Withdrawal or pull out method vs Copper coil (IUD)

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

Add your withdrawal or pull out method review

Copper coil (IUD)

Add your Copper coil (IUD) review

Overview

Rated 3.6

14 reviews

During or before sex

Frequency

80% - 96%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.5

602 reviews

5 - 10 years

Frequency

Over 99%

Effectiveness

None

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.

Copper coil (IUD) ingredients

Most copper coils are made of a T-shaped frame of polyethylene (plastic) and barium sulphate. Copper wire is wound around the vertical arm.

What Lowdown reviewers say

57% no impact on mood

71% no change

86% no impact

93% no impact

86% no impact on skin

Cycle return

100% in 1 month

55% no impact on mood

69% heavier periods

63% no impact

75% no impact

74% no impact on skin

Cycle return

44% in 1 month

Benefits: What this contraceptive can help with

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

Try it now

Add your withdrawal or pull out method review

Try it now

Add your Copper coil (IUD) review

Check out our latest reviews

Real life reviews from people like you

Withdrawal or pull out method reviews

14 reviews

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

Read more

Very positive mood

3 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  22nd Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  15th Feb 24

Withdrawal or pull out method  

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

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

3 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  22nd Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  15th Feb 24

Withdrawal or pull out method  

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


Copper coil (IUD) reviews

602 reviews

Copper coil (IUD)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

I really had high hopes that the copper coil would work for me, as in theory it sounds great! However, after a long wait and several appointments later. I finally got the copper coil inserted. However… two weeks later, the coil had to be removed, as it had moved down from my uterus into my cervical canal. Which can happen and is apparently rare! I was just unlucky. Due to me never being pregnant or giving birth (according to the GP) insertion procedure without anaesthetic was super difficult and quite uncomfortable for me. Luckily the GP didn’t push and force her way through my cervix and stopped the procedure after struggling for a while. The GP then referred me to my local sexual health clinic, to have the procedure done there instead. As apparently they have more facilities available and can apply anaesthetic to your cervix, in these types of situations. When I finally had the procedure done, it was a positive experience, thanks to the anaesthetic!!! It did hurt a little. The pain felt like a sharp period cramp that came and went! I wouldn’t recommend the coil personally, as in my experience it was a faff to get done and then only to have it removed two weeks later! Also, with how easily the coil moved! And the procedure being slightly painful, even with anaesthetic. All of the above is not ideal!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 6 - 12 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

Insertion was incredibly painful. Was like a really bad first day of period that I had to take off work sick and take lots of painkillers for. Lasted about 24 hours then settled. Unfortunately cramps continued as coil had not settled properly and one of the arms got stuck in uterus wall so I had to have it removed. due to pain of initial insertion I did not want another one back in. HOWEVER SINCE GIVING BIRTH I had another coil fitted at 10 weeks post partum and could not feel a thing! I have the progesterone coil now and have not experienced any negative side effects, other than light bleeding for about 2 weeks after insertion.


Worse skin

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

I have previously been on the implant, the combined pill and the mini pill for many years and having to come off each for different reasons. I decided to go with the copper coil as coming off hormonal birth control it had felt so good to have my natural cycle back, but I’m not yet ready to have kids. Insertion: I went for a ten year one. The woman was lovely and talked me through the whole thing. It was painful - I won’t sugarcoat that - but it lasted only a few seconds. I had cramping and some bleeding for the next few days (had to use pads not tampons), but nothing too bad. After: I was really happy with my decision and most of the time forgot it was even there. It hasn’t affected sex at all. I will be really honest that my first period (and to a lesser extent my second) were really painful - much worse than normal and they do last a day or so longer. However now I’m 3/4 months in and they’ve returned back to normal on pain levels (just slightly longer as mentioned). I am back to ovulating normally (as I wasn’t when I was on hormonal contraception) and am feeling really happy with my decision to get the copper coil! It was very much worth the initial pain and a few painful periods for me. I like that I can now decide to just take it out if/when I want to have kids.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

I really had high hopes that the copper coil would work for me, as in theory it sounds great! However, after a long wait and several appointments later. I finally got the copper coil inserted. However… two weeks later, the coil had to be removed, as it had moved down from my uterus into my cervical canal. Which can happen and is apparently rare! I was just unlucky. Due to me never being pregnant or giving birth (according to the GP) insertion procedure without anaesthetic was super difficult and quite uncomfortable for me. Luckily the GP didn’t push and force her way through my cervix and stopped the procedure after struggling for a while. The GP then referred me to my local sexual health clinic, to have the procedure done there instead. As apparently they have more facilities available and can apply anaesthetic to your cervix, in these types of situations. When I finally had the procedure done, it was a positive experience, thanks to the anaesthetic!!! It did hurt a little. The pain felt like a sharp period cramp that came and went! I wouldn’t recommend the coil personally, as in my experience it was a faff to get done and then only to have it removed two weeks later! Also, with how easily the coil moved! And the procedure being slightly painful, even with anaesthetic. All of the above is not ideal!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Copper coil (IUD)  
Used for 6 - 12 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

