Withdrawal or pull out method vs Combined pill

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Withdrawal or pull out method

Want to switch contraception?

Combined pill

£From £0.16/day

Overview

Rated 3.6

14 reviews

During or before sex

Frequency

80% - 96%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2367 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

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.

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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Real life reviews from people like you

Withdrawal or pull out method reviews

14 reviews

Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  26th Mar 24

  •  Still using

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

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Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
25 years old
🇬🇧 UK
  •  22nd Feb 24

  •  Stopped using

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

Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  15th Feb 24

  •  Still using

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

Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  26th Mar 24

  •  Still using

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


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
25 years old
🇬🇧 UK
  •  22nd Feb 24

  •  Stopped using

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

Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  15th Feb 24

  •  Still using

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


Combined pill reviews

2367 reviews

Used for 18 mo - 3 yr
43 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I generally felt great with this pill. No mood changes and lost weight but unfortunately I had vaginal dryness which lead to regular thrush infections. I took a break from Yaz and the thrush infections stopped. I've just swapped to Zoely to see if this suits me better.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
37 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I tried Drovelis to attempt to manage PMDD (severe mood drop on top of existing depression) and PCOS. After 5+ months, my sense is that it was absolutely helping with PMDD. I aimed to take it continuously to minimise any mood drop' and did so for 3 months at first. Unfortunately, I just would not stop bleeding - it was more than 'spotting', enough to get through 3-4 tampons a day, every day. Then I tried 2 months of allowing a break between active pills to see if encouraging a 'period' would reduce the breakthrough bleeding, but to no avail. I didn't even used to suffer heavy periods, so I'm genuinely gutted I couldn't seem to settle and stop bleeding on this, as it was great for my PMDD and had no other negative side effects (beyond breast tenderness and temporary breast enlargement in month 1-2). Doctor's advice was if it hadn't settled by almost 6 months, best to try something else (so now I'm starting Yasmin).


Top side effects not reported

0 helpful

1 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

Been taking yacella for 6 months after not being on any contraception in years due to fears of side effects. Previously been on Loestrin 20 and Rigevidon both of which gave me horrible cystic acne and low mood. Dr recommended yacella as it has anti-androgenic progesterone and I have mild PCOS. So far it has been pretty good! I think my mood is unaffected, skin is great, sex drive unaffected. I have had some slight weight gain in more 'womanly' areas but nothing crazy. My breasts definitely have grown a lot and for the first few months they were quite sore but this has reduced to mild tenderness now. I do experience pain, especially lower back/pelvic, and am emotional during my 7 day break, however I suffered a lot with cramps prior to taking the pill so this is still an improvement for me. Would recommend, especially for anyone with hormonal imbalances like me.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
43 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I generally felt great with this pill. No mood changes and lost weight but unfortunately I had vaginal dryness which lead to regular thrush infections. I took a break from Yaz and the thrush infections stopped. I've just swapped to Zoely to see if this suits me better.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
37 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I tried Drovelis to attempt to manage PMDD (severe mood drop on top of existing depression) and PCOS. After 5+ months, my sense is that it was absolutely helping with PMDD. I aimed to take it continuously to minimise any mood drop' and did so for 3 months at first. Unfortunately, I just would not stop bleeding - it was more than 'spotting', enough to get through 3-4 tampons a day, every day. Then I tried 2 months of allowing a break between active pills to see if encouraging a 'period' would reduce the breakthrough bleeding, but to no avail. I didn't even used to suffer heavy periods, so I'm genuinely gutted I couldn't seem to settle and stop bleeding on this, as it was great for my PMDD and had no other negative side effects (beyond breast tenderness and temporary breast enlargement in month 1-2). Doctor's advice was if it hadn't settled by almost 6 months, best to try something else (so now I'm starting Yasmin).


Top side effects not reported

0 helpful

1 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

Been taking yacella for 6 months after not being on any contraception in years due to fears of side effects. Previously been on Loestrin 20 and Rigevidon both of which gave me horrible cystic acne and low mood. Dr recommended yacella as it has anti-androgenic progesterone and I have mild PCOS. So far it has been pretty good! I think my mood is unaffected, skin is great, sex drive unaffected. I have had some slight weight gain in more 'womanly' areas but nothing crazy. My breasts definitely have grown a lot and for the first few months they were quite sore but this has reduced to mild tenderness now. I do experience pain, especially lower back/pelvic, and am emotional during my 7 day break, however I suffered a lot with cramps prior to taking the pill so this is still an improvement for me. Would recommend, especially for anyone with hormonal imbalances like me.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

Having been on this pill for a year, I noticed that I hadn't felt like myself for a while. I found myself with persistently lower moods. Even during times of joy, the feeling felt dampened. This is the primary reason I decided to stop taking this pill; no contraception is worth losing yourself to! I am still in the early stages of being off this pill, but I feel relieved to have made the choice. It did make my withdrawal bleeds ("periods") very light. However, I do also think it completely suppressed my libido. I (being naive) thought that being on a low dosage pill, I might have fewer symptoms, but it just hasn't worked for me. I just wish there were more non-hormonal options out there.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
24 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I was prescribed this pill as I struggled to gain weight therefore, I didn’t have a regular period. I never had any awful experiences with this pill other than after 3 years I started to experience reoccurring thrush. Once it was treated it usually went away until recently, I have been experiencing thrush almost every month always during the week before my break. It has become unbearable leading me to change to a different lower dose birth control instead.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

This pill had a severe negative effect on my mental health. Physically I felt better as it alleviated PCOS symptoms but worsened my depression.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
24 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

I don't like being menopause at 20's


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
43 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Yasmin was the best pill for me. I have PCOS and it completely took care of my symptoms like acne. I also had very stable mood and positive mental state with this pill. My periods were light and I used to skip them 3 packets in a row and have only maybe 4 withdrawal bleeds per year. When I tried to extend it to 4 packs, I would often start to get light spotting so I think 3 packs non-stop was optimal for me.


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
43 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

I'm 43 and was suggested Qlaira because it has a supposedly more safe estrogen component. I've always had slightly elevated sensitive CRP and during the use of Qlaira it did drop to nothing so that was a positive finding. I had no bloating or weight gain. I would get breakthru bleeding on the active pills usually a week before my actual withdrawal bleed, which would last approx. 5 days. So all in all I was bleeding approx 12 days per month. And because you can*t skip the placebo pills on Qlaira, I found it was too much bleeding days compared to non-bleeding days. Another major side effect and the reason I wanted to stop using Qlaira was complete loss of libido. I felt almost repulsed by the idea of sex and I had trouble getting aroused. Altho my natural libido is quite low to begin with, Qlaira took it to completely new levels of zero. Hence why I stopped it after 6 months.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

I have been taking the Eloine pill for 10 months now and it has been pretty good. Not much has really changed for me which is great. My periods are the same (if not lighter) , my skin has stayed clear and I haven’t lost or gained any weight. The only thing I have noticed a change in since taking Eloine is a slight increase in anxiety and being more emotional than I used to be. However, these aren’t too extreme and are manageable. Overall i’m very happy with the Eloine pill 😊


Top side effects not reported

0 helpful

0 comments

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