Withdrawal or pull out method vs Injection

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Withdrawal or pull out method

Want to switch contraception?

Injection

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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 2.9

261 reviews

Every 2-3 months

Frequency

97% - 99+%

Effectiveness

None

Blood clot risk

Short term

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.

Injection ingredients

Main hormones in Injection

progestogen

What Lowdown reviewers say

57% no impact on mood

71% no change

86% no impact

93% no impact

86% no impact on skin

Cycle return

100% in 1 month

33% somewhat negative

69% stopped periods

58% lost sex drive

49% gained weight

53% no impact on skin

Cycle return

39% don’t know impact

Benefits: What this contraceptive can help with

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

Endometriosis

Heavy periods

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

Withdrawal or pull out method  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  26th Mar 24

Withdrawal or pull out method  

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

Read more

Very positive mood

0 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
25 years old
🇬🇧 UK
  •  22nd Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  15th Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  26th Mar 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 8+ yr
25 years old
🇬🇧 UK
  •  22nd Feb 24

Withdrawal or pull out method  

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

Withdrawal or pull out method  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  15th Feb 24

Withdrawal or pull out method  

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


Injection reviews

261 reviews

Injection  
Used for 5 - 8 yr
34 years old
🇬🇧 UK
  •  2 weeks ago

Depo-Provera injection  

Stopped my periods completely which was great, but was depressed the entire time I was on it (and didn't realise why until I came off) also had zero sex drive until I came off it.


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
31 years old
🇬🇧 UK
  •  22nd May 24

Depo-Provera injection  

I was not offered an alternative injection and was adbised against it as i already was dinosed with depression.its been very difficult trying to feel normal and have a great s** life. I am already a mother and would like to wait a while before or IF i do have any more children. This contraception is extemly strong, i noticed many changes to my body. From the frist day i took the injection. It is brilliant at stopping me from getting pregnnt again though.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
25 years old
🇬🇧 UK
  •  21st May 24

Depo-Provera injection  

I was placed on the Depo injections back in 2019 and had a total of 5/6 injections. They were stopped because they caused severe anxiety, multiple panic attacks daily and severe depression. The GP deemed it unsafe for me to continue as the mental health side effects were incredibly awful.


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 5 - 8 yr
34 years old
🇬🇧 UK
  •  2 weeks ago

Depo-Provera injection  

Stopped my periods completely which was great, but was depressed the entire time I was on it (and didn't realise why until I came off) also had zero sex drive until I came off it.


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
31 years old
🇬🇧 UK
  •  22nd May 24

Depo-Provera injection  

I was not offered an alternative injection and was adbised against it as i already was dinosed with depression.its been very difficult trying to feel normal and have a great s** life. I am already a mother and would like to wait a while before or IF i do have any more children. This contraception is extemly strong, i noticed many changes to my body. From the frist day i took the injection. It is brilliant at stopping me from getting pregnnt again though.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
25 years old
🇬🇧 UK
  •  21st May 24

Depo-Provera injection  

I was placed on the Depo injections back in 2019 and had a total of 5/6 injections. They were stopped because they caused severe anxiety, multiple panic attacks daily and severe depression. The GP deemed it unsafe for me to continue as the mental health side effects were incredibly awful.


Very negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  5th Apr 24

Depo-Provera injection  

When I was 15, I started using the injection to manage my menstrual pain (due to Endo). It worked like magic and stopped my periods and pain right away! However, it also had a downside - it really impacted my mental health. Recently, I was diagnosed with endometriosis, and I tried different pills to manage it, but I kept forgetting to take them on time. So, I decided to give the Depot Provera injection another try. I was a bit hesitant at first, but I went ahead with it anyway. It took some time for my body to adjust, and I experienced some spotting and pelvic pain until my most recent injection. (I've had 5 injections now). Now, things have settled down, and I only get occasional twinges. The day after the injection, I experience some period-like pain, but it usually goes away after a couple of days. Overall, I would recommend this contraception, although everyone's experience is different. For me, it has finally given me what I wanted - freedom from pain.


Decreased sex drive

0 helpful

0 comments

Injection  
Used for 3 - 5 yr
22 years old
🇬🇧 UK
  •  12th Mar 24

Depo-Provera injection  

It did it's job in preventing pregnancy but the side affects weren't pleasant - No sex drive, vaginal dryness, caused acne, moody and irritable. I got put on it at 16 as I couldn't be trusted to remember to take the pill. It stopped my period which was great! I came off it during COVID due to not being able to get to the doctor for it and the bleeding aftermath wasn't nice - a lot of heavy periods which calmed after a while. However, what caused me not to go back on it was I didn't realise how it affected my personality until I came off it. Off it I was no longer depressy or irritable, vaginal dryness went away and I suddenly had a sex drive. Overall it wasn't awful as I was none of the wiser to what I was like not being on it.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Injection  
Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  14th Feb 24

Depo-Provera injection  

The injection definitely stops pregnancy but does affect the body in different ways


Improved skin

1 more effect

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2nd Feb 24

Depo-Provera injection  

I’ve been taking the pill for over 7 years and wanted to try the injection for convenience of not worrying about taking a pill everyday, for that it was great no periods no more cramps, however I found too many side effects which overrule the one positive. - The first month was great, however month 2 and 3 I suffered with what I thought was recurring thrush but I went to the gp and did swabs but everything was negative with no infections, turns out to be vaginal dryness which are the same symptoms of thrush and is highly uncomfortable - never had this on the pill, it’s effecting my sex life as it’s uncomfortable and has lowered my libido also. - The mood swings are insane with the first shot, I was very emotional and distressed, increased intrusive thoughts about my relationship, didn’t like my body etc. - I’ve always had clear skin until the injection I noticed the odd one or two almost cystic types spots which were painful and rather embarrassing that would last for weeks. - Noticed fluctuation of breast size too I probably dropped a size or 2 but didn’t loose any body weight. Not sure how long it’s going to take to go back to normal but definitely advise to anyone wanting to go on it, research research research and book a session with your gp to review it.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Injection  
Used for 8+ yr
27 years old
🇬🇧 UK
  •  20th Jan 24

Depo-Provera injection  

I used this contraception for nearly 10 years and I loved it- being young and having no periods saved me a lot of money and stress and was ideal when I went backpacking. It is only now I am older and have an interest in having a baby one day that I was keen to switch. It has taken me nearly 12 months to regain a regular cycle! I also never realised how bad it made my acne until I came off it.


Worse skin

1 helpful

0 comments

Injection  
Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  15th Jan 24

Noristerat injection  

I became emotional, my stomach is bloated all the time, I have no energy, I feel tired all the time, loss of appetite, I feel uncomfortable, my ears are ringing the whole time, my head feels foggy and I feel confused, I get bad period like cramps


Very negative mood

3 more effects

0 helpful

0 comments

Injection  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  22nd Dec 23

Noristerat injection  

Period like cramps, increased white discharge, nausea and bloating made the experience horrible. Stopped getting my periods from the first shot which made me think i was pregnant.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

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