Withdrawal or pull out method vs Combined pill
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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
2676 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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Real life reviews from people like you
Withdrawal or pull out method reviews
14 reviews
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
3 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 22nd Feb 24
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
Lowdown user
🇬🇧 UK
• 15th Feb 24
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
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
3 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 22nd Feb 24
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
Lowdown user
🇬🇧 UK
• 15th Feb 24
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
2676 reviews
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• today
I am 26. Have been on yasmin pill 7 months, I take in the evening just after food. I have PCOS and PMDD. I have found it to be good- it has really stabilised my mood as im not getting hormone fluctuations and has helped with insomnia and mood swings. The side effects: Breasts getting bigger [they might be slightly tender but also have large breasts to begin] and potentially more anxious/irritable but I also have more stress in my life so I think this is due to that. I have not noticed changes to skin [pimple every so often like before]. I also do 3 pill packs back to back without a break week and this caused some intermittent bleeding so now I do 2 pills back to back and this has gone away. I would recommend, once you get into the rhythm of taking a pill is easier.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 2 days ago
I was on marvelon for 5 years and it really worked for me. Unfortunately I developed severe migraines in my pill free week so I had to stop taking it. But it was the best pill I ever tried.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 4 days ago
This pill gave me severe emotional dysregulation (notably anger) to the point it almost felt like a fever dream. Granted, I only used it for a month, but that's because I genuinely couldn't tolerate it and had never experienced anything similar on other pills. I was angry to the point of having rage-inducing nightmares and feeling provoked by most harmless interactions. It also made me stress and ruminate a lot more. Frankly, I think it is appalling that such medication is deemed fit for use - which generally circles back to the issue of dismissal in women's healthcare. It was an absolute nightmare, and no one should have to tolerate going through that even if it does "get better eventually." To provide some perspective, the contraceptive pill in men's trials was shut down simply because it caused headaches. So why should we put up with symptoms that are a million times worse? Echoing other reviewers, I'd rather switch to a brand that doesn't come with the hassle (though ideally, the whole industry needs to fix up). Why this is the most commonly prescribed brand in the UK is beyond me.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• today
I am 26. Have been on yasmin pill 7 months, I take in the evening just after food. I have PCOS and PMDD. I have found it to be good- it has really stabilised my mood as im not getting hormone fluctuations and has helped with insomnia and mood swings. The side effects: Breasts getting bigger [they might be slightly tender but also have large breasts to begin] and potentially more anxious/irritable but I also have more stress in my life so I think this is due to that. I have not noticed changes to skin [pimple every so often like before]. I also do 3 pill packs back to back without a break week and this caused some intermittent bleeding so now I do 2 pills back to back and this has gone away. I would recommend, once you get into the rhythm of taking a pill is easier.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 2 days ago
I was on marvelon for 5 years and it really worked for me. Unfortunately I developed severe migraines in my pill free week so I had to stop taking it. But it was the best pill I ever tried.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 4 days ago
This pill gave me severe emotional dysregulation (notably anger) to the point it almost felt like a fever dream. Granted, I only used it for a month, but that's because I genuinely couldn't tolerate it and had never experienced anything similar on other pills. I was angry to the point of having rage-inducing nightmares and feeling provoked by most harmless interactions. It also made me stress and ruminate a lot more. Frankly, I think it is appalling that such medication is deemed fit for use - which generally circles back to the issue of dismissal in women's healthcare. It was an absolute nightmare, and no one should have to tolerate going through that even if it does "get better eventually." To provide some perspective, the contraceptive pill in men's trials was shut down simply because it caused headaches. So why should we put up with symptoms that are a million times worse? Echoing other reviewers, I'd rather switch to a brand that doesn't come with the hassle (though ideally, the whole industry needs to fix up). Why this is the most commonly prescribed brand in the UK is beyond me.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
24 years old
🇬🇧 UK
• 4 days ago
I used this quite a while ago, I do not notably recall any mood-altering changes (hence why I rated "poor" instead of "terrible" to be fair, since every individual is different). But I will list below effects from when I was actively taking it and afterwards: - Heavier and more painful periods. I already struggle with painful periods, but while using Levest, they became unbearably painful (OTC barely helped, sweating, dizziness & nausea due to the pain). - I subtly started gaining more weight, despite no lifestyle or dietary changes. - I believe I had increased bodily hair growth. - After a period of heavy and painful periods, I eventually stopped having my period altogether, despite the 7 day break each month. When I stopped using it altogether, my cycle didn't resume. At one point, I didn't get my period for half a year until eventually being diagnosed with PCOS. However, Levest did not mask my symptoms during use either, it felt like it induced them (weight gain, hair growth, cycle dysregulation). I read another comment on here on hyperandrogenism concerns - and this symptom also relates to PCOS. While the issue of "pill-induced PCOS" is controversial and unconfirmed, it's still relatively acknowledged that those predisposed to the condition may find that using certain birth controls can induce it when otherwise dormant (especially progestin dominant ones, such as Levest). Synthetic progestin is often structured very similarly to androgens, hence why the body may register it as such. I heard that more recent brands have improved upon its configuration, so it's less similar - but from experience, I would say Levest hasn't quite got it yet.
Gained weight
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 1 week ago
Before I started contraception, I used to feel horribly sad around four days before I started my period. I knew it was my hormones making me feel this way, and I felt powerless. Since starting Levest, that has gone! My skin feels clearer too, I still get the occasional spot but they don’t seem to get as bad as they did before. I get tender breasts and light crawling around a week before going on my break week, which is similar to before, but now my breasts don’t get as painful. My periods now are more painful than they used to be on the first day, but the cramps are sorted quickly with a big breakfast and paracetamol, with no pain after the first day. They also come on the same day each cycle, are shorter than before, and tail off quicker. I also get a headache for a day or two during my break week - in the first couple of months of taking Levest, the headaches were almost unbearable, lasting a up to three days, but have got less painful and last a shorter amount of time as each month passed. On month seven, the headache was only mild and only lasted a day, which I’m counting as a win. My breasts seem to have got bigger, and I’ve put on about half a stone in six months - which is neither here nor there really, but I do feel like I’ve changed shape more than putting on weight? Some of my jeans no longer fit, but they did when I was a similar weight previously… I may try a tablet with a lower dose of oestrogen after this box of pills, to try to eliminate the headaches completely if they don’t go themselves, but they are nowhere near as bad as they were at the start.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 8+ yr
25 years old
🇬🇧 UK
• 2 weeks ago
Reduced my period pains massively. I used to get really really bad period pains before I got put on this pill, once I was put on it, I still got pains but nowhere near as bad as they were.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
15 years old
🇬🇧 UK
• 2 weeks ago
I have been on this pill for about 2 months and already have had a far better experience then I had on my pervious on.How ever the only think I have really noticed a difference is my appetite has increased quite a bit .surprisingly I was preparing myself for my sex drive to completely change and lose it all but it has actually been somewhat the same
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
24 years old
🇬🇧 UK
• 2 weeks ago
Overall a good experience. Main side effects were becoming more irritable and increased body odour
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
23 years old
🇬🇧 UK
• 2 weeks ago
It is great overall, but I spot every month on days 14-19 like clockwork. I like the pill so I am hesitant to switch.
Improved skin
0 helpful
0 comments
Used for 5 - 8 yr
27 years old
🇬🇧 UK
• 2 weeks ago
I’ve been on this pill for many years. As a positive side effect, it helped with my acne, which makes sense as I used to have high testosterone levels. However, over the past few years I’ve started getting night sweats during the break week and noticed an increase in my blood pressure.
Improved skin
0 helpful
0 comments
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