Withdrawal or pull out method vs Combined pill

Need help choosing? Speak to a doctor
Withdrawal or pull out method

Add your withdrawal or pull out method review

Combined pill

£From £0.16/day

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

2806 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

56% no impact on mood

63% no change

75% no impact

88% no impact

88% no impact on skin

Cycle return

50% in 1 month

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

43% improved skin

Cycle return

36% don’t know impact

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

Try it now

Add your withdrawal or pull out method review

Try it now

£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Withdrawal or pull out method reviews

16 reviews

Withdrawal or pull out method  
Used for 6 - 12 mo
29 years old
🇬🇧 UK
  •  16th Aug 26

Withdrawal or pull out method  

I got pregnant after 10 months

Read more

Increased sex drive

0 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
29 years old
🇬🇧 UK
  •  7th Jun 26

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 3 - 5 yr
Lowdown user
🇬🇧 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

4 helpful

0 comments

Withdrawal or pull out method  
Used for 6 - 12 mo
29 years old
🇬🇧 UK
  •  16th Aug 26

Withdrawal or pull out method  

I got pregnant after 10 months


Increased sex drive

0 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
29 years old
🇬🇧 UK
  •  7th Jun 26

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 3 - 5 yr
Lowdown user
🇬🇧 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

4 helpful

0 comments


Combined pill reviews

2806 reviews

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  1 week ago

Qlaira pill  

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

Combined pill  
Used for 6 - 12 mo
37 years old
🇬🇧 UK
  •  2 weeks ago

Drovelis pill  

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

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

Millinette 30/75 pill  

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

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  1 week ago

Qlaira pill  

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

Combined pill  
Used for 6 - 12 mo
37 years old
🇬🇧 UK
  •  2 weeks ago

Drovelis pill  

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

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

Millinette 30/75 pill  

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

Combined pill  
Used for 3 - 6 mo
37 years old
🇬🇧 UK
  •  3 weeks ago

Microgynon 30 pill  

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

Combined pill  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  1 month ago

Rigevidon  

After having not been on any birth control for two years, I went to my GP to get a prescription for a new bc. I had previously been on Yasmin for 9 years but due to getting recurrent minor thrush, I was wondering if a different pill could avoid that side effect. They prescribed me Rigedevon and my god, I can’t believe how awful it was. My skin that very rarely breaks out became covered in acne, my mood went through the floor and I felt miserable about everything. My GP had suggested me to stick the pill out for two months but I never had any side effects even close to being this bad on Yasmin, I’ve stopped it after one month. NEVER AGAIN


Very negative mood

2 more effects

0 helpful

1 comments

Combined pill  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  1 month ago

Yasmin pill  

This pill was amazing for my skin, it looked amazing and as a result I also had less greasy hair! I was on it for many years but went off as I no longer needed birth control. One side effect I found annoying was I seemed to get recurrent thrush, even when I was abstinent. This completely went away when I was off the pill. Aside from that, this pill was pretty good


Improved skin

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  1 month ago

Yasmin pill  

I was on yasmin for 3 years, my first pill when i was freshly 16 and it was PERFECT. My skin cleared, breasts got bigger, i had a slightly heavier period but nothing over the top. I then came off it for 4 months before deciding i wanted to start again. This is where the issues started, I did 4 months and was genuinely evil, i felt like i was 13 again. I’m not a crier and i was bawling over absolutely everything, almost tantrum level crying. I was lashing out at everyone, and was just overall a mess. My skin also started breaking out badly, and i’ve now had to swap to a new pill(millinette)


Very negative mood

2 more effects

1 helpful

1 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  1 month ago

Gedarel 20/150 pill  

After my bad experience with a different pill, the doctors put me onto a lower dose in August and felt fine, now it’s September (my 2nd month) and it didn’t come until a couple of days, but I feel fatigued during the day and exhausted.


Improved skin

1 helpful

1 comments

Combined pill  
Used for 1 - 3 mo
17 years old
🇬🇧 UK
  •  5th Sep 26

Rigevidon  

Ive been on rigivedon for about 21 days now my first packet so still quite early on. However I’ve been experiencing lower back ache which has been going on and off for a while and it is getting me down I have booked a GP appointment incase it’s something more serious or to change pill. I can see 1 in 3 women experience back ache on this pill so I am quite sure it’s this.i think I have also felt quite down within myself and my gums have been more tender and sensitive.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
29 years old
🇬🇧 UK
  •  31st Aug 26

Rigevidon  

I was on Rigevidon when I was 20, switched to mini-pill then the coil. I asked to go back on Rigevidon because it worked for me the last time. Cut to 29, I am miserable. My main side effects are - Extreme fatigue Nausea Mood swings / irritability Not feeling myself Brain fog Low sex drive Skin worsen Headaches Tender and swollen breasts I am at the GP tomorrow to be asked to change to a different kind of hormone and smaller dose. The nausea and tiredness I cannot take anymore.


Somewhat negative mood

3 more effects

0 helpful

1 comments

Contraceptive alternatives and comparisons

Compare the Withdrawal or pull out method with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown, a Vira Health company

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them