Hormonal coil (IUS) vs Withdrawal or pull out method

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Hormonal coil (IUS)

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Withdrawal or pull out method

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Overview

Rated 3.5

815 reviews

Every 3-8 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

Hormonal coil (IUS) ingredients

Main hormones in Hormonal coil (IUS)

progestogen

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

43% no impact on mood

47% stopped periods

48% no impact

59% no impact

54% no impact on skin

Cycle return

31% don’t know impact

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

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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

Hormonal coil (IUS) reviews

815 reviews

Hormonal coil (IUS)  
Used for 5 - 8 yr
34 years old
🇬🇧 UK
  •  3 days ago

Mirena coil  

I had three Mirenas over the course of about 9 years. The first two were perfect, with no side effects and stopping my periods. For me the insertions and removals were fine. Maybe a 3 out of 10 pain wise and some mild cramps afterwards. Unfortunately I know that's not everyone's experience. After about 3.5 years of each Mirena, I got lots of breakthrough bleeding and my GP decided to change it early to prevent this. Unfortunately my third Mirena gave me unpredictable bleeding for months, which was affecting my life as I was always worried I'd bleed through clothes or during sex. I also kept getting recurrent thrush, which I'd not experienced before. For me another negative was that the strings always seemed to be really prominent and my boyfriend could feel them during sex. Overall a mixed experience - after years of hassle-free birth control I eventually changed to the POP due to the unpredictable bleeding I was getting with Mirena.

Read more

Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

I found that when I got it inserted I had a light, almost discharge like period for 3 months and then once that finally went, I started having irregular periods and and someone whose always had regular periods this was infuriating. The reason I went on was for period pain and I found the pills, both mini and progesterone only, made my mood drop in terms of I was always angry and anxious and my general body image went on a downward spiral. I had no issues with the mirena up until about 3 months ago when all of this started happening again. I’m hoping this will help for others in my situation


Somewhat negative mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

Never having to worry about condoms is such a great plus. I had a lot of pain in the first six months and three 11+ day periods. Afterwards, my periods have stopped totally and I only get the occasional cramp, akin to an ovulation cramp. My libido has decreased slightly and my breast have gotten bigger. Overall it’s been a great help in my sex life


Decreased sex drive

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 5 - 8 yr
34 years old
🇬🇧 UK
  •  3 days ago

Mirena coil  

I had three Mirenas over the course of about 9 years. The first two were perfect, with no side effects and stopping my periods. For me the insertions and removals were fine. Maybe a 3 out of 10 pain wise and some mild cramps afterwards. Unfortunately I know that's not everyone's experience. After about 3.5 years of each Mirena, I got lots of breakthrough bleeding and my GP decided to change it early to prevent this. Unfortunately my third Mirena gave me unpredictable bleeding for months, which was affecting my life as I was always worried I'd bleed through clothes or during sex. I also kept getting recurrent thrush, which I'd not experienced before. For me another negative was that the strings always seemed to be really prominent and my boyfriend could feel them during sex. Overall a mixed experience - after years of hassle-free birth control I eventually changed to the POP due to the unpredictable bleeding I was getting with Mirena.


Top side effects not reported

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Mirena coil  

I found that when I got it inserted I had a light, almost discharge like period for 3 months and then once that finally went, I started having irregular periods and and someone whose always had regular periods this was infuriating. The reason I went on was for period pain and I found the pills, both mini and progesterone only, made my mood drop in terms of I was always angry and anxious and my general body image went on a downward spiral. I had no issues with the mirena up until about 3 months ago when all of this started happening again. I’m hoping this will help for others in my situation


Somewhat negative mood

0 helpful

0 comments

Hormonal coil (IUS)  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  1 month ago

Mirena coil  

Never having to worry about condoms is such a great plus. I had a lot of pain in the first six months and three 11+ day periods. Afterwards, my periods have stopped totally and I only get the occasional cramp, akin to an ovulation cramp. My libido has decreased slightly and my breast have gotten bigger. Overall it’s been a great help in my sex life


Decreased sex drive

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

0 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

0 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

0 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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