Combined pill vs Withdrawal or pull out method
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Overview
Rated 2.8
2692 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.6
14 reviews
During or before sex
Frequency
80% - 96%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
Withdrawal or pull out method ingredients
What Lowdown reviewers say
Benefits: What this contraceptive 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 contraceptive
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Real life reviews from people like you
Combined pill reviews
2692 reviews
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 2 days ago
So I was prescribed the yasmin pill for my PCOS after being on desogestrel since I was about 14 for my periods. I’ve always had really really irregular periods, and bled very heavily. They would last for 2 weeks roughly and sometimes id have two in one month. In my particular case, I was told to take yasmin continuously, so all 3 packets in a row and then stop for a 7 day break, and start a new box. This has worked well for me i think (baring in mind i’ve only just started my 2nd box). At the beginning I had severe nausea, not to the point of throwing up but it was there constantly all day. I started taking the pill just before bed, so 11pm- midnight roughly and that seemed to help with the nausea. That was the side effect that has affected me the most, and since restarting after my 7 day break I am still experiencing nausea. I’m just praying it goes away after 1-2 weeks like it did before. Aside from that, my sex drive historically has been really high. I was down to do it whenever, and no issues whatsoever. Since being on yasmin, i literally could not think of ANYTHING worse than having sex with my partner. (it is nothing to do with him!!) I just have absolutely 0 sex drive, I can’t even get horny unless i really stick with it- so that’s been another big issue for me. I have also had quite bad acne since I was in school, and i’ve always struggled with it especially on my chin, forehead and back. I haven’t noticed a change in my acne yet but praying yasmin is able to clear some of it up! In terms of my PCOS management aswell, yasmin has made my first period during my 7 day break incredibly light, I hardly needed to wear a pad at all. I had cramps but nowhere near as bad as they used to be and it also seemed to completely stop around the 4 day mark out of 7. So if i’m being completely honest, my experience on yasmin so far has been okay- i’m struggling with the nausea and low sex drive but hoping as the weeks/ months go on my body will adapt to the hormones and i’ll be back to normal. If anyone out there is struggling with severe irregular periods and pcos symptoms I would recommend giving it a try and sticking it out for atleast 6 months to 1 year. for me personally my periods are so much easier to deal with, and i will do an update in a few months time to see if my skin and other side effects have cleared!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 4 days ago
This pill severely increased my anxiety levels, I constantly felt like I was in a haze and I couldn’t regulate my emotions- I was constantly crying and overthinking every little thing. I lost my sex drive and was scared to socialise. I had intrusive thoughts that made me worry even more and I just wanted to stay at home all of the time, I was on the border of spiralling into depression. The first month was okay, I didn’t notice any symptoms and it did the job fine, but soon after the symptoms started to kick in. I gained weight which made me feel increasingly insecure and I had a larger than normal appetite.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 6 days ago
This is the first pill I’ve been on and after being so scared to start it, I’ve generally had quite a good experience. The first few weeks were quite rough, really bad headache, moodiness and nausea but this went away with time. I used to find I’d have a bit of nausea when starting the pill after the 7 day break but I shorted this to 4 days and had helped immensely! My periods are so regular and really light with way less cramping, my periods only last about 3/4 days now when they used to be over a week. I haven’t had any weight gain or changes to my libido. Overall it’s been quite good to me, my only issue is I’ve definitely become a lot moodier - still nothing crazy but not quite like how I used to be. I also can’t tell if my anxiety has worsened or if that’s just coincidental. I’m thinking of trying a different pill to see if my mood improves but nervous incase I get other side effects that I haven’t on this! My only other complaint is hair loss, I didn’t even know this was linked until I read this page and saw one of the hormones might cause this. Didn’t have any issues at the start but in the last few months I’ve been noticing a lot more hair coming out in the shower and am now wondering if this is linked.
