Copper coil (IUD) vs Withdrawal or pull out method

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Copper coil (IUD)

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Withdrawal or pull out method

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Overview

Rated 3.5

598 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

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

Copper coil (IUD) ingredients

Most copper coils are made of a T-shaped frame of polyethylene (plastic) and barium sulphate. Copper wire is wound around the vertical arm.

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

54% no impact on mood

69% heavier periods

63% no impact

75% no impact

75% no impact on skin

Cycle return

44% in 1 month

57% no impact on mood

71% no change

86% no impact

93% no impact

86% no impact on skin

Cycle return

100% in 1 month

Benefits: What this contraceptive can help with

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

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

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Check out our latest reviews

Real life reviews from people like you

Copper coil (IUD) reviews

598 reviews

Copper coil (IUD)  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  1 day ago

Copper coil (IUD)  

The IUD fitting itself was less bad than I expected, uncomfortable and a bit painful but not worse than period cramps. However, about half an hour or so after, I got quite intense cramping pain and almost fainted from it on the way home. The post-insertion pain settled after a few days. With the IUD, my periods were quite a bit heavier than before but this improved a bit after 6 months or so. With the IUD, I also got spotting between periods for a few days each month (possibly related to ovulation). Also, since having the IUD fitted, I started getting recurring sharp stabbing pain, always in the same spot on the right side (roughly where my right ovaries are). This pain was worst during my period, sometimes making me feel close to passing out even though I was taking the maximum daily dose of ibuprofen (I later switched to mefenamic acid but that was not much better), and it was much worse than any period cramps I had ever had and felt more like someone is stabbing me than like a cramp. I also had this same right-sided stabbing pain randomly throughout my cycle. Moreover, I also started getting cramping pain during exercise (running) after I got the IUD. The right sided stabbing pain and the cramps during exercise maybe improved slightly over time, but were still bothering me quite a lot after 9 months of having the IUD. I had several checks done to make sure the IUD was still in the right place and to exclude any underlying disease that could be causing the pain, but nothing abnormal was found that would cause pain like this. The doctor said that they could not exclude that the pain might be from a hormonal condition (like endometriosis) that was masked by the hormonal contraception (progesterone only pill) that I was on before I got the IUD. In the end, I decided to have the IUD removed to see if that would get rid of the pain, both because I felt that the pain was not something I was happy to tolerate indefinitely, and because I thought it would be important to know if I have something like endometriosis and this is what is causing the pain, because in that case I would have considered going back on hormonal contraception to slow it's progression (I wasn't happy with the side effects I got from two different combined pills and three different progesterone only pills, which is why I switched to the copper IUD, so I didn't want to switch back to hormonal contraception unless absolutely necessary). After I had the IUD removed, the right sided stabbing pain immediately went away completely, but I got the cramping pain during running once since - it hasn't been long since I had the IUD removed so I am hoping that this will eventually disappear too.

Read more

Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 5 - 8 yr
35 years old
🇬🇧 UK
  •  4 days ago

Copper coil (IUD)  

The copper IUD was great, I had it fitted and then didn't have to worry about contraception. However, the initial insertion was painful and it did make my periods more heavy and painful. I had the coil replaced after 5 years but this coil came out on its own. I do use a menstrual cup and the coil came out in the cup, so this could have been down to user error on my part.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  22nd Jul 25

Copper coil (IUD)  

the inserction was painful and invasive, it had me feeling faint that day but come sugary drink helped. i enjoyed my time with it, but my period was much heavier and it led me to iron deficiency. i decided to take it out recently as i wanted to know how it was without anything and i was concered as to whether it was a healthy option for my uterus. when i got it removed i did feel a very positive feeling from not having it, but that could be that it was a concern on my mind for a while. but now im reconsidering having it inserted again since having no birth contol isnt a great option and i think i prefer iron deficiency than hormonal mood swings with a hormonal option.


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  1 day ago

Copper coil (IUD)  

The IUD fitting itself was less bad than I expected, uncomfortable and a bit painful but not worse than period cramps. However, about half an hour or so after, I got quite intense cramping pain and almost fainted from it on the way home. The post-insertion pain settled after a few days. With the IUD, my periods were quite a bit heavier than before but this improved a bit after 6 months or so. With the IUD, I also got spotting between periods for a few days each month (possibly related to ovulation). Also, since having the IUD fitted, I started getting recurring sharp stabbing pain, always in the same spot on the right side (roughly where my right ovaries are). This pain was worst during my period, sometimes making me feel close to passing out even though I was taking the maximum daily dose of ibuprofen (I later switched to mefenamic acid but that was not much better), and it was much worse than any period cramps I had ever had and felt more like someone is stabbing me than like a cramp. I also had this same right-sided stabbing pain randomly throughout my cycle. Moreover, I also started getting cramping pain during exercise (running) after I got the IUD. The right sided stabbing pain and the cramps during exercise maybe improved slightly over time, but were still bothering me quite a lot after 9 months of having the IUD. I had several checks done to make sure the IUD was still in the right place and to exclude any underlying disease that could be causing the pain, but nothing abnormal was found that would cause pain like this. The doctor said that they could not exclude that the pain might be from a hormonal condition (like endometriosis) that was masked by the hormonal contraception (progesterone only pill) that I was on before I got the IUD. In the end, I decided to have the IUD removed to see if that would get rid of the pain, both because I felt that the pain was not something I was happy to tolerate indefinitely, and because I thought it would be important to know if I have something like endometriosis and this is what is causing the pain, because in that case I would have considered going back on hormonal contraception to slow it's progression (I wasn't happy with the side effects I got from two different combined pills and three different progesterone only pills, which is why I switched to the copper IUD, so I didn't want to switch back to hormonal contraception unless absolutely necessary). After I had the IUD removed, the right sided stabbing pain immediately went away completely, but I got the cramping pain during running once since - it hasn't been long since I had the IUD removed so I am hoping that this will eventually disappear too.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 5 - 8 yr
35 years old
🇬🇧 UK
  •  4 days ago

Copper coil (IUD)  

The copper IUD was great, I had it fitted and then didn't have to worry about contraception. However, the initial insertion was painful and it did make my periods more heavy and painful. I had the coil replaced after 5 years but this coil came out on its own. I do use a menstrual cup and the coil came out in the cup, so this could have been down to user error on my part.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  22nd Jul 25

Copper coil (IUD)  

the inserction was painful and invasive, it had me feeling faint that day but come sugary drink helped. i enjoyed my time with it, but my period was much heavier and it led me to iron deficiency. i decided to take it out recently as i wanted to know how it was without anything and i was concered as to whether it was a healthy option for my uterus. when i got it removed i did feel a very positive feeling from not having it, but that could be that it was a concern on my mind for a while. but now im reconsidering having it inserted again since having no birth contol isnt a great option and i think i prefer iron deficiency than hormonal mood swings with a hormonal option.


Very positive mood

0 helpful

0 comments


Withdrawal or pull out method reviews

14 reviews

Withdrawal or pull out method  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  26th Mar 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  22nd Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  15th Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  26th Mar 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  22nd Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  15th Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  9th Feb 24

Withdrawal or pull out method  

I’ve gained a lot of weight


Somewhat negative mood

2 more effects

0 helpful

1 comments

Withdrawal or pull out method  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  8th Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  8th Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  7th Dec 23

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  29th Jul 23

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  27th Jul 23

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  21st Jun 23

Withdrawal or pull out method  

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

Contraceptive alternatives and comparisons

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