Injection vs Withdrawal or pull out method

Need help choosing? Speak to a doctor
Injection

Add your Injection review

Withdrawal or pull out method

Add your withdrawal or pull out method review

Overview

Rated 2.9

273 reviews

Every 2-3 months

Frequency

94% - 99+%

Effectiveness

None

Blood clot risk

Short term

Effect on fertility

Rated 3.6

14 reviews

During or before sex

Frequency

80% - 96%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Injection ingredients

Main hormones in Injection

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

32% somewhat negative

69% stopped periods

57% lost sex drive

49% gained weight

51% no impact on skin

Cycle return

41% 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

Endometriosis

Heavy periods

Period pain

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

Try it now

Add your Injection review

Try it now

Add your withdrawal or pull out method review

Check out our latest reviews

Real life reviews from people like you

Injection reviews

273 reviews

Injection  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  5 days ago

Depo-Provera injection  

I’ve had a really positive experience with depo. I was on it for around 4 years pre-covid, and have currently been using again for 18 months. Periods have completely stopped and I haven’t experienced side effects (my hair might be slightly thinner, but I’m not sure if I’d just never noticed I have thin hair). After stopping use the first time it did take many months for my periods to return. I’m only thinking about stopping taking it now with the recent studies on links to brain tumours.

Read more

Top side effects not reported

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  6 days ago

Depo-Provera injection  

I have really enjoyed not having periods and not having to remember my pill as I am very forgetful. I have gained an increased sex drive and I used to get cramps all the time and it stopped most of those. I rarely get migraines. Maybe one every two months. My only major issue was my hair loss. I’ve lost about 50% of my hair and now it’s brittle but after taking calcium supplements and changing my diet it’s a bit more normal. It could be unrelated but around the same time as I started the depo I also got Dyshidrotic eczema on my feet. What makes me think this could be related is I’m also very itchy on my hands, and legs since starting. I could just be getting older and I’ve had issues in the past with my hips but I’ve also pulled my back, and badly sprained my ankle and hip. This has only happened after starting the depo. After a year of being on it everything seems to have leveled out. All bad points above have now become less noticeable and I feel very comfortable. External issues are still an issue like being constantly interrogated like I don’t know what I’m doing in the nurses office as I take my depo every 10 weeks due to bleeding for the last 3 weeks of the cycle. They also seem to want you on the coil I’m not sure what that is about but it’s very annoying. Also depending on who is administering the shot you may feel basically no pain or a ton that could last for a few hours These side effects may not be for some but from my past personal issues I am happy with the contraceptive compared to others I’ve tried


Improved skin

1 more effect

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  1 month ago

Noristerat injection  

Since taking the injection I have experienced severe lower back pain. I sometimes struggle to sleep


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  5 days ago

Depo-Provera injection  

I’ve had a really positive experience with depo. I was on it for around 4 years pre-covid, and have currently been using again for 18 months. Periods have completely stopped and I haven’t experienced side effects (my hair might be slightly thinner, but I’m not sure if I’d just never noticed I have thin hair). After stopping use the first time it did take many months for my periods to return. I’m only thinking about stopping taking it now with the recent studies on links to brain tumours.


Top side effects not reported

0 helpful

0 comments

Injection  
Used for 18 mo - 3 yr
25 years old
🇬🇧 UK
  •  6 days ago

Depo-Provera injection  

I have really enjoyed not having periods and not having to remember my pill as I am very forgetful. I have gained an increased sex drive and I used to get cramps all the time and it stopped most of those. I rarely get migraines. Maybe one every two months. My only major issue was my hair loss. I’ve lost about 50% of my hair and now it’s brittle but after taking calcium supplements and changing my diet it’s a bit more normal. It could be unrelated but around the same time as I started the depo I also got Dyshidrotic eczema on my feet. What makes me think this could be related is I’m also very itchy on my hands, and legs since starting. I could just be getting older and I’ve had issues in the past with my hips but I’ve also pulled my back, and badly sprained my ankle and hip. This has only happened after starting the depo. After a year of being on it everything seems to have leveled out. All bad points above have now become less noticeable and I feel very comfortable. External issues are still an issue like being constantly interrogated like I don’t know what I’m doing in the nurses office as I take my depo every 10 weeks due to bleeding for the last 3 weeks of the cycle. They also seem to want you on the coil I’m not sure what that is about but it’s very annoying. Also depending on who is administering the shot you may feel basically no pain or a ton that could last for a few hours These side effects may not be for some but from my past personal issues I am happy with the contraceptive compared to others I’ve tried


Improved skin

1 more effect

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
35 years old
🇬🇧 UK
  •  1 month ago

Noristerat injection  

Since taking the injection I have experienced severe lower back pain. I sometimes struggle to sleep


Top side effects not reported

0 helpful

0 comments


Withdrawal or pull out method reviews

14 reviews

Withdrawal or pull out method  
Used for 3 - 5 yr
28 years old
🇬🇧 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
25 years old
🇬🇧 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
28 years old
🇬🇧 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
28 years old
🇬🇧 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
25 years old
🇬🇧 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
28 years old
🇬🇧 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
31 years old
🇬🇧 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
20 years old
🇬🇧 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
25 years old
🇬🇧 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
44 years old
🇬🇧 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
29 years old
🇬🇧 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
27 years old
🇬🇧 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
28 years old
🇬🇧 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

Compare the Injection with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them