Insertion was incredibly painful. Was like a really bad first day of period that I had to take off work sick and take lots of painkillers for. Lasted about 24 hours then settled. Unfortunately cramps continued as coil had not settled properly and one of the arms got stuck in uterus wall so I had to have it removed. due to pain of initial insertion I did not want another one back in. HOWEVER SINCE GIVING BIRTH I had another coil fitted at 10 weeks post partum and could not feel a thing! I have the progesterone coil now and have not experienced any negative side effects, other than light bleeding for about 2 weeks after insertion.


Worse skin

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

Copper coil (IUD)  

I have previously been on the implant, the combined pill and the mini pill for many years and having to come off each for different reasons. I decided to go with the copper coil as coming off hormonal birth control it had felt so good to have my natural cycle back, but I’m not yet ready to have kids. Insertion: I went for a ten year one. The woman was lovely and talked me through the whole thing. It was painful - I won’t sugarcoat that - but it lasted only a few seconds. I had cramping and some bleeding for the next few days (had to use pads not tampons), but nothing too bad. After: I was really happy with my decision and most of the time forgot it was even there. It hasn’t affected sex at all. I will be really honest that my first period (and to a lesser extent my second) were really painful - much worse than normal and they do last a day or so longer. However now I’m 3/4 months in and they’ve returned back to normal on pain levels (just slightly longer as mentioned). I am back to ovulating normally (as I wasn’t when I was on hormonal contraception) and am feeling really happy with my decision to get the copper coil! It was very much worth the initial pain and a few painful periods for me. I like that I can now decide to just take it out if/when I want to have kids.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  3 weeks ago

Copper coil (IUD)  

I got the copper IUD after 4 years of different hormonal pills as wanted to stop being on hormones. The fitting procedure went well, the doctor was reassuring and I had local anaesthetic so it was only a little uncomfortable. However the cramps afterwards were horrific - I was on the floor in tears with how much pain I was in. Painkillers and heat pads did nothing. This lasted a couple days then thing started to settle down until the cramps turned into a stabbing pain. Returned to the doctors, they initially said my symptoms were normal then checked my vitals before diagnosing me with a pelvic infection or Pelvic Inflammatory Disease (PID). I was on 2 antibiotics for a fortnight. The pain lingered but gradually got better after a month. I have just finished my second period off the pill. My period returned after 35 days of stopping the pill which was my old usual cycle. My period isn’t any longer than it used to be but I’d say it’s a bit heavier and more painful but definitely manageable. My moods have been so much better and predictable. My skin has gotten slightly worse as expected coming off the combined pill which helped my skin, but flare ups match up to my period so I don’t mind. I got the 10 year IUD but I don’t think I’d get another due to the worry of getting another infection but I am happy with it at last.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 6 - 12 mo
30 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

The IUD fitting itself was less bad than I expected, uncomfortable and a bit painful but not worse than period cramps. However, about half an hour or so after, I got quite intense cramping pain and almost fainted from it on the way home. The post-insertion pain settled after a few days. With the IUD, my periods were quite a bit heavier than before but this improved a bit after 6 months or so. With the IUD, I also got spotting between periods for a few days each month (possibly related to ovulation). Also, since having the IUD fitted, I started getting recurring sharp stabbing pain, always in the same spot on the right side (roughly where my right ovaries are). This pain was worst during my period, sometimes making me feel close to passing out even though I was taking the maximum daily dose of ibuprofen (I later switched to mefenamic acid but that was not much better), and it was much worse than any period cramps I had ever had and felt more like someone is stabbing me than like a cramp. I also had this same right-sided stabbing pain randomly throughout my cycle. Moreover, I also started getting cramping pain during exercise (running) after I got the IUD. The right sided stabbing pain and the cramps during exercise maybe improved slightly over time, but were still bothering me quite a lot after 9 months of having the IUD. I had several checks done to make sure the IUD was still in the right place and to exclude any underlying disease that could be causing the pain, but nothing abnormal was found that would cause pain like this. The doctor said that they could not exclude that the pain might be from a hormonal condition (like endometriosis) that was masked by the hormonal contraception (progesterone only pill) that I was on before I got the IUD. In the end, I decided to have the IUD removed to see if that would get rid of the pain, both because I felt that the pain was not something I was happy to tolerate indefinitely, and because I thought it would be important to know if I have something like endometriosis and this is what is causing the pain, because in that case I would have considered going back on hormonal contraception to slow it's progression (I wasn't happy with the side effects I got from two different combined pills and three different progesterone only pills, which is why I switched to the copper IUD, so I didn't want to switch back to hormonal contraception unless absolutely necessary). After I had the IUD removed, the right sided stabbing pain immediately went away completely, but I got the cramping pain during running once since - it hasn't been long since I had the IUD removed so I am hoping that this will eventually disappear too.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 5 - 8 yr
35 years old
🇬🇧 UK
  •  1 month ago

