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
2652 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
2652 reviews
Used for 3 - 6 mo
31 years old
🇬🇧 UK
• 3 days ago
When I first started levest It gave me bad acne around my chin and enlarged breasts and a slight change in mood but after three months I have literally no side effects and my skin is starting to clear, in fact I’ve actually lost weight on it. This pill suits me more than others I have been on.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 3 days ago
I have PCOS and had been told this would be my best option after having tried between 6-8 other pills and patches over the last 5 years. The main concern was facial acne, body acne and lack of periods all of which this pill is incredible for. My skin has completely cleared despite taking around 2-3 months to do so, particularly stubborn back acne and periods are as they should be. However in the short time I’ve been taking this I’ve gained 4-5kg. My job is physical and I work out often so there’s not much I can put it to but the pill. Additionally I have had extreme hair loss, zero sex drive and very flatlined emotions. All in all a great pill for clearing skin though when it comes to other side effects I do think I will be stopping this once I run out.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
23 years old
🇬🇧 UK
• 4 days ago
I went on it for PMDD symptoms, and they completely went away! Also made me gain a cup size which I liked. First year I loved it, but after taking it long term with no breaks it kinda tanked my libido :/ overall though, pretty positive experience for birth control
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
31 years old
🇬🇧 UK
• 3 days ago
When I first started levest It gave me bad acne around my chin and enlarged breasts and a slight change in mood but after three months I have literally no side effects and my skin is starting to clear, in fact I’ve actually lost weight on it. This pill suits me more than others I have been on.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 3 days ago
I have PCOS and had been told this would be my best option after having tried between 6-8 other pills and patches over the last 5 years. The main concern was facial acne, body acne and lack of periods all of which this pill is incredible for. My skin has completely cleared despite taking around 2-3 months to do so, particularly stubborn back acne and periods are as they should be. However in the short time I’ve been taking this I’ve gained 4-5kg. My job is physical and I work out often so there’s not much I can put it to but the pill. Additionally I have had extreme hair loss, zero sex drive and very flatlined emotions. All in all a great pill for clearing skin though when it comes to other side effects I do think I will be stopping this once I run out.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
23 years old
🇬🇧 UK
• 4 days ago
I went on it for PMDD symptoms, and they completely went away! Also made me gain a cup size which I liked. First year I loved it, but after taking it long term with no breaks it kinda tanked my libido :/ overall though, pretty positive experience for birth control
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 1 week ago
I’ve had a pretty good experience with this pill. I went on my first pill at age 19 (Rigevidon) and I experienced quite a lot of nausea with it so got given Millinette 30/75. The nausea persisted and I felt sick almost every time I ate with no particular pattern, so they put me on Millinette 20/75 which has slightly less oestrogen. I have had a pretty good experience but at almost the 2 year mark of taking it, I have started to experience a lot of brain fog and almost feeling like a shell of myself! Sex drive is very low too as well as vaginal dryness and my first ever case of thrush. These however are the only side effects I’ve experienced now apart from some headaches when I have a pill break. I’m open to trying something new but don’t want to rock the boat as I haven’t had the worst experience. But that being said I do feel like it is affecting mine and my partner’s sex life. Could anyone advise me of another option that may help get my libido back on track?
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 2 weeks ago
Ever since I started using Ovreena I started feeling this thrush-like sensation down there. It was unbearable itchiness that came usually after showers/sexual intercourse and no I didn't have any visible changes to my skin other than mild swelling weirdly only the left side of my labia and clitoral area. I've taken all sorts of tests from STD's, vaginal infections to going to multiple gynaecologists and dermatologists. Nothing they diagnosed me with was adding up until I stopped the pill. One dermatologist that thought I might have Lichen Sclerosis (Though I had no visible changes to my skin or any of those symptoms other than the itching), she recommended to use Aqueous cream as a form of vaginal wash and a steroid topical cream on top of a thin layer of vaseline to the affected area with a higher dose of antihistamines for prescription. This helped me get rid of the symptoms to help me sleep and function during the night and throughout the day but when it wore off it came back. After I stopped taking Ovreena it took about a month for the itching to stop completely so long story short it started when I started taking the pill I had this issue and then after I stopped it went away. I hope this helps for anyone with similar symptoms.
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 3 weeks ago
Been taking for around 4 years, almost flawless except totally ruined any sex drive/libido and that sucks so bad. Great for skin though and regulating periods/lighter periods, which is why I went on it in the first place👍🏼
Improved skin
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
20 years old
🇬🇧 UK
• 3 weeks ago
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 3 weeks ago
This is my second month with this pill. In the first 2 weeks, I was constantly bloated and had small cramps in my stomach a few hours after taking it, also I was ALWAYS hungry, so I ended up gaining more than 5 pounds in that time. I changed to this pill in hopes of getting back some of my sex drive, which went nonexistent on Yasmin and Eloine, also I hoped it would improve my mood a bit, as I felt moody, anxious and depressed while taking the previous pills. It may have stabilised my mood a bit as I experience less intense PMS symptoms, but my overall mood is still low all the time, and it did not help with my libido either. Another downside for me is the heavy bleeding I get on the break, on the other pills I had very light periods, but now it is like a normal period with cramps and blood knots. I also get headaches in the pill break, which is unusual for me. I did not experience too much change regarding my skin, maybe a couple more spots but nothing crazy.
Worse skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇬🇧 UK
• 3 weeks ago
I’ve been using Lizinna for just over 8 months. Started taking due to my PMS symptoms so I take 3 packs back to back then a break. I notice around the 3rd pack my mood is impacted negatively, and I know it’s time for a break. I haven’t spotted using this pill, I don’t get as many spots and if I do they don’t last as long and my general mood is better than before. I have gained 1+ stone in weight in the 8 months of using this pill. I haven’t been moving significantly less or eating significantly more so there is no other change than starting this pill. It is effecting me quite a bit as it is sending my body image down the swanny. I guess the pros outweigh the cons (pardon the pun)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 1 month ago
My skin has got worse with this pill and I will be changing, however my mood has been a lot better.
Somewhat positive mood
1 more effect
0 helpful
0 comments

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