Withdrawal or pull out method vs 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
613 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Withdrawal or pull out method ingredients
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
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
3 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
3 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
Implant reviews
613 reviews
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 2 weeks ago
To me, the implant feels like a very fair tradeoff, where inconsistent spotting and occasional sore boobs is a price I am willing to pay to ensure I have the best protection from pregnancy. That is why I have rated it 5 stars, despite mild side effects. I have had the implant for six months now, and I can honestly say that it has been immense. My copper IUD gave me heavy periods and back pain which would ruin my day, and caused me lots of stress when it randomly decided to dislodge itself after 3 months. The implant cannot dislodge, so this was a welcome improvement. My partner and I used condoms but were worried about the risk of "human error". I was hesitant to start hormonal birth control because I heard stories about people losing their libido or experiencing emotional/personality changes, but these changes have thankfully not occured for me! I may cry slightly more (at films and such) since getting the implant, but I don't actually feel any sadder if that makes sense. Prior to contraception I always had easy, regular periods. Since getting the implant, I have only experienced two physical side effects. One of these is irregular spotting for ~7 days at a time, once or twice a month. This spotting sometimes becomes period-like in terms of the bleeding, and occasionally comes with period-like cramps. I have found this to be easily manageable, but some people find it very frustrating and everyone will have a different experience. It's up to you which side effects you are and aren't willing to put up with. The second side effect for me is sore boobs, although I haven't experienced this for a while. I am hoping that this side effect has run its course now that I have had the implant for 6 months. In terms of the insertion process, it was a ridiculously easy procedure (although I only have an IUD insertion to compare it to). If you're scared of needles I would recommend taking a friend with you because they inject your arm to numb it (mild pain for under 10 seconds, then it's numb). As someone who isn't bothered by needles and had such a friendly doctor, getting the implant was nothing more than an excuse to be taken out for a celebratory dinner. Please don't let the insertion process put you off! Whilst the insertion may sound more inconvenient than picking up a box of condoms or a prescription, it is very straightforward and will only require a 10-minute doctors oppointment every 3 years. I had the implant in my dominant arm and I was able to do normal everyday things, although I had to be cautious about lifting things or raising my arm for the first few days. The bruise took about a month to fully fade, but the mild-moderate aching was gone within a week and a half. In summary, it is so easy to read these reviews and make asssumptions about the implant based on peoples stories of irregular bleeding, painful insertions and hormonal side effects. BUT it is not a negative experience for everyone, and I am so glad to have the implant!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 2 weeks ago
All the great wetness I was feeling down there is all gone. I have painful sexual intercourse and I'm sad.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 3 weeks ago
Poor experience. Great at preventing pregnancy however side effects on mental and physical health were not worth it. I chose to prioritise my health and swap to condoms.
Very negative mood
0 helpful
0 comments
Used for 6 - 12 mo
20 years old
🇬🇧 UK
• 2 weeks ago
To me, the implant feels like a very fair tradeoff, where inconsistent spotting and occasional sore boobs is a price I am willing to pay to ensure I have the best protection from pregnancy. That is why I have rated it 5 stars, despite mild side effects. I have had the implant for six months now, and I can honestly say that it has been immense. My copper IUD gave me heavy periods and back pain which would ruin my day, and caused me lots of stress when it randomly decided to dislodge itself after 3 months. The implant cannot dislodge, so this was a welcome improvement. My partner and I used condoms but were worried about the risk of "human error". I was hesitant to start hormonal birth control because I heard stories about people losing their libido or experiencing emotional/personality changes, but these changes have thankfully not occured for me! I may cry slightly more (at films and such) since getting the implant, but I don't actually feel any sadder if that makes sense. Prior to contraception I always had easy, regular periods. Since getting the implant, I have only experienced two physical side effects. One of these is irregular spotting for ~7 days at a time, once or twice a month. This spotting sometimes becomes period-like in terms of the bleeding, and occasionally comes with period-like cramps. I have found this to be easily manageable, but some people find it very frustrating and everyone will have a different experience. It's up to you which side effects you are and aren't willing to put up with. The second side effect for me is sore boobs, although I haven't experienced this for a while. I am hoping that this side effect has run its course now that I have had the implant for 6 months. In terms of the insertion process, it was a ridiculously easy procedure (although I only have an IUD insertion to compare it to). If you're scared of needles I would recommend taking a friend with you because they inject your arm to numb it (mild pain for under 10 seconds, then it's numb). As someone who isn't bothered by needles and had such a friendly doctor, getting the implant was nothing more than an excuse to be taken out for a celebratory dinner. Please don't let the insertion process put you off! Whilst the insertion may sound more inconvenient than picking up a box of condoms or a prescription, it is very straightforward and will only require a 10-minute doctors oppointment every 3 years. I had the implant in my dominant arm and I was able to do normal everyday things, although I had to be cautious about lifting things or raising my arm for the first few days. The bruise took about a month to fully fade, but the mild-moderate aching was gone within a week and a half. In summary, it is so easy to read these reviews and make asssumptions about the implant based on peoples stories of irregular bleeding, painful insertions and hormonal side effects. BUT it is not a negative experience for everyone, and I am so glad to have the implant!
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 2 weeks ago
All the great wetness I was feeling down there is all gone. I have painful sexual intercourse and I'm sad.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 3 weeks ago
Poor experience. Great at preventing pregnancy however side effects on mental and physical health were not worth it. I chose to prioritise my health and swap to condoms.
Very negative mood
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 23rd Jul 25
Bled constantly for months, then no period for ages, then bleeding again for weeks on end. Really heavy which is abnormal for me. No sex drive, I was really depressed for the nearly 3 years I was on this and I thought that was just me, funnily enough when i came off it I felt so much better and couldn’t believe most my problems were probably being caused by this implant
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 20th Jul 25
Extreme weight gain, despite always being a consistent weight and no changes in lifestyle/eating habits. Also I have become increasingly more self conscious and body conscious, so an affect on mental health
Very negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 13th Jul 25
Great if you want to have sex and not worry about pregnancy’s however the change in my physical appearance and mood swings have been crazy and I will be getting it removed asap as I can’t go on like this
Very negative mood
1 more effect
1 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 5th Jul 25
Some infrequent cramping and bleeding but in general a good experience. Despite a lot of fear and generally being very bad with needles, a very good fitting experience (thank you to the nurse for introducing me to glucose shots that reduced the delayed faint for me!), and very convenient to not have to think about it for a few years. Feeling for it has not been as bad as it sounded, and while you cannot avoid side effects as easily - unlike a pill or patch you can't just stop taking it or take a break - they have not been worse than a usual cycle, and happen less frequently so overall, happy!
Somewhat positive mood
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 4th Jul 25
Great, less to worry about. But the cramps are brutal as well as the mood swings.
Somewhat negative mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 1st Jul 25
Random bleeding throughout which was frustrating. Partner felt like I seemed happier in general once I came off. Suffered anxiety attacks after coming off the implant (may or may not be related currently unsure)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 8+ yr
30 years old
🇬🇧 UK
• 27th Jun 25
Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.
Very negative mood
2 more effects
0 helpful
0 comments

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