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
2496 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
28 years old
🇬🇧 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
0 helpful
0 comments
Used for 8+ yr
25 years old
🇬🇧 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
28 years old
🇬🇧 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
28 years old
🇬🇧 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
0 helpful
0 comments
Used for 8+ yr
25 years old
🇬🇧 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
28 years old
🇬🇧 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
2496 reviews
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 1 day ago
Apart from the vaginal dryness and loss of sex drive, i’m happy with this pill as it did not have any really negative side effects for me, plus it grew my breasts which i liked.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 2 days ago
I was only on this for 2 weeks because my anxiety was sky high. I had panic attacks so bad my chest hurt and I couldn't breathe. At the time, I had nothing to worry about in my life. It is scary because if I had taken Marvelon during the time I was severely depressed, then this pill might've sent me over the edge. GP said it wasn't the pill. However, a few days after stopping Marvelon, the anxiety and panic attacks disappeared. It was definitely Marvelon.
Very negative mood
0 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 3 days ago
main thing for me was the super low sex drive. filling this out, interested to also see sweating a lot as an option. As I do sweat a lot, very easily so very interested (and hope) that is a side effect as looking to change/come off.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 1 day ago
Apart from the vaginal dryness and loss of sex drive, i’m happy with this pill as it did not have any really negative side effects for me, plus it grew my breasts which i liked.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
28 years old
🇬🇧 UK
• 2 days ago
I was only on this for 2 weeks because my anxiety was sky high. I had panic attacks so bad my chest hurt and I couldn't breathe. At the time, I had nothing to worry about in my life. It is scary because if I had taken Marvelon during the time I was severely depressed, then this pill might've sent me over the edge. GP said it wasn't the pill. However, a few days after stopping Marvelon, the anxiety and panic attacks disappeared. It was definitely Marvelon.
Very negative mood
0 helpful
0 comments
Used for 12 - 18 mo
27 years old
🇬🇧 UK
• 3 days ago
main thing for me was the super low sex drive. filling this out, interested to also see sweating a lot as an option. As I do sweat a lot, very easily so very interested (and hope) that is a side effect as looking to change/come off.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 6 days ago
I am using microgynon to manage endometriosis. Before starting I was having significant pain, nausea, and depression due to the pain. I am taking this pill without breaks, so not having periods is really helping reduce my endo symptoms. I have had a lot of mood problems with other pills, but if anything my mood is slightly better. I think it was just that my endo pain was so bad it was making me feel really low. I am still having some breakthrough bleeding with this pill, but much less than other pills.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
18 years old
🇬🇧 UK
• 2 weeks ago
No real bad side effects although I would say it’s given me more of a low mood but nothing too serious. No weight gain at all and sex drive still the same.
Somewhat negative mood
0 helpful
0 comments
Used for 6 - 12 mo
33 years old
🇬🇧 UK
• 2 weeks ago
I was prescribed this by a gynecologist to treat PMDD. It has worked amazingly, my mood has been very stable since I started it 10 months ago. My symptoms are gone, my energy levels are normal, I’ve been more patient with the kids. The only issues are hair loss when I started (which sorted itself out after a few months), low sex drive (but it was low any way). The only issue is the slight clotting risk due to oestrogen, it fills me with fear. It is supposed to be lower than other combined pills but due to my age and other risk factors it concerns me. I am considering trying Slynd to see if it has a similar effect, but I’d happily go back to this if need be. A very good pill!
Very positive mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 3 weeks ago
To be honest I’ve been on this before, but I took packets back to back so I wouldn’t get a period which worked, but now months later I’ve started it again, because my cycle was irregular from August due to plan b usage, and I now bleed on my pill free break, it gives me a sense of reassurance I’m not sexually active anyways it’s been like that for a month now, but atleast I know my cycle is more regular, only thing I would say is around day 4 of me being on the pill free break aka my first day of bleeding I experienced cramps and very bad breast pain PMS syndromes but it went down and it went from heavy bleeding to light bleeding.
Somewhat positive mood
1 helpful
0 comments
Used for 6 - 12 mo
18 years old
🇬🇧 UK
• 3 weeks ago
I initially wanted a pill that would help decrease my light acne, address mood swings, and alleviate awful cramps. I also hated using pads as it made my skin irritated. In the first month, it was all fine; shortly after, my acne was pretty much gone with just a few pimples left at the end of the month due to PMS. My period almost stopped completely, and my cramps were significantly lowered. After 2 months of usage, I noticed a pattern: 3 weeks with constant anxiety and depression, and then in the fourth week, I felt normal, a few days before the end of the pills. It proceeded to be this way for 5 months. Then I started to feel nauseous, and my awful cramps were back, alongside the increased breakthrough bleeding. I'm now trying to find a combined pill that meets my needs and doesn't give me severe anxiety and depression for 3 weeks of the month. My advice is: if you are like me and naturally have long PMS, I don't recommend this pill. I've tried other birth control pills before, but none were worse than this one. My doctor said it happened due to the fact that Qlaira tries to imitate the natural flow by altering the hormone quantity throughout the month, and keeps up the promise, but when you naturally have bad mood swings, it is not a good thing.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
• 3 weeks ago
I swapped to Yasmin after trying so many and I felt like I’d struck gold! My skin improved loads (but must also note was under a dermatologist as well) but my skin has continued to be really clear My mood is a lot better provided I run the packets back to back - do find my mood plummets whenever I have a 7 day break but only do this once every 3-6 months I do get headaches but unclear if it coincides with Yasmin but GP is requesting I stop due to this however I’m reluctant due to have good this pill has been!
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 5 - 8 yr
21 years old
🇬🇧 UK
• 3 weeks ago
I have been on the combined pill for over 5 years now. I went on it at 16 and I am now 21 years old, whilst I have been on it it’s served me well no horrific side effects. However, over the years my sex drive has got worse and worse and I feel unless I’m on my pill break my mind doesn’t feel clear. I am scared to come off it as I do not know what other best alternative but I think I may change to the copper coil to natural cycles to let my body have a natural cycle. I just feel forcing your body to not ovulate cannot be good for it, I need my natural cycle back for peace of mind.
Somewhat negative mood
2 more effects
0 helpful
0 comments
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