Withdrawal or pull out method vs Hormonal coil (IUS)
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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 3.5
785 reviews
Every 3-8 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Withdrawal or pull out method ingredients
Hormonal coil (IUS) ingredients
Main hormones in Hormonal coil (IUS)
progestogen
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
Adenomyosis
Endometriosis
Heavy periods
Menopause
Period pain
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Check out our latest reviews
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
Hormonal coil (IUS) reviews
785 reviews
Used for 5 - 8 yr
24 years old
🇬🇧 UK
• 4 days ago
After having a bad experience with the Nexplanon implant (very low mood) I decided to try the Jaydess coil as recommended by my doctor. Insertion is very painful as expected but the taking out is fine, I am currently coming to the end of my second coil so I'm swapping to the Mirena for a longer lifespan but I have loved this coil - I had some painful cramps for about 3 months at the beginning of the first coil but after about 6 months everything settled down. I've had no periods, no mood changes, no weight gain, my skin hasn't been great but it has improved recently and I wouldn't confidently say this was down to the coil anyway, more likely lifestyle choices.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
25 years old
🇬🇧 UK
• 5 days ago
Kyleena was good within the first 2 years that I had it, but I think that when the hormones start depleting that new side effects occur. Better than any other options I had, and insertion wasn’t painful as the healthcare provider used LA during. Looking at either swapping it out for a new Kyleena or to swap out for the copper coil as I’m now suffering extreme bloating and acne 3.5years after insertion. Hope this helps.
Worse skin
0 helpful
0 comments
Used for 12 - 18 mo
28 years old
🇬🇧 UK
• 2 weeks ago
Kept me from becoming pregnant but at a very high cost... Extreme cramps throughout the month, even after removing the original coil (it was seen to be in the wrong place via ultrasound) and replaced with new one. Pain actually got worse as time went on, after about 8 months I had to get it out as the cramps were debilitating and extreme. I also had a migraine for the first time in my life, and often experienced dizziness and nausea. I also had a patch of recurring thrush infections which was hard to get over as it was so stubborn. The only positive sides were the reduction in bleeding/periods and lack of pregnancy. I will never use a coil again.
Somewhat negative mood
2 more effects
0 helpful
1 comments
Used for 5 - 8 yr
24 years old
🇬🇧 UK
• 4 days ago
After having a bad experience with the Nexplanon implant (very low mood) I decided to try the Jaydess coil as recommended by my doctor. Insertion is very painful as expected but the taking out is fine, I am currently coming to the end of my second coil so I'm swapping to the Mirena for a longer lifespan but I have loved this coil - I had some painful cramps for about 3 months at the beginning of the first coil but after about 6 months everything settled down. I've had no periods, no mood changes, no weight gain, my skin hasn't been great but it has improved recently and I wouldn't confidently say this was down to the coil anyway, more likely lifestyle choices.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
25 years old
🇬🇧 UK
• 5 days ago
Kyleena was good within the first 2 years that I had it, but I think that when the hormones start depleting that new side effects occur. Better than any other options I had, and insertion wasn’t painful as the healthcare provider used LA during. Looking at either swapping it out for a new Kyleena or to swap out for the copper coil as I’m now suffering extreme bloating and acne 3.5years after insertion. Hope this helps.
Worse skin
0 helpful
0 comments
Used for 12 - 18 mo
28 years old
🇬🇧 UK
• 2 weeks ago
Kept me from becoming pregnant but at a very high cost... Extreme cramps throughout the month, even after removing the original coil (it was seen to be in the wrong place via ultrasound) and replaced with new one. Pain actually got worse as time went on, after about 8 months I had to get it out as the cramps were debilitating and extreme. I also had a migraine for the first time in my life, and often experienced dizziness and nausea. I also had a patch of recurring thrush infections which was hard to get over as it was so stubborn. The only positive sides were the reduction in bleeding/periods and lack of pregnancy. I will never use a coil again.
Somewhat negative mood
2 more effects
0 helpful
1 comments
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 3 weeks ago
After 4 years of having the Kyleena I got pregnant and so have had the coil removed. The main symptoms I struggled with throughout the 4 years were weight gain and lack of libido.
Somewhat positive mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 13th Oct 24
I had the coil for 4 and a half years and started getting infections with ever increasung severity. I would swing between thrush and bv pretty much back to back especially in the last year and a half of having it. The doctors kept just giving me treatment for it and didnt say that it could be linked to the pill and it was only when i went on a deep dive of coil side effcts that i found out that it can cause infections. I then asked the doctors and then said they could see a correlation amd suggested removing it. I spent hundreds of pounds on prescription and over the counter medicine and spent such a long time feeling totally disgusting. Before i got the coil i had has thrush a few times and so i wonder whether i am more susceptible to getting it and thar should have been a consideration before choosing to have it.
Very negative mood
0 helpful
0 comments
Used for 3 - 6 mo
23 years old
🇬🇧 UK
• 9th Oct 24
I got my kyleena almost 4 months ago. It’s the first birth control I’ve been on and I put off getting any for ages because I was scared of the hormones. I’ve seen too many of my friends get depressed from the pill and so was very anti pill. My mental health is good overall and I didn’t want anything to mess with that. I wasn’t keen on the copper coil either because I didn’t want heavier and more painful periods. I’d never heard of an IUS/hormonal coil before my GP mentioned it and most people I’ve mentioned it to haven’t either but really should! I chose kyleena in the end because I liked the fact that yes there were hormones but because it’s a small dose and localised (directly in your uterus), you’re not supposed to get any mood effects. The most common side effect is irregular and lighter bleeding and for me choosing birth control came down to deciding which side effects were the least bad for me. Insertion I'm generally fine with pain and injections etc, minor operations don't really bother me so it will be different for different people but insertion was really quick and easy for me! I took some painkillers beforehand as advised and there was about 10 seconds of painful cramping where I was wincing but nothing I couldn't handle :) It was a bit uncomfortable because it was my first time with a speculum but my GP was great! I started bleeding lightly pretty immediately after and some mild cramping. The GP showed me how to check my threads on a model and I checked at home by myself relatively easily, it was weird at first but used to it now and easy to find. Side effects So far the only obvious side effects for me have been changes to bleeding and cramping. My periods used to be very regular and not too bad. Every 27ish days and lasted for 6 days with days 5-6 being very light and only days 1-2 being heavy. They’re still changing as my body gets used to the coil but appear to be getting lighter and lighter and maybe going away completely. My first period post insertion was noticeably a lot lighter. I used to use a mooncup and haven't used it at all since, because I'm just not bleeding enough (and the advice on whether you should use a suction cup with an IUD/IUS is slightly confusing). I'm just using light flow period pants (WUKA's period thongs specifically which I love). I bled most days for the first maybe second month but still really light. It's gradually getting less frequent and lighter so I've gone weeks with no bleeding before having an extremely light almost unnoticeable period. My cycle length is varying from 18-30+ days which is a bit annoying for someone who used to be so regular but I'll take it over other side effects. I’m still ‘spotting’ throughout my cycle but it’s almost unnoticeable it’s so light. Not quite safe in white underwear yet but any bleeding I have is more like brown/pink discharge and doesn't stain the way blood would. Cramping Pre coil my cramping ranged from non existent to mostly there for a few days but not too bothersome to occasionally needing to be strapped to a hot water bottle feeling sorry for myself on days 2 and 4. I now get random cramping at any point throughout my cycle and it doesn’t really line up my my period anymore. I do get cramps on my period but not in the pattern I used to. Sometimes it’s the most painful I’ve had, more often and is sometimes more of a stabbing than a dull ache but it’s still manageable and I imagine loads better than copper coil. Sometimes I think the hair on my stomach is ever so slightly darker (common progesterone side effect) but I’m not sure how true that is. I do complain about the irregular bleeding and cramping, it can be irritating but it’s not the end of the world and seems to be levelling out 🤞 I’m ultimately very happy that my coil so far seems to have no effect on my mood which was my main concern. It’ll obviously work differently for different people but I’d recommend looking into it and considering it! I’m still new to it and am curious to see how it goes long term but so far largely good!
Top side effects not reported
1 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 3rd Oct 24
The mirena coil overall worked very well for me. It took a few months to settle initially, and I’m glad I stuck it out. However, at the 5 year mark I started to experience unpleasant symptoms - hair loss, pelvic pain, recurrent thrush. So I’ve now had it removed and gone for kyleena coil, so will see how that goes!
Gained weight
0 helpful
0 comments
Used for 6 - 12 mo
31 years old
🇬🇧 UK
• 28th Sep 24
I was nervous to try Jaydess as I have previously struggled with mild hormonal acne. However after 11 months, there have been barely any side effects apart from spotting in between periods. I found the pill had so many more side effects! My mood is unchanged, body unchanged, skin broke out ever so slightly but mainly fine. Sex drive unchanged. The only negative is it is painful having it inserted (and I had cramping for 2-3 months around the time of my period). But now I barely get cramps and my period is very light! Would recommend!
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 20th Sep 24
Overall it has made my hormonal state worse. I am having it removed after 5 months as the moment I enter my luteal phase I have horrible mood swings, and depression-like symptoms and have become extremely sensitive to sugar, which then affects my mental state to the point of crying for no other reason. I also had a traumatic experience getting it in, please do your reading before getting any IUDs in. Ask for pain relief.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
34 years old
🇬🇧 UK
• 16th Sep 24
The mirena coil was excruiciating to have inserted, I am so shocked that no pain relief was offered and i had to spend the rest of the day in bed with severe cramps which continued for a few days. My skin had a very poor reaction and i developed quite bad cystic acne across my face, chest and back as a result, which I did not have previously.
Worse skin
1 helpful
0 comments
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