I uninstall all games with any ad usage.
The latest was "I Love Hue". It let me play 10 levels (nice) and then put ads in. If they had just asked for $1 before showing the first ad I might have paid but as soon as I saw the ads I just uninstalled.
Note: IMO "I Love Hue" is a $1 game. I'm happy to pay $$ for bigger games and often do though on Switch/Steam, less on mobile.
My wife played one of those unscrew games which showed lots of ads in between runs. I convinced her to buy the ad-free package for $5, so she doesn’t have to endure those ads.
While the game indeed was ad-free after that, there was no progress possible anymore as everything suddenly cost 3x the virtual coins than before. Basically forcing you to shell out even more money to buy their stupid coins.
We’ve refunded the IAP and that was that.