Withdrawal or pull out method vs Hormonal coil (IUS)

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Withdrawal or pull out method

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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 3.6

747 reviews

Every 3-8 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.

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
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


Hormonal coil (IUS) reviews

747 reviews

Used for 18 mo - 3 yr
44 years old
🇬🇧 UK
  •  3 days ago

  •  Still using

I’m 44 with recently diagnosed PCOS and endometriosis which is why my specialist told me to try the Mirena to lighten the lining of my uterus and help with my awful periods. I had to go off of the pill at 40 and suffered for 2 years while debating what to do. I got the mirena in at 42 and have had it 2.5 years now. I do get pelvic pain and cramping twice a month for a few days randomly and feel like I can tell which ovary is active but it is still better than dealing with the bleeding and irregular periods I had previously. My periods are non existant apart from spotting for a few days but not enough to even merit wearing a liner! Sex drive is definitely lower and dryness comes and goes as well but breasts have grown which I’m not upset about! I’m leaving it for another 2 years then will decide if I should opt for a hysterectomy.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  4 days ago

  •  Still using

Wish I'd got the Mirena coil sooner it's been great for me! I have no side effects, my periods have almost stopped except for a little spotting once a month. Insertion for me was a little painful and I had immediate cramps but by the end of the day they had passed (I had an anaesthetic injection which probably helped with the pain). My first period after insertion was heavier and more painful than usual and I had some spotting throughout the month for about 6 months, but now my periods have almost stopped.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

I had an awful time getting it in and out. I have never given birth, which can make it worse. The cramping pain was so bad, I vomited when getting it in and they had to use arterial forceps to remove it as the strings got lost (ouch). My skin was better and my moods were more stable. My period also stopped which saved a lot of money. I gained a lot of weight, though and the amount and intensity of my migraines increased a lot. I also had terrible cramping pain despite no periods, which was linked to PCOS. I haven’t had any symptoms since getting it removed 2 years ago.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
44 years old
🇬🇧 UK
  •  3 days ago

  •  Still using

I’m 44 with recently diagnosed PCOS and endometriosis which is why my specialist told me to try the Mirena to lighten the lining of my uterus and help with my awful periods. I had to go off of the pill at 40 and suffered for 2 years while debating what to do. I got the mirena in at 42 and have had it 2.5 years now. I do get pelvic pain and cramping twice a month for a few days randomly and feel like I can tell which ovary is active but it is still better than dealing with the bleeding and irregular periods I had previously. My periods are non existant apart from spotting for a few days but not enough to even merit wearing a liner! Sex drive is definitely lower and dryness comes and goes as well but breasts have grown which I’m not upset about! I’m leaving it for another 2 years then will decide if I should opt for a hysterectomy.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  4 days ago

  •  Still using

Wish I'd got the Mirena coil sooner it's been great for me! I have no side effects, my periods have almost stopped except for a little spotting once a month. Insertion for me was a little painful and I had immediate cramps but by the end of the day they had passed (I had an anaesthetic injection which probably helped with the pain). My first period after insertion was heavier and more painful than usual and I had some spotting throughout the month for about 6 months, but now my periods have almost stopped.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

I had an awful time getting it in and out. I have never given birth, which can make it worse. The cramping pain was so bad, I vomited when getting it in and they had to use arterial forceps to remove it as the strings got lost (ouch). My skin was better and my moods were more stable. My period also stopped which saved a lot of money. I gained a lot of weight, though and the amount and intensity of my migraines increased a lot. I also had terrible cramping pain despite no periods, which was linked to PCOS. I haven’t had any symptoms since getting it removed 2 years ago.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

the coil was much better than the pill for me, especially in terms of my mental health.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  4 days ago

  •  Still using

jaydess coil. i wanted a low hormone coil after bad experiences with pills. best thing ive tried. some negative mood and quite a few cramps initially, but pretty good now.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

Amazing


Top side effects not reported

0 helpful

0 comments

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

  •  Still using

After having fibroid operation . I wanted contraceptive with no estrogen and ideally low progesterone. Wasn't many choices it was either mini pill or coil which you take on time all the time which didn't suit me. Plus I don't suit the more modern progesterone. Makes me crazy so it had to be iud coil. I've had many Mirena in past which were great masking at my heavy bleeding from my fibroids. But tended to have low moods which I put down to progesterone. So why I went for kylenna, a coil lower version progesterone with same amount of years. Initial side effects but amazed how little I bleed and i feel moods swings aren't strong as they were on the Mirena coil. I feel more even. I think definitely sensitive to hormone changes so I see this as a benefit for me.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
22 years old
🇬🇧 UK
  •  3rd Apr 24

  •  Still using

I never leave reviews but felt like I needed to because I was terrified of getting this, I’ve always struggled with hormonal acne, thrush and am incredibly susceptible to drastic mood changes due to birth control. This was my last hope as the pill never agreed with me and I didn’t want the heavy bleeding from the copper coil. The insertion was really not even bad it did hurt a bit but was over so fast, I even went for a walk with my friend that evening and was absolutely fine! I had some cramps and bleeding for a few days after but nothing major and since I have had no side effects except a late and very light period that’s it! So please don’t be as terrified was after hearing so many horror stories, I was completely fine :)


Top side effects not reported

1 helpful

0 comments

Used for 12 - 18 mo
25 years old
🇬🇧 UK
  •  31st Mar 24

  •  Still using

In my teens/early 20s I was on the combined pill, but decided to stop and never go back to it as I felt it messed with my body and mood too much. Getting the IUS was the best decision I made. It was quite uncomfortable during insertion but the doctor put me at ease. I got quite a few cramps in the first few days but it quickly settled down. Periods are much lighter to the point where they are barely there, with only the occasional short-lived cramping. I haven’t noticed any particular side effects that affect me. I can forget about contraception for 5 years which is fantastic! Although this has hormones in I am happy that it is a much lower dose than some of the other options. Would definitely recommend and get it again in the future.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
25 years old
🇬🇧 UK
  •  25th Mar 24

  •  Stopped using

Overall helped to regulate my periods, but also had significant side effects on my food intake/weight and on my energy levels.


Top side effects not reported

0 helpful

0 comments

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