Withdrawal or pull out method vs Fertility awareness methods (FAM)

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Withdrawal or pull out method

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Fertility awareness methods (FAM)

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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 4.3

151 reviews

Daily

Frequency

92% - 98%

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.

Fertility awareness methods (FAM) ingredients

Fertility awareness methods is an umbrella term for a method of contraception that works by being able to identify when in the menstrual cycle you are fertile through a range of factors.

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

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

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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

  •  Still using

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

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Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
25 years old
🇬🇧 UK
  •  22nd Feb 24

  •  Stopped using

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

  •  Still using

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

  •  Still using

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


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
25 years old
🇬🇧 UK
  •  22nd Feb 24

  •  Stopped using

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

  •  Still using

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


Fertility awareness methods (FAM) reviews

151 reviews

Used for 6 - 12 mo
28 years old
🇬🇧 UK
  •  today

  •  Still using

I’ve been using the Natural Cycles app with the Oura Ring for about 6 months now, and it has been the best thing I’ve ever done! No side effects and I’ve never felt so informed about my body. I love that the app also informs my partner of when green/red days begin, so the contraceptive burden is on him too (in that he doesn’t have to ask me what type of day it is - we both know, which is nice). For peace of mind, I used the Oura ring for an initial period of three months to let the Natural Cycles app gather data on my basal temperature, whilst using condoms as a contraceptive. Then, when I felt confident that the app had a few months of data (and I was familiar with my own patterns/regular cycles), my partner and I reduced condom use to red days only. We have had zero pregnancy scares in 6 months, and using this as contraception has vastly improved our sex life. I’d honestly recommend it to anyone who is looking to escape hormonal contraceptives. The Oura Ring is expensive, but there’s no way I could remember to take my temperature every morning otherwise (and no way am I setting my alarm every morning… Sundays are for sleeping in!), so I’d recommend buying one if you do plan to use this as a long-term contraceptive and don’t want to be chained to the digital thermometer/same wake-up time every day.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  5 days ago

  •  Still using

I have used Natural Cycles for years now (alongside condoms when ovulating) and love using a non-hormonal method. I used to get side effects from the combined pill and mini pill so I have seen an improvement since coming off those. The data aspect of recording your temperature and seeing the patterns of my cycle is something I find really interesting. Plus the reminders of ovulation/upcoming period/breast checks are always helpful. I know myself and my body better since tracking my cycles.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
34 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

The Natural Cycles algorithm does not work to accurately track ovulation and therefore prevent pregnancy. Evidence based FAM/symptothermal methods use a '2 check method' including temperature and cervical fluid patterns. Natural Cycles only tracks your body temperature. After using for a few months I noticed my safe/green days changed after the date. So I had (what I thought was) safe unprotected sex in the non-fertile window, but then by the end of that cycle those days had changed to red/not safe. Surprise surprise, I got pregnant and had to arrange a termination. Since stopping this I have started using fertility awareness methods successfully for 4+yrs. Natural Cycles is just too risky without a 2 check method, and basing it on an algorithm.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
28 years old
🇬🇧 UK
  •  today

  •  Still using

I’ve been using the Natural Cycles app with the Oura Ring for about 6 months now, and it has been the best thing I’ve ever done! No side effects and I’ve never felt so informed about my body. I love that the app also informs my partner of when green/red days begin, so the contraceptive burden is on him too (in that he doesn’t have to ask me what type of day it is - we both know, which is nice). For peace of mind, I used the Oura ring for an initial period of three months to let the Natural Cycles app gather data on my basal temperature, whilst using condoms as a contraceptive. Then, when I felt confident that the app had a few months of data (and I was familiar with my own patterns/regular cycles), my partner and I reduced condom use to red days only. We have had zero pregnancy scares in 6 months, and using this as contraception has vastly improved our sex life. I’d honestly recommend it to anyone who is looking to escape hormonal contraceptives. The Oura Ring is expensive, but there’s no way I could remember to take my temperature every morning otherwise (and no way am I setting my alarm every morning… Sundays are for sleeping in!), so I’d recommend buying one if you do plan to use this as a long-term contraceptive and don’t want to be chained to the digital thermometer/same wake-up time every day.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  5 days ago

  •  Still using

I have used Natural Cycles for years now (alongside condoms when ovulating) and love using a non-hormonal method. I used to get side effects from the combined pill and mini pill so I have seen an improvement since coming off those. The data aspect of recording your temperature and seeing the patterns of my cycle is something I find really interesting. Plus the reminders of ovulation/upcoming period/breast checks are always helpful. I know myself and my body better since tracking my cycles.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
34 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

