped my period and once a month now I’ll have just a little bit of phantom cramps—but none that ever pose an issue. The first month was quite painful adjusting to the IUD, but COMPLETELY worth it in the end. Only negative side effect I’m experiencing is vaginal dryness. Vaginal discharge has decreased and when I’m with my partner, no matter how aroused I am, I’m still pretty dry.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Hormonal IUD  
Used for 6 - 12 mo
27 years old
🇺🇸 US
  •  18th Sep 25

Kyleena IUD  

I'm almost 28 years old, have had periods for the last decade and a half. They have always been regular and heavy to the point that if I didn't take iron supplements 5x a week and tranexamic acid during my periods, I'd have anemia. So I got Kyleena in December 2024. Insertion was fine, some cramping but nothing too serious. I had cramping on and off during the times my periods were supposed to come and some spotting/bleeding, but it was usually what I saw towards the beginning of my cycle. I had one reduced-level period in mid-August. I have had to go from 36D to 36DD to 36DDD/38DD bras over the span of a few months. At first I thought it was just weight gain (went from 170 to 195lb), but I have been almost 200lb before and my breast size increased this much this quickly. Even after losing 10 pounds my breast size has shown little to no decrease. I hate it. I also suspect that the IUD influenced my sciatica in my lumbar spine, which began in February 2025 and has taken several weeks of PT and a round of oral steroids to resolve. I am still not up to 100% all these months later. Overall a 2/5. The decreased period length, flow, and frequency is almost not enough to justify having this torture device in. If I get pregnant w/this in, I'll be so angry.


Somewhat negative mood

1 more effect

1 helpful

0 comments

Birth control alternatives and comparisons

Compare the Withdrawal or pull out method with other birth control

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