Withdrawal or pull out method vs Progestogen-only / Mini pill

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Withdrawal or pull out method

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Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.4

16 reviews

During or before sex

Frequency

80% - 96%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1512 reviews

Daily

Frequency

91% - 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.

Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

progestogen

What Lowdown reviewers say

56% no impact on mood

63% no change

75% no impact

88% no impact

88% no impact on skin

Cycle return

50% in 1 month

31% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

40% 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

Period pain

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£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Withdrawal or pull out method reviews

16 reviews

Withdrawal or pull out method  
Used for 6 - 12 mo
29 years old
🇬🇧 UK
  •  16th Aug 26

Withdrawal or pull out method  

I got pregnant after 10 months

Read more

Increased sex drive

0 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
29 years old
🇬🇧 UK
  •  7th Jun 26

Withdrawal or pull out method  

I had the implant for 8 years and it worked well. Took it out for 18 months and when I got it again I only tolerated it for two months due to severe mood impacts


Very negative mood

2 more effects

0 helpful

0 comments

Withdrawal or pull out method  
Used for 3 - 5 yr
Lowdown user
🇬🇧 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

4 helpful

0 comments

Withdrawal or pull out method  
Used for 6 - 12 mo
29 years old
🇬🇧 UK
  •  16th Aug 26

Withdrawal or pull out method  

I got pregnant after 10 months


Increased sex drive

0 helpful

0 comments

Withdrawal or pull out method  
Used for 8+ yr
29 years old
🇬🇧 UK
  •  7th Jun 26

Withdrawal or pull out method  

I had the implant for 8 years and it worked well. Took it out for 18 months and when I got it again I only tolerated it for two months due to severe mood impacts


Very negative mood

2 more effects

0 helpful

0 comments

Withdrawal or pull out method  
Used for 3 - 5 yr
Lowdown user
🇬🇧 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

4 helpful

0 comments


Progestogen-only / Mini pill reviews

1512 reviews

Progestogen-only / Mini pill  
Used for 3 - 6 mo
38 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I was put on Desogestrel after being on the combined pill (Rigevidon) for many years, but I was suffering from migraines. I was on Desogestral for roughly 5 months, and didn't have a single migraine for the entire time. I also had started to get period like cramps when taking the combined pill, but not when I was actually on my period. This also completely vanished for me which was great. Unfortunately the one big down side for me, which has caused me to try another type of mini pill was that I ended up having more days than not where I was bleeding. It wasn't always a lot, but it was always on my mind, and I didn't know which days would be clear and which would be not clear. Some days the bleeding would fade out but it might start like I was on my period, causing me to use a pad just in case it carried on. I stuck with it as the mentioned pros were so good that I really wanted it to work for me but in the end I just couldn't stand having more days that I bled than not, and I never felt like I could relax.


Worse skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  3 days ago

Cerazette pill  

Ive been on this pill for over 5 months and I’m stopping. When I started about a month in I got horrible acne breakouts but I started using benzoyl peroxide and now it’s okay. I’ve had 3-4 periods and each one I’ve bled for weeks at a time so I am switching to a different one


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
37 years old
🇬🇧 UK
  •  2 weeks ago

Cerelle pill  

Would have been ok apart from the bile acid diarrhoea anytime I ate anything with fat in it! Thought I was lactose intolerant, stopped pill and suddenly I could eat dairy again! Weird, went on it again after having my son and the diarrhoea suddenly came back doctors said it couldn’t be the pill but I’m not on it now and after 3 weeks no more diarrhoea. Bit of an odd coincidence if it’s not the pill


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
38 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I was put on Desogestrel after being on the combined pill (Rigevidon) for many years, but I was suffering from migraines. I was on Desogestral for roughly 5 months, and didn't have a single migraine for the entire time. I also had started to get period like cramps when taking the combined pill, but not when I was actually on my period. This also completely vanished for me which was great. Unfortunately the one big down side for me, which has caused me to try another type of mini pill was that I ended up having more days than not where I was bleeding. It wasn't always a lot, but it was always on my mind, and I didn't know which days would be clear and which would be not clear. Some days the bleeding would fade out but it might start like I was on my period, causing me to use a pad just in case it carried on. I stuck with it as the mentioned pros were so good that I really wanted it to work for me but in the end I just couldn't stand having more days that I bled than not, and I never felt like I could relax.