Somewhat negative mood
0 helpful
0 comments
Used for 3 - 6 mo
22 years old
🇬🇧 UK
• 2 days ago
So I was prescribed the yasmin pill for my PCOS after being on desogestrel since I was about 14 for my periods. I’ve always had really really irregular periods, and bled very heavily. They would last for 2 weeks roughly and sometimes id have two in one month. In my particular case, I was told to take yasmin continuously, so all 3 packets in a row and then stop for a 7 day break, and start a new box. This has worked well for me i think (baring in mind i’ve only just started my 2nd box). At the beginning I had severe nausea, not to the point of throwing up but it was there constantly all day. I started taking the pill just before bed, so 11pm- midnight roughly and that seemed to help with the nausea. That was the side effect that has affected me the most, and since restarting after my 7 day break I am still experiencing nausea. I’m just praying it goes away after 1-2 weeks like it did before. Aside from that, my sex drive historically has been really high. I was down to do it whenever, and no issues whatsoever. Since being on yasmin, i literally could not think of ANYTHING worse than having sex with my partner. (it is nothing to do with him!!) I just have absolutely 0 sex drive, I can’t even get horny unless i really stick with it- so that’s been another big issue for me. I have also had quite bad acne since I was in school, and i’ve always struggled with it especially on my chin, forehead and back. I haven’t noticed a change in my acne yet but praying yasmin is able to clear some of it up! In terms of my PCOS management aswell, yasmin has made my first period during my 7 day break incredibly light, I hardly needed to wear a pad at all. I had cramps but nowhere near as bad as they used to be and it also seemed to completely stop around the 4 day mark out of 7. So if i’m being completely honest, my experience on yasmin so far has been okay- i’m struggling with the nausea and low sex drive but hoping as the weeks/ months go on my body will adapt to the hormones and i’ll be back to normal. If anyone out there is struggling with severe irregular periods and pcos symptoms I would recommend giving it a try and sticking it out for atleast 6 months to 1 year. for me personally my periods are so much easier to deal with, and i will do an update in a few months time to see if my skin and other side effects have cleared!
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
16 years old
🇬🇧 UK
• 4 days ago
This pill severely increased my anxiety levels, I constantly felt like I was in a haze and I couldn’t regulate my emotions- I was constantly crying and overthinking every little thing. I lost my sex drive and was scared to socialise. I had intrusive thoughts that made me worry even more and I just wanted to stay at home all of the time, I was on the border of spiralling into depression. The first month was okay, I didn’t notice any symptoms and it did the job fine, but soon after the symptoms started to kick in. I gained weight which made me feel increasingly insecure and I had a larger than normal appetite.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 6 days ago
This is the first pill I’ve been on and after being so scared to start it, I’ve generally had quite a good experience. The first few weeks were quite rough, really bad headache, moodiness and nausea but this went away with time. I used to find I’d have a bit of nausea when starting the pill after the 7 day break but I shorted this to 4 days and had helped immensely! My periods are so regular and really light with way less cramping, my periods only last about 3/4 days now when they used to be over a week. I haven’t had any weight gain or changes to my libido. Overall it’s been quite good to me, my only issue is I’ve definitely become a lot moodier - still nothing crazy but not quite like how I used to be. I also can’t tell if my anxiety has worsened or if that’s just coincidental. I’m thinking of trying a different pill to see if my mood improves but nervous incase I get other side effects that I haven’t on this! My only other complaint is hair loss, I didn’t even know this was linked until I read this page and saw one of the hormones might cause this. Didn’t have any issues at the start but in the last few months I’ve been noticing a lot more hair coming out in the shower and am now wondering if this is linked.
Somewhat negative mood
0 helpful
0 comments
Withdrawal or pull out method reviews
14 reviews
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 26th Mar 24
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
Very positive mood
3 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 22nd Feb 24
Only used it on occasion and normally alongside another form of contraception. I don't really recommend it as it feel risky
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 15th Feb 24
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.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 26th Mar 24
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
Very positive mood
3 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 22nd Feb 24
Only used it on occasion and normally alongside another form of contraception. I don't really recommend it as it feel risky
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 15th Feb 24
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.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 9th Feb 24
Somewhat negative mood
2 more effects
0 helpful
1 comments
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
• 8th Feb 24
With the male condom, it was fine, however I didn’t like using flavoured ones as they gave me more thrush than usual
Improved skin
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 8th Feb 24
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.
Top side effects not reported
1 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 7th Dec 23
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.
Somewhat positive mood
1 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 29th Jul 23
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.
Top side effects not reported
1 helpful
0 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
• 27th Jul 23
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!
Somewhat negative mood
0 helpful
1 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 21st Jun 23
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.
Top side effects not reported
1 helpful
0 comments
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