Withdrawal or pull out method vs Implant

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Withdrawal or pull out method

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Implant

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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 2.8

571 reviews

Every 3 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.

Implant ingredients

Main hormones in Implant

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

Heavy periods

Ovulation pain

Period pain

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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


Implant reviews

571 reviews

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  3 days ago

  •  Still using

It was my first time on contraception, I was afraid to forget the pill and had the feeling that the implant had less hormones in it. My mood was very fluctuating for the first 4-6 months but then settled. My period was much lighter at the beginning and not painful for the first few months, then actually got irregular after 7-8 months (only a few days, then nothing for 2 weeks, then 3 weeks long period...) The insertion of the implant was very easy and not too painful, been able to feel it since the beginning.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

Loved having no periods and the convenience around not needing to remember anything for 3 years at a time. But over time I did realise I was getting vaginal dryness and thrush more often.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
39 years old
🇬🇧 UK
  •  3 days ago

  •  Stopped using

I didn't get on with the implant. After 4 months of heavy bleeding most days, a nurse was worried it was exacerbating my endometriosis. I agreed it probably was, so went on the cerelle mini-pill for 3 months at the same time. Cerelle and the implant together did stop the constant bleeding for 2 months, but then it came back slowly and I was no better off. I suffered from low mood, leg aches, acne and bloating for the entire 7 months I had nexplannon, so it was a relief to get it removed.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  3 days ago

  •  Still using

It was my first time on contraception, I was afraid to forget the pill and had the feeling that the implant had less hormones in it. My mood was very fluctuating for the first 4-6 months but then settled. My period was much lighter at the beginning and not painful for the first few months, then actually got irregular after 7-8 months (only a few days, then nothing for 2 weeks, then 3 weeks long period...) The insertion of the implant was very easy and not too painful, been able to feel it since the beginning.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

Loved having no periods and the convenience around not needing to remember anything for 3 years at a time. But over time I did realise I was getting vaginal dryness and thrush more often.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
39 years old
🇬🇧 UK
  •  3 days ago

  •  Stopped using

I didn't get on with the implant. After 4 months of heavy bleeding most days, a nurse was worried it was exacerbating my endometriosis. I agreed it probably was, so went on the cerelle mini-pill for 3 months at the same time. Cerelle and the implant together did stop the constant bleeding for 2 months, but then it came back slowly and I was no better off. I suffered from low mood, leg aches, acne and bloating for the entire 7 months I had nexplannon, so it was a relief to get it removed.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
36 years old
🇬🇧 UK
  •  3 days ago

  •  Stopped using

Unfortunately the implant wasn’t for me. At first I didn’t notice any effects for the first couple of weeks, however, a few weeks in I started my first period on the implant which lasted two weeks, I then stopped for a week and then I started with some spotting which turned into a full blown period. This pattern was repeated for several months until I was prescribed a pill, to help regulate my periods, as a temporary measure, with the hope the implant would adjust. Unfortunately once I came off the pill I had bleeding for 6 weeks straight until I decided to start taking a combined pill and I have just today had the implant removed. Obviously everyone’s bodies work differently so I don’t necessarily want to put people off the implant but I would say from my experience to give it 6 months and if it’s not working try something else, don’t suffer in silence.


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

The implant has been great for me. It went in my arm and healing was quite quick. After a few months my periods stopped entirely which I view as a positive. Every 3 months or so I get period like cramps but no bleeding and this is now my regular pattern. My skin improved slightly with less spots and there's been not other noticeable difference to myself.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  1 month ago

  •  Still using

Before I got the implant, I was nervous about all the side effects after reading horror stories about it, but I was pleasantly surprised after I got it done. I had it fitted on the second day of my period, the next day I noticed that my flow went from medium/heavy to very light, definitely not complaining. My next period came 9 days early (according to my period tracker app), it was very light, however I did notice some cramping, nothing I can’t handle, but the headaches and the overwhelming amount of emotions was the worse, I was emotional, and had no energy. But after my period, I went back to feeling normal. I have also noticed that my hair started to become greasier faster than usual, but that isn’t a big issue for me. My skin hasn’t changed, no weigh gain or loss. One main thing that I have truly noticed throughout my experience is mood swings, they come and go, one moment I can be happy, the next I want to cry when nothing even happened, but I guess this is normal because of the hormones and my body still adjusting to the implant. Overall, my experience wasn’t what I expected and it’s actually pretty good, and it’s comforting to know that I can get it taken out whenever I want. If anyone is scared to get the implant because of all the stories, it is very good to do research, but I recommend to just do it, see how you feel, wait out all the side effects and then make your decision if you still want to keep it in or not. I haven’t had it in for long, but at the moment, I am happy and not planning to take it out :)


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  1 month ago

  •  Stopped using

Was convinced to try this by my doctor and definitely regret it. Acne made worse and didn’t feel like myself, small issues would seem like the biggest issues ever. Came off due to increased anxiety, overthinking… and wish I had done so sooner.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
  •  29th Mar 24

  •  Stopped using

I was keen to try the implant as it seemed perfect for me on paper, but I ended up getting it removed due to very low mood and mood swings. Within a few days of insertion, I felt emotional all the time, getting easily upset and crying most days, and I didn't feel like myself at all. I regularly felt depressed, hopeless and overwhelmed. I also had irrational worries and anxious thoughts. I persevered with the implant for two years because I was convinced that these side effects would lessen over time, but I didn't notice any improvement. Throughout the time I had the implant, I experienced nearly constant light bleeding and spotting as well as breast tenderness. I found these side effects irritating as they interfered with my daily life, although I would have been willing to put up with them if I hadn't had the mood issues as well. Once I finally made my mind up and had my implant removed, my moods were back to normal within a week, and my periods returned to their regular pattern right away. In hindsight, I wish I had listened to my body and had it removed much sooner. For me the only positives were that the implant was convenient and effective, and the insertion/removal processes were fairly painless. I would say it is worth a try if these things are important to you, but my personal experience was so poor that it has put me off hormonal contraceptives entirely.


Top side effects not reported

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0 comments

Used for 18 mo - 3 yr
31 years old
🇬🇧 UK
  •  26th Mar 24

  •  Stopped using

Previously used Implanon for 6 years without any bleeding, switched to nexplanon and had regular periods initially and then they became heavy, painful, prolonged and unpredictable. Much preferred the previous version. Have had it taken out now and have changed to combi pill so will see how that goes.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
29 years old
🇬🇧 UK
  •  10th Mar 24

  •  Stopped using

Had continuous bleeding a few months into using the implant (have had two implants, replaced after 3 years) and had to supplement by also taking progesterone only pill.


Top side effects not reported

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0 comments

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