Withdrawal or pull out method vs Combined pill
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Overview
Rated 3.4
16 reviews
During or before sex
Frequency
80% - 96%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Rated 2.8
2811 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Withdrawal or pull out method ingredients
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
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£From £0.16/day
Check out our latest reviews
Real life reviews from people like you
Withdrawal or pull out method reviews
16 reviews
Used for 6 - 12 mo
29 years old
🇬🇧 UK
• 16th Aug 26
Increased sex drive
0 helpful
0 comments
Used for 8+ yr
29 years old
🇬🇧 UK
• 7th Jun 26
I had the implant for 8 years and it worked well. Took it out for 18 months and when I got it again I only tolerated it for two months due to severe mood impacts
Very negative mood
2 more effects
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
4 helpful
0 comments
Used for 6 - 12 mo
29 years old
🇬🇧 UK
• 16th Aug 26
Increased sex drive
0 helpful
0 comments
Used for 8+ yr
29 years old
🇬🇧 UK
• 7th Jun 26
I had the implant for 8 years and it worked well. Took it out for 18 months and when I got it again I only tolerated it for two months due to severe mood impacts
Very negative mood
2 more effects
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
4 helpful
0 comments
Combined pill reviews
2811 reviews
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• today
I really liked this pill - except i started getting migraines on the off pill days so I had to stop.. But it stopped my pms and it also made my hair thicken - had a lot less hair shedding while I was on it, which was nice as I have fine / thin hair.
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
39 years old
🇬🇧 UK
• 2 weeks ago
I felt it was very effective at preventing pregnancy because I lost almost all interest in sex and the few times we had sex, it was painful, I sometimes bled. I don’t know if the thrush was directly related or down to trying to sort the dryness with oestrogen cream and changing products. I didn’t have any other side effects but after 9 months I had to stop using this. I moved to a mini-pill and a month into using that my libido is improving as is the dryness - the last time we had sex it was almost pain free.
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇬🇧 UK
• 2 weeks ago
The first few months of this pill felt great, but at around 6 months I started getting breakthrough bleeding consistently (3/4 weeks a month). I don’t think it’s a good choice if you’ve been advised to skip the placebos/break as it feels like the withdrawal bleed is necessary. I also haven’t seen much improvement in cramps. My mood and anxiety have also gotten worse since taking this. It’s a shame that prednisone is used instead of another progesterone as this is known to have bad impacts on mood.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• today
I really liked this pill - except i started getting migraines on the off pill days so I had to stop.. But it stopped my pms and it also made my hair thicken - had a lot less hair shedding while I was on it, which was nice as I have fine / thin hair.
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
39 years old
🇬🇧 UK
• 2 weeks ago
I felt it was very effective at preventing pregnancy because I lost almost all interest in sex and the few times we had sex, it was painful, I sometimes bled. I don’t know if the thrush was directly related or down to trying to sort the dryness with oestrogen cream and changing products. I didn’t have any other side effects but after 9 months I had to stop using this. I moved to a mini-pill and a month into using that my libido is improving as is the dryness - the last time we had sex it was almost pain free.
Decreased sex drive
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇬🇧 UK
• 2 weeks ago
The first few months of this pill felt great, but at around 6 months I started getting breakthrough bleeding consistently (3/4 weeks a month). I don’t think it’s a good choice if you’ve been advised to skip the placebos/break as it feels like the withdrawal bleed is necessary. I also haven’t seen much improvement in cramps. My mood and anxiety have also gotten worse since taking this. It’s a shame that prednisone is used instead of another progesterone as this is known to have bad impacts on mood.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
40 years old
🇬🇧 UK
• 2 weeks ago
I was put on this pill by my GP to try and help with the PMDD I was experiencing on the second half of my cycle. I had previously been on Eloine for this which really helped but I can't have this any more due to adrenal insufficiency. Since starting Gedarel I feel like my mood is worse, I just feel flat all the time. I can't sleep, tired but wired. This definitely is not the right answer.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 12 - 18 mo
21 years old
🇬🇧 UK
• 1 month ago
I only stopped this method because I started getting migraines with aura, if this didnt happen I would've happily continued taking this method of birth control. when I did have breaks from it the 'periods' were light and minimal cramping, which was much better than what I had before. If I chose to have no breaks I had no periods or bleeding at all. there was a decrease in my libido which only really affected my initiation, as I wouldn't initiate sex myself but would still engage in it happily if my boyfriend initiated. however this was something we both noticed, I also stopped being as horny as I used to be so, which I didn't massively mind but it was definitely a change. this method did make me notice my migraine a lot more which is what led me to changing it however I did have these migraines previously. I did experience weight gain however I dont have the best diet so could be completely unrelated.
Improved skin
2 more effects
0 helpful
0 comments
Used for 8+ yr
29 years old
🇬🇧 UK
• 1 month ago
I was having very irregular, heavy, long periods to the point I became aneamic. This really helped bring it under control, it was great at first. With time I noticed I didn’t feel like myself, I couldn’t experience happiness like normal, I had put on weight, I was getting gut issues like reflux and sensitivity, my hair had thinned, my libido was gone and I was dry even when aroused. I stopped the pill and all these issues fixed themselves after about 6 months but now my periods are irregular again.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 30th Sep 26
Switched from Yasmin to Qlaira safe to say i’m going back to Yasmin. I have been on Qlaira for about a month, it was fine up until i realised near the end of the pack I began feeling extremely “crazy” and depressed, my emotions were too much and extreme like an emotional rollercoaster, I also noticed so much of my hair shedding, it made my hair thin, avoid if you don’t want to risk your hair falling out and if you want to keep your sanity.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
37 years old
🇬🇧 UK
• 29th Sep 26
No major side effects that I can think of. Its the only pill that did not make me feel irritated for the whole 28 days after having my two babies.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
21 years old
🇬🇧 UK
• 25th Sep 26
I absolutely love this pill! It’s honestly the best one I’ve ever been on. I experienced very mild, temporary changes at the start which passed quickly - nothing troublesome at all. And best of all my moods haven’t changed like they have on previous combined pills I’ve tried, which is life changing. My withdrawal bleeds are regular and predictable which is a bonus. Overall, my experience has been really positive :)
Very positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
37 years old
🇬🇧 UK
• 17th Sep 26
Painful sex painful vagina, pain when peeing, constipation, no sex drive, low mood, achey legs, insomnia, generally felt rubbish
Worse skin
2 more effects
0 helpful
0 comments

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