The Natural Cycles algorithm does not work to accurately track ovulation and therefore prevent pregnancy. Evidence based FAM/symptothermal methods use a '2 check method' including temperature and cervical fluid patterns. Natural Cycles only tracks your body temperature. After using for a few months I noticed my safe/green days changed after the date. So I had (what I thought was) safe unprotected sex in the non-fertile window, but then by the end of that cycle those days had changed to red/not safe. Surprise surprise, I got pregnant and had to arrange a termination. Since stopping this I have started using fertility awareness methods successfully for 4+yrs. Natural Cycles is just too risky without a 2 check method, and basing it on an algorithm.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
34 years old
🇬🇧 UK
  •  6 days ago

  •  Stopped using

I loved using Natural Cycles as it let my body just be itself. It was very effective for four and a half years…until I unexpectedly got pregnant! I will fully admit though we would occasionally take risks on early red days, and we know where we went wrong the month I became pregnant (travelling with time and environment changes led to confusing temperature readings coupled with not using enough caution). The only downsides of NC for me were needing to be on a predictable routine for morning thermometer readings (may be challenging for those travelling a lot or on shift work) and we had to use condoms or abstain during ovulation - which is of course the peak time for when you want some action! Overall though I would recommend it and will probably resume using it once our sleep schedule normalises with our beloved new baby. Having been on the pill and using a copper iud for years, it’s just hard to beat having zero side effects and letting your body do its own thing.


Top side effects not reported

0 helpful

1 comments

Used for 3 - 5 yr
25 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

Absolutely brilliant - after being on hormonal contraception this has been like a breath of fresh air. Natural cycles works so brilliant for me and I’ve never felt so in touch with my body and emotions. Genuinely lifechanging - if the you meet the criteria for this (regular periods, fairly routine lifestyle) then I could not recommend it more.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  22nd Feb 24

  •  Stopped using

I didn't really do this properly and only used it here and there! So I am definitely not an expert on this, but if you have regular periods and are organised I can see why this may be beneficial! Especially as no hormones


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  7th Feb 24

  •  Still using

Started using Natural Cycles after having my first baby. I exclusively breastfeed and my first few periods after giving birth were all over the place. Tracking using the app just gave me a bit more info on my body and how long I was going between cycles etc. I’m just over a year post partum now and periods have returned to normal and I put knowing that down to the app. Baby still wakes a bit in the night so it can be a bit difficult to know exactly when to measure my temperature but the app has some helpful articles on this. Overall, love that it’s hormone free and that I can see helpful information on my cycle in an eat to use app! If considering, try finding a friend or someone with a referral code to get a discount on app subscription x


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
26 years old
🇬🇧 UK
  •  27th Jan 24

  •  Stopped using

After bragging about the natural cycles for a while, and following it religiously, checked everyday, noted everything, I fell pregnant twice. I was someone who was super regular as well, so the app knew my cycle very well. I thought the first was an outlier then it happened again. Stress, exercise or changes in the normal routine can change your natural cycle, so the app can’t see what’s going on inside your body. So, this method is great if you’re not worried about falling accidentally pregnant and having a baby. If not, use contraception.


Top side effects not reported

1 helpful

0 comments

Used for 12 - 18 mo
26 years old
🇬🇧 UK
  •  11th Jan 24

  •  Still using

I LOVED this app, it was truly the best option as someone with a medical condition hormonal contraception was not possible and the side effects of others seemed too problematic. However after 13 months of bragging about how great my experience has been with the app I fell pregnant. This was devastating as I followed the app religiously and was an outcome I did not want. I even think I know what green days caused this as around my 10month in it began to green light the day after my period had ended, which was new. Having trusted the app so far I began having unprotected sex on these green days after my period not long before the pregnancy. Since this has happened I have research further and I believe this app is not being investigate enough and it’s far less efficient than we are led to believe. Despite of this I am still using the app however ,we now use condoms even for most of the green days as I feel I cannot trust it. I am seeking alternatives but with my medical background it is slim pickings. My take away- there are no side effects accept the very real possibility of getting pregnant. If you see any ad on Instagram rn it is swamped with comments with women having got pregnant from the app and I suspect those of us who had to have an abortion have kept quiet. I wanted this to be a true alternative to all the havoc other forms of contraception cause but have been let down in the worst way.


Top side effects not reported

1 helpful

0 comments

Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  8th Dec 23

  •  Still using

I am so pleased to find this after years of side effects from other contraceptives. Doing this method takes work- ovulation testing and I use an oura ring to accurately measure temperature. I wouldn’t recommend this for someone who doesn’t understand how it works, doesn’t understand their body or does not have restraint to use barrier contraception or abstain during red periods. It really works for me and I’ll be using it for the foreseeable.


Top side effects not reported

0 helpful

0 comments

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