Can Using Condoms and Withdrawal Prevent Pregnancy? Expert Insights

What is the likelihood of pregnancy when using condoms throughout intercourse and practicing withdrawal?

Hello Dr.
Tsao,