Worse skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  3 days ago

Cerazette pill  

Ive been on this pill for over 5 months and I’m stopping. When I started about a month in I got horrible acne breakouts but I started using benzoyl peroxide and now it’s okay. I’ve had 3-4 periods and each one I’ve bled for weeks at a time so I am switching to a different one


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
37 years old
🇬🇧 UK
  •  2 weeks ago

Cerelle pill  

Would have been ok apart from the bile acid diarrhoea anytime I ate anything with fat in it! Thought I was lactose intolerant, stopped pill and suddenly I could eat dairy again! Weird, went on it again after having my son and the diarrhoea suddenly came back doctors said it couldn’t be the pill but I’m not on it now and after 3 weeks no more diarrhoea. Bit of an odd coincidence if it’s not the pill


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
37 years old
🇬🇧 UK
  •  2 weeks ago

Slynd pill  

Vaginal atrophy, painful sex, painful urination, extreme constipation, right sided abdominal pain that felt like being stabbed (caused by constipation), dizziness from low blood pressure, fainting, extreme anxiety, chest pain, high cortisol, insomnia, depression, crying a lot, depression, dry skin, thirst,


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
37 years old
🇬🇧 UK
  •  2 weeks ago

Progestogen-only / Mini pill  

Vaginal atrophy, vulvar pain, painful sex zero libido, constipation so bad I went to a&e, caused horrible right sided abdominal pain, very dry skin, extreme anxiety, chest pain, insomnia, depression, low blood pressure, dizziness and fainting, over all sucked, took a few months before side effects hit


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  1 month ago

Slynd pill  

I was taking Desogestrel for a year and was super happy with it no issues only a small three day period every few months everything seemed great. All of a sudden in the last month I have bled and bled even though I take my pill at the same time everyday. I was so upset and my mood went really low and I’m usually a very happy positively spirited person I have had no issues with mental health before. I believe it was because I was given a different brand of Desogestrel in my last 3 months it was called desorex (gold packaging) I have spoken to 3 girls at my work and they have all had the same problem absolutely fine until they started this brand of pill. The best advice I can give is stick to the brand you know and get on with! As the side effects and changes do differ so much even though they tell you Desogestrel tablets are all the same (they aren’t!!!) I have switched to slynd and my bleeding has completely gone, my mood is happy and normal and I feel healthy on it! I’m also glad to have a 4 day break to have a natural period as it gives me my cycle predictability back! It’s basically like a combined pill but no risk of blood clots which was my biggest worry! My skin is the same I just have small breakouts on my chin sometimes but that’s very normal to me, I don’t feel bloated and my weight has stayed the same. My boobs have definitely got bigger on this though could be temporary I’m not sure. Please try this pill if Desogestrel doesn’t work for you and you still want to be on a mini pill! Within 2 weeks it’s completely changed me making me happy and able to enjoy my sex life again without bleeding all the time! I will update this if anything changes :)


Very positive mood

1 helpful

2 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
33 years old
🇬🇧 UK
  •  21st Aug 26

Cerelle pill  

Overall I was very happy with Cerelle. The only side effect I got is that on packs 3 and 4 I started bleeding every other week, but it is was a fairly light flow, and no clots (which I used to have when I wasn't on the pill). I was advised to switch to a combined pill regulate my bleeding, but I wish I didn't as Cerelle was pretty good to me.


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
27 years old
🇬🇧 UK
  •  11th Aug 26

Desomono pill  

I have been on the mini pill now for around 5 months, not for contraception (sure it’s a bonus) but as a move from taking Omeprazole and Mefenamic Acid to control horrific period pain, which stopped working. The first 2 weeks on this pill were great, no side effects, nothing… After I had such a horrorific period i almost stopped it all together. Bleeding & clotting heavily for almost 2 weeks combined with debilitating cramps. Since then I bleed DAILY, with 2-3week long periods. In my review my doctors pushed me to try another 3 months as “It’s should settle out” But I’m in agonising pain some days from when I wake up and for the last 2 months have had daily headaches with a few turning into full blown migraines, which I have been sent home from work for. I hadn’t had a migraine that bad in almost a year and my headaches, which i am prone to, have NEVER been this frequent, but again i was told to ‘monitor them’ and ‘keep track of them’ by my doctor… I’m genuinely at my wits end and i feel quite lied to as well, as one of the biggest reasons i was put onto the mini pill is my medical record with the combined pill, as well as being worried about weight gain and told oh that one happen, when it most certainly has. I genuinely wouldn’t recommend it to anyone and it makes me not want to try any others due to my horrible experience now and in the past.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
43 years old
🇬🇧 UK
  •  18th Jul 26

Slynd pill  

A couple of months after starting Slynd I noticed a lot of hair in the plug hole after showering. I have fine but dense hair, so it took some time to realise just how much I was losing. I estimate I lost in a day what I previously would have lost in a week. The hairline behind my ears receded 2-3cm but otherwise I shed all over my head. My hair is now very thin, pony tail barely there, and my scalp is very visible if I wear my hair back. I think I have lost 2/3 of my hair at least. It is still falling out at the same rate a month after stopping it.


Top side effects not reported

0 helpful

1 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
35 years old
🇬🇧 UK
  •  16th Jul 26

Desogestrel pill  

I was on this mini pill for just over a year after switching from the combined pill. It slowly affected my mood to the point where my mood was constantly flat and I didn’t feel excited about anything. My libido was also very low. I felt a massive difference after stopping. Positives were I didn’t have periods often (every 6-8 weeks) and not much period pain. The 12 hour window to take the pill was also helpful when I sometimes forgot, as some other mini pills have shorter windows.


Very negative mood

3 more effects

0 helpful

0 comments

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