Combined pill vs Withdrawal or pull out method

My GP started me on this pill to help with perimenopausal symptoms (mainly insomnia and brain fog but to a lesser extent mood swings). For these, this pill has been a game changer and after only a couple of months, I feel like myself again. The only negative is that I've noticed a quite marked weight change and have gained around 3kg, most of which I think is water weight as I have gone puffy all over my body despite being an active person who spends a lot of time in the gym and has an active job. So I'm hoping this settles down after a couple more months, if it doesn't I think I'll try switching to another pill.

Pros: PMDD completely gone Didn't bleed for 3 months as didn't have a break and no spotting at all Felt happier in general Stabilised my moods Increased cup size-- went from a C to a DD in 2 months Cons: Breast tenderness and pain was horrific for the first 8 weeks Increased weight significantly in 3 months Completely lost sex drive and found sex disgusting Heart palpitations Constipation Constant hunger Heart burn that lasted for around 2 weeks on second pack If I could have stayed on this pill forever, I would have. Yes, there were side effects but they were nothing compared to the horrific time I go through every month of my cycle anyway. The only reason I stopped is because I have a condition called POTS, and it turns out oestrogen makes it worse! I was running packs back to back and I was so happy being able to have a stable mood and feel less depressed. But in the end the heart palpitations that were exascerbated by my condition were enough to make it worse. I did have weight gain on this pill as well, and having stopped 3 days ago, I've dropped almost half the weight I put on already, so I was definitely retaining a lot. All in all, yes there are side effects, but I'm more sad about having to stop it than I was about them in the first place.

I used to be on this for years before having my two children and so I went back on but I’ve decided to come back off and try the copper coil instead of hormonal contraception. I remember when I came off I felt like I’d come back to life, as though I’d sort of been numbed when I was on it. I’d been on various types of hormonal contraception for over 20 years so I don’t think I’d noticed it happening to me over time until I came off. But having now had a few years off contraception altogether going back on I can really feel it this time. I had been losing my baby weight but that stopped when I started the pill again, I suspect it’s bloating and water rather than actual body fat. My sex drive has plummeted to basically nothing and I just don’t feel like me.

I came off the combined pill around 4 years ago after trying many different pills and never quite feeling myself/having terrible clots in my periods on breaks. I'd been told by drs it was the only way to have safe sex from pregnancy and felt i had no choice. The good old fashioned pull out method has been my best friend ever since! Once i spoke to a very wise nurse who told me that i could try the natural cycle way or rely on pull out cleverly. Now i want to say that this isn't for everyone. I have been in a healthy long term relationship with someone i trust and with whom we communicate during all aspects of sex. Because of this we have been able to have all kinds of sex (including penetrative) without any pregnancy scares. My partner is a cis man and i a cis women, and the secret is FULL COMMUNICATION. If he is close to cuming he stops (NEVER ACTUALLY RELY ON PULLING OUT AS YOU CUM NO NO). It's about calming things down on his end when he thinks he'll climax. that means pulling out and moving to oral etc for a while before going again. Normlly this means i get a whole lotta love while he calms down so BONUS!! POSITIVES - I often cum first as it means i always get to cum as he can keep going and we are not relying on one way to have sex. I feel myself! We are more experimental and go on for longer. Its about trust so things feel more intimate, it has led to better communication and much better forplay. This means i cum more often. Knowing my own cycle and getting to know how my body and hormones work. Having sex slowly and sensually, with my pleasure and his both being taken into account due to the fact you can't just have full penetrative sex without thinking. NEGATIVES- he obvs can't cum in me. he doesnt personally feel sad about that. When finally he can't be in me anymore he has to cum using other ways to finish. It means it can be a bit stop and start (personally i think this is fun). You do have to be more careful. THIS IS DEFINITELY FOR PEOPLE WHO KNOW THEIR SEXUAL PARTNER WELL. ITS ABOUT TRUST. You can't just bang it out like in the movies haha! I do pregnancy tetss every 3 months just in case pre cum has snuck in (it's very unlikely this gets you pregnant especially if your partner is aware of this. but worth thinking about) Overall, Chefs Kiss - but i do sometimes miss he cumming inside me ! BUT WON'T GO BACK

Only used it on occasion and normally alongside another form of contraception. I don't really recommend it as it feel risky

The withdrawal method is really not for everyone. But me and my partner prefer to not use male condoms and I use my Flo app to track my ovulation and period which helps me gauge when is the best time to use this method. As I’m not trying to fall pregnant again right now, and I don’t really want to use any hormonal contraceptives, this method has definitely worked for me but can only work if your willing to take control with family planning.

I’ve gained a lot of weight

With the male condom, it was fine, however I didn’t like using flavoured ones as they gave me more thrush than usual

I'm not pregnant so definitely doing something right! It is not my fave method, I would only recommend this if you: 1. trust the person you are with and you know they will pull out 2. both you and your partner have been tested for sti's before sleeping together 3. you are able to check if you are ovulating or not 4. use another form of contraception with this, such as the morning after pill, I personally don't use this as my sole method of contraception.

I've been using this method for about 15 years. I don't have children and have never been pregnant. The only downside is it's supposed low reliability, but it's been working for me. I tried the combined pill at the beginning of my relationship, for a year or two, but it didn't agree with me. By that time our relationship felt pretty stable, so we switched to withdrawal method. Although I never wanted children, for many years I just accepted the possibility of a surprise baby. I thought if it happened then it was meant to be. There are no side effects, and my partner is happy with this method also. Now that I'm in my mid 40s I'm less accepting of the possibility of an accidental pregnancy, and I do sometimes get a bit anxious over this. So I also started tracking my cycle on an app, so I can avoid the fertile days. But my cycle has gotten shorter, so I don't even know if I have any fertile days anymore. For years we've used the method without tracking the cycle, and it still worked though. Recently for a short time I tried the POP desogestrel, that I got for heavy periods. I was kind of looking forward to using this reliable contraception, but unfortunately I got really bad mood swings, so I'm back to this method again.

Came off the pill after using for 11 years and wanted to be hormonal contraceptive free so we decide on pull out method as if got pregnant would be happy accident. Been using for 12 months and completely successful reliable contraception for us.

Quite a risky method that I wouldn't recommend. I use this method on-and-off (sometimes using condoms instead) as I don't want to use hormonal contraception and I had a terrible experience with the IUD. I have never gotten pregnant from this method. But having very irregular periods means this method causes considerable stress at the end of each month when my period is inevitably late. Even after getting a negative pregnancy test I'll still convince myself I'm pregnant. Not very fun!

Used after 6 years of implant to allow my cycles to ‘go back to normal’. Continued to use for 3+ years, however this is not a form of contraception on its own only alongside other forms. After an unplanned pregnancy due to not using this alongside another method I will be seeking a more formal contraception method to ensure this does not happen again.