Copper coil (IUD)  

The copper IUD was great, I had it fitted and then didn't have to worry about contraception. However, the initial insertion was painful and it did make my periods more heavy and painful. I had the coil replaced after 5 years but this coil came out on its own. I do use a menstrual cup and the coil came out in the cup, so this could have been down to user error on my part.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  22nd Jul 25

Copper coil (IUD)  

the inserction was painful and invasive, it had me feeling faint that day but come sugary drink helped. i enjoyed my time with it, but my period was much heavier and it led me to iron deficiency. i decided to take it out recently as i wanted to know how it was without anything and i was concered as to whether it was a healthy option for my uterus. when i got it removed i did feel a very positive feeling from not having it, but that could be that it was a concern on my mind for a while. but now im reconsidering having it inserted again since having no birth contol isnt a great option and i think i prefer iron deficiency than hormonal mood swings with a hormonal option.


Very positive mood

0 helpful

0 comments

Copper coil (IUD)  
Used for 8+ yr
35 years old
🇬🇧 UK
  •  13th Jun 25

Copper coil (IUD)  

My experience of the copper IUD is mixed, even if overall positive. I first got it as emergency contraception after my first sexual experience, and was not properly offered any pain relief. The pain was excruciating and slightly traumatic, but also as I wasn't used to things going inside my vagina either. However it served me perfectly for 5 years, and no hormones and side effects from those. When it was time for renewal I was prepared emotionally and knew what pain relief to ask for. The procedure itself was quick and felt very empowering. They offered me the 10 year one which was slightly bigger and I thought it was no big deal. I was in constant low level pain and discomfort with it, and periods became excruciating. I got it switched back to a 5 year one and this cleared up. Again. the procedure was fairly quick as I knew my body and had good pain relief. My last one suited me fine up until around 2020, when the combination of the stress from the pandemic and using an expired lube gave me recurring yeast infections that lasted at least a year. I then discovered that it had slipped and so got it removed, deciding to switch to Fertility Awareness Method. After that, the recurring yeast infections stopped.


Top side effects not reported

0 helpful

0 comments

Copper coil (IUD)  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  8th Jun 25

Copper coil (IUD)  

Personally, I would never get another coil again. The reason for 2 stars is I actually had the copper coil inserted in 2018 and it was okay but I had it removed in 2021 after asking for it to be removed for over a year. My periods were heavier as expected, but I also had thrush every month, BV multiple times and it just became so uncomfortable dealing with this constantly. I had the copper coil again this year (march 2025) and it was awful. The insertion this time took an hour compared to the 10 minutes last time. I was in so much pain I was heaving, I have had three babies and this was worse than birthing a child. They finally got it in and I ended up with a mild infection probably due to how long and how many attempts it took. A week later it started to settle down 🤞🏼 however almost three months later and I'm having it removed next week. I don't know if it's misplaced (they will be checking this first) but I feel it 'stabbing' me randomly every day. I will be walking and suddenly stop and feel like it's stabbing me or trying to come out, but I can still feel the strings. On two occasions it's hurts me during sex which is a red flag. My periods are 10-12 days long and I'm getting through a pack of pads every 1-2 days, plus the thrush is back again. I was offered a replacement however I have declined and I am currently trying to decide which combined pill may be best for me, tho I am nervous about going on the pill now!


Top side effects not reported

0 helpful

1 comments

Copper coil (IUD)  
Used for 18 mo - 3 yr
27 years old
🇬🇧 UK
  •  2nd Jun 25

Copper coil (IUD)  

I was having heavier periods


Top side effects not reported

0 helpful

0 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 Footer

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