Progestogen-only / Mini pill vs Withdrawal or pull out method

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Progestogen-only / Mini pill

£From £0.22/day

Withdrawal or pull out method

Want to switch contraception?

Overview

Rated 2.7

1298 reviews

Daily

Frequency

91% - 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

Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

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

43% stopped periods

50% lost sex drive

44% no impact

47% no impact on skin

Cycle return

38% 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

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

Progestogen-only / Mini pill reviews

1298 reviews

Progestogen-only / Mini pill  
Used for 3 - 6 mo
22 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

Started this pill as I had horrendous migraines on Rigevidon. Was excited to start the mini pill and to not have bleeds in between pills but was I wrong. The first 5 months I’ve had random bleeding- which I expected (but not for over a week straight) I’ve also been heavily dizzy, nauseous and have had 0 sex drive which has affected my relationship heavily.

Read more

Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1 month ago

Hana pill  

Hana has worked like a charm for me. I was a bit worried about starting it, as I had a horrendous experience with the combined pill, but my periods are heavy and painful, and I just couldn't stand it anymore. Not getting pregnant was a reason to start Hana, but I was mostly looking for period relief, and it really has delivered. At the beginning I had a few unusual periods - some shorter, some longer, and a bit irregular, but they were immediately lighter and less painful. After about 3 months, things had evened out, and now 2.5 years later, I can't even remember the last time I had a period, only that it lasted about a day or so and was so light I barely even needed a pad. My partner and I have had no pregnancy scares, and it works wonderfully for me. I think my mood is absolutely fine - it felt maybe a tiny bit flat at the beginning, but more because it was no longer fluctuating so much during my cycle. Now it's like I get to be at the end of the first week after my period, all the time. My main negative with starting Hana is that it really increased my appetite at the beginning - about 6 hours after taking it, I *had to* eat snacks. It felt impossible not to. This contributed to some weight gain, and while I've gotten used to the snack-attacks now and can manage them, I haven't been able to shift the weight, despite using methods of weight loss that have worked for me in the past. I can't say for sure if this is because Hana is making it harder for me to lose weight, or if it's just because I'm getting older. I am currently contemplating taking a break from Hana to see if I can lose the weight off it, but I'm reluctant to as it has had such a positive impact on my quality life. If you're also experiencing an increase in appetite, and want some advice, it really helped me to change the time I take Hana - I moved it to later, so that my craving hits much closer to dinner time, which is perfect. All in all, Hana has worked much better for me than I could've even hoped, and I would recommend trying it to see if it works for you.


Decreased sex drive

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  7th Aug 24

Cerelle pill  

I've only been on this pill for two months so there's a chance this may calm down after the full adjustment period, but the side effects have been interesting. Most notably, my cycle has gone from around 35 days to 13 days, and I have been having a period every other week. The first two periods gave me hope because they were significantly lighter - to the point where I was questioning whether or not I should even log it as a period - and painless. However, the next three periods I've had so far have been gradually getting heavier and I'm getting more cramping. It's weird though because, for most of my period it's still quite light, but on around the second or third day, I do have a few hours where it's quite heavy and crampy, then it subsides again and the rest is light. I had spotting between the first three periods but that's stopped now. Other than the annoying cycle changes, I had a constant lingering headache for the first two weeks, I'm getting more acne than usual, and some vaginal dryness before my period. I don't know if this is worth staying on as I'm only on the pill to manage my painful and heavy periods. Current plan is to finish my three months' supply and take it from there.


Somewhat negative mood

1 more effect

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
22 years old
🇬🇧 UK
  •  1 month ago

Desogestrel pill  

Started this pill as I had horrendous migraines on Rigevidon. Was excited to start the mini pill and to not have bleeds in between pills but was I wrong. The first 5 months I’ve had random bleeding- which I expected (but not for over a week straight) I’ve also been heavily dizzy, nauseous and have had 0 sex drive which has affected my relationship heavily.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1 month ago

Hana pill  

Hana has worked like a charm for me. I was a bit worried about starting it, as I had a horrendous experience with the combined pill, but my periods are heavy and painful, and I just couldn't stand it anymore. Not getting pregnant was a reason to start Hana, but I was mostly looking for period relief, and it really has delivered. At the beginning I had a few unusual periods - some shorter, some longer, and a bit irregular, but they were immediately lighter and less painful. After about 3 months, things had evened out, and now 2.5 years later, I can't even remember the last time I had a period, only that it lasted about a day or so and was so light I barely even needed a pad. My partner and I have had no pregnancy scares, and it works wonderfully for me. I think my mood is absolutely fine - it felt maybe a tiny bit flat at the beginning, but more because it was no longer fluctuating so much during my cycle. Now it's like I get to be at the end of the first week after my period, all the time. My main negative with starting Hana is that it really increased my appetite at the beginning - about 6 hours after taking it, I *had to* eat snacks. It felt impossible not to. This contributed to some weight gain, and while I've gotten used to the snack-attacks now and can manage them, I haven't been able to shift the weight, despite using methods of weight loss that have worked for me in the past. I can't say for sure if this is because Hana is making it harder for me to lose weight, or if it's just because I'm getting older. I am currently contemplating taking a break from Hana to see if I can lose the weight off it, but I'm reluctant to as it has had such a positive impact on my quality life. If you're also experiencing an increase in appetite, and want some advice, it really helped me to change the time I take Hana - I moved it to later, so that my craving hits much closer to dinner time, which is perfect. All in all, Hana has worked much better for me than I could've even hoped, and I would recommend trying it to see if it works for you.


Decreased sex drive

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
18 years old
🇬🇧 UK
  •  7th Aug 24

Cerelle pill  

I've only been on this pill for two months so there's a chance this may calm down after the full adjustment period, but the side effects have been interesting. Most notably, my cycle has gone from around 35 days to 13 days, and I have been having a period every other week. The first two periods gave me hope because they were significantly lighter - to the point where I was questioning whether or not I should even log it as a period - and painless. However, the next three periods I've had so far have been gradually getting heavier and I'm getting more cramping. It's weird though because, for most of my period it's still quite light, but on around the second or third day, I do have a few hours where it's quite heavy and crampy, then it subsides again and the rest is light. I had spotting between the first three periods but that's stopped now. Other than the annoying cycle changes, I had a constant lingering headache for the first two weeks, I'm getting more acne than usual, and some vaginal dryness before my period. I don't know if this is worth staying on as I'm only on the pill to manage my painful and heavy periods. Current plan is to finish my three months' supply and take it from there.


Somewhat negative mood

1 more effect

1 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

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