Withdrawal or pull out method vs Hormonal coil (IUS)
Need help choosing? Speak to a doctor
Add your withdrawal or pull out method review
Add your Hormonal coil (IUS) 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
834 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
Try it now
Add your withdrawal or pull out method review
Try it now
Add your Hormonal coil (IUS) review
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
Lowdown user
🇬🇧 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
2 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 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
Lowdown user
🇬🇧 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
Lowdown user
🇬🇧 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
2 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 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
Lowdown user
🇬🇧 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
834 reviews
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 3 days ago
Generally the Mirena has been great. Only noticed most of the side effects after 4 years having it in - and they’re still very manageable.
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 2 weeks ago
So I’ve had the kyleena put in just over 2 years ago. For the first 18 months it was great, there was no side effects and my periods were getting lighter and less painful! After that, I started noticing quite a bit of hair loss during showers and brushing, visibly making my hair look thinner. I’ve always had thick hair so this was quite upsetting and I put it down to the stress I had during college. Now I’m in a new job that I’m loving, the hair loss hasn’t subsided. It’s still falling a lot everyday so I’m deciding to get the kyleena removed in a months time. I’ve been to the GP and got bloods done in which everything came back fine. So hopefully once I’ve the kyleena removed my hair will slowly start growing back :(
Very positive mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
27 years old
🇬🇧 UK
• 2 weeks ago
Not 100% sure what to think yet. Enjoying not having to worry about administrating my contraception as it’s in there and working. However I am having unpredictable spotting, some emotional mood swings and often being bloated.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
28 years old
🇬🇧 UK
• 3 days ago
Generally the Mirena has been great. Only noticed most of the side effects after 4 years having it in - and they’re still very manageable.
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 2 weeks ago
So I’ve had the kyleena put in just over 2 years ago. For the first 18 months it was great, there was no side effects and my periods were getting lighter and less painful! After that, I started noticing quite a bit of hair loss during showers and brushing, visibly making my hair look thinner. I’ve always had thick hair so this was quite upsetting and I put it down to the stress I had during college. Now I’m in a new job that I’m loving, the hair loss hasn’t subsided. It’s still falling a lot everyday so I’m deciding to get the kyleena removed in a months time. I’ve been to the GP and got bloods done in which everything came back fine. So hopefully once I’ve the kyleena removed my hair will slowly start growing back :(
Very positive mood
3 more effects
0 helpful
0 comments
Used for 1 - 3 mo
27 years old
🇬🇧 UK
• 2 weeks ago
Not 100% sure what to think yet. Enjoying not having to worry about administrating my contraception as it’s in there and working. However I am having unpredictable spotting, some emotional mood swings and often being bloated.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
30 years old
🇬🇧 UK
• 2 weeks ago
Overall this was a good option for me. The insertion was painful but momentary, and was nice not to have to worry about taking pills. The spotting occurred more at the end of the coil’s lifespan (I’m having it taken out this week after 5 years). I did notice vaginal dryness (most noticeable when aroused, needing lube etc). Ultimately I am coming off this contraception because of this. I have vaginismus and the dryness hinders my ability to get/feel aroused. I know this is because of the coil because I have felt the effects wear off as the coil gets to the end of its lifespan (in the last 6 months of my 5 year stint)
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
32 years old
🇬🇧 UK
• 2 weeks ago
I had the worst time on Mirena. I had a bad experience from day one at insertion - I found the whole experience so much more painful than I imagined that it would be - no one really prepares you for this. From the first day I started experiencing cramps and everyone said that they would ease up within no time however they did not. Month after month I experienced endless painful cramps and times where I would be doubled over in two on dates with my boyfriend - never have I had anything like that. As a girl, we very much always shut up and put up and I always felt like I could just push through it but there were times when it was really bad and I almost got it out, but you’d forget about it the next day as it’s such a good feeling to not have to Take a pill etc and it is very convenient. But it’s also crazy I actually had it in for as long as I did. I have never really had that bad periods and my bleeding was longer, the cramping much more intense and honestly just a whole lot worse than it was when I was off it. I didn’t really notice anything kind of sexually or from a weight or ski. perspective but I know that the cramping and the bleeding was enough for me to never touch this thing again. The Doctors kept telling me to hold out and just wait to see if it would change and it just never did. I would really recommend if you are having these symptoms any time past two months they are not going to get better and you’ll just continue to suffer. At the eight month mark I went and got it out and honestly it was the best thing I ever did. As soon as it was out, I felt like I could actually breathe again and havent suffered another cramp like it ever since (thank god!). I have gone back onto the mini pill now which I’m much more happy with - it does have some side-effects but nothing like that cramping!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 3 weeks ago
I had this inserted and I was the worst pain ive ever experienced i kept telling the doctor to stop immediately after I blacked out from the pain kept being sick and it just got worser as the day went on I end up in ane with the same day and had it emergency removed. Never again will I have this would not recommend at all .
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 3 weeks ago
I feel like myself, which I cannot say for other forms of BC I’ve used. The weight gain may have more to do with some lifestyle changes, but I enjoy the way my body look regardless. I was able to collaborate with my doctor to find suppositories to help with the dryness during sex and that in turn has helped with my libido. I cannot imagine using another form of birth control.
Improved skin
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
29 years old
🇬🇧 UK
• 3 weeks ago
I had a Kyleena coil inserted, after 6 months I was still having week long breakthrough bleeds between periods. I had the coil checked and it was in position, no problems according to the doctor. A month later I was pregnant, with the coil still in the correct place. Unfortunately the Kyleena coil didn't work to protect me from pregnancy, caused me to have breakthrough bleeds and have recurrent episodes of thrush.
Top side effects not reported
0 helpful
0 comments
Used for 6 - 12 mo
40 years old
🇬🇧 UK
• 1 month ago
I've not had any significant side effects...so far. But the one thing I don't like is that I struggle to track my period. I don't bleed it bleed very little. Some periods are just spotting. In theory this is great, but the rest of my body is still experiencing a cycle and without the bleeding it can be hard to track. I still try to, but I'm about ready to give up. If you are like me and spent 10 years on the pill, this can feel a bit jarring. I'm on a hormonal rollercoaster that is normal but I'm not really use to it. My cramping is normal compared to before I had coil. I've had acne rosacea crop up and after a year of it I strongly thing it's linked to hormones but not sure how much the coil plays a part (though I did NOT have this before coil, I am also 40 and may be perimenopauseal). Insertion recovery was totally fine. Very little discomfort. However I was undergoing a minor gyno procedure at the same time and as a result got a general! Highly recommend should it be available. Won't lie, not sure I would have the coil again after this one....I'm still not sold in all honesty. It just emotionally felt evasive as a method of BC.
Worse skin
0 helpful
0 comments
Used for 12 - 18 mo
25 years old
🇬🇧 UK
• 13th May 25
Overall my periods were regular but once I got the coil I had very irregular periods and extra cramping. I also have frequent dizzy spells and headaches since it has been inserted. And I've seen an increase in spots and body hair since starting with the coil
Somewhat negative mood
2 more effects
0 helpful
0 comments

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
Slide into our DMs
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