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
801 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
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
0 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
0 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
801 reviews
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 1 week ago
I love this coil! I was keen to have a copper coil initially but as I already had quite painful periods I was advised against this and I love the Jaydess! Initially I had some spotting after insertion but my period / ovulation dates are the same (I was tracking my cycles before) the only difference now is that my periods are lighter and a bit longer than they were previously (before they were 3 days and now about 5-7 days but about 2 or 3 of those is just spotting). They are also generally less painful (although the pains feel different - more like the deep cramps you get when the coil is inserted rather than my old period pains). I really like this coil and it is very low hormone so haven't really noticed much in the way of hormonal side effects - my boobs get a bit more tender pre period and I think I might have had like one more spot than is usual for me but that also might be diet related! I haven't noticed any bloating or weight change! It's really really good and I reccomend it!
Very positive mood
0 helpful
0 comments
Used for 1 - 3 mo
34 years old
🇬🇧 UK
• 2 weeks ago
I had mirena fitted on 8/1/25. Insertion was absolutely fine, didn't feel anything at all. Since mirena fitted I was lightly bleeding for 3 weeks. Than stopped for 3 days and than I had my period(on time) so started again. Period is much lighter ( 1 pad a day) no cramps, or any other sides effects. Hopefully it will settle soon with my body if not and I will still bleeding or spotting I will go to remove it because I can compare a few days with periods then constantly bleeding or spotting. I feel absolutely fine.
Lost weight
0 helpful
0 comments
Used for 6 - 12 mo
30 years old
🇬🇧 UK
• 2 weeks ago
Best one yet for me. I used to have mirena but thought hormones made me depressed. Especially when initially inserted. So opted for lower does coil as love it and I do feel better with it.
Very positive mood
0 helpful
1 comments
Used for 3 - 6 mo
28 years old
🇬🇧 UK
• 1 week ago
I love this coil! I was keen to have a copper coil initially but as I already had quite painful periods I was advised against this and I love the Jaydess! Initially I had some spotting after insertion but my period / ovulation dates are the same (I was tracking my cycles before) the only difference now is that my periods are lighter and a bit longer than they were previously (before they were 3 days and now about 5-7 days but about 2 or 3 of those is just spotting). They are also generally less painful (although the pains feel different - more like the deep cramps you get when the coil is inserted rather than my old period pains). I really like this coil and it is very low hormone so haven't really noticed much in the way of hormonal side effects - my boobs get a bit more tender pre period and I think I might have had like one more spot than is usual for me but that also might be diet related! I haven't noticed any bloating or weight change! It's really really good and I reccomend it!
Very positive mood
0 helpful
0 comments
Used for 1 - 3 mo
34 years old
🇬🇧 UK
• 2 weeks ago
I had mirena fitted on 8/1/25. Insertion was absolutely fine, didn't feel anything at all. Since mirena fitted I was lightly bleeding for 3 weeks. Than stopped for 3 days and than I had my period(on time) so started again. Period is much lighter ( 1 pad a day) no cramps, or any other sides effects. Hopefully it will settle soon with my body if not and I will still bleeding or spotting I will go to remove it because I can compare a few days with periods then constantly bleeding or spotting. I feel absolutely fine.
Lost weight
0 helpful
0 comments
Used for 6 - 12 mo
30 years old
🇬🇧 UK
• 2 weeks ago
Best one yet for me. I used to have mirena but thought hormones made me depressed. Especially when initially inserted. So opted for lower does coil as love it and I do feel better with it.
Very positive mood
0 helpful
1 comments
Used for 12 - 18 mo
29 years old
🇬🇧 UK
• 2 weeks ago
I really struggled to come to terms with removing the copper coil as it was the best option for me after having my first child and realising how much I’d changed with hormonal contraception however, after 18 months the copper coil just didn’t agree with me causing periods that were so heavy I’d soak through the biggest tampon you could get within an hour. My periods would also last 8-10 days and be so painful, it stopped me from being able to look after my little girl properly.
Top side effects not reported
0 helpful
1 comments
Used for 3 - 6 mo
32 years old
🇬🇧 UK
• 2 weeks ago
I have endometriosis and I tried so many different pills, the kyleena IUD too. All with very bad side effects. This is the first solution that is making my life a bit better than anything else. Overall, my daily life has improved versus no hormone solution , but I do struggle quite a bit with bad lower back pain and also bloating . But it’s still better than any other solution I’ve tried ..
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
23 years old
🇬🇧 UK
• 3 weeks ago
Overall I am really happy with my Mirena coil. Only thing I really wanted to note was that my periods did initially stop completely but they have started coming back after about 2.5/3 years of having it. Although they are much lighter than before I have the coil it was something I wasnt expecting. I think its because the hormones from the coil are slightly weaker than when it first went in, so right now its enough against pregnancy but not enough against my periods (is my thinking). anyways other than that i love it. I dont think it affects my moods as much as the pill etc because the hormones are really localised to the uterus area rather than being all of my bloodstream, as such, i believe its a lot less hormones too than for the pill .
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
29 years old
🇬🇧 UK
• 1 month ago
In the beginning for the first few months I had breakthrough bleeding. Then it’s settled and my periods became regular. I kept Kyleena in for the full 5 years and found this method of contraception easy as didn’t involve remembering to take anything. My periods were between 5-6 days long - I still had cramps which I managed with heat and painkillers. This method gives you the peace of mind that you are protected against falling pregnant. I would recommend.
Very positive mood
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 19th Jan 25
minimal side affects comparted to my experience on the combined pill
Worse skin
0 helpful
0 comments
Used for 3 - 6 mo
44 years old
🇬🇧 UK
• 14th Jan 25
I had such high hopes for the Mirena to help with my heavy periods but sadly I'm nearing the six month mark and there has been no improvement in the long term, if anything my periods are worse and I can't find any reason online as to why. I couldn't put up with the monthly flooding any longer and the NHS waiting list was at least 12 months, so I paid privately for the Mirena to be fitted. The insertion was uncomfortable but bearable (I haven't had children) and I didn't experience any discomfort immediately afterwards. The cramps during menstruation in the first two months following the fitting were intense, but the period was lighter so it still seemed like a win overall and I remained hopeful the cramps would ease as my body got used to the coil. That has happened and the cramps have eased to next to nothing now, but strangely my periods after the three month mark have been horrendous. I've been losing clots bigger than I have experienced before and I am back in incontinence pads to manage the amount of blood I lose. I can't continue to afford to access private care and I remain on the NHS waiting list, where I guess I will discuss ablation when I finally reach the top of the list. I so wish this had worked for me because it seemed an easy option and importantly it didn't end my fertility, but sadly it wasn't to be. I don't know why I'm surprised it didn't work for me, this is just my luck!! I wish it hadn't cost me hundreds of pounds to find this out, but for those it works for it seems life changing so it very much felt like an avenue worth exploring.
Top side effects not reported
0 helpful
0 comments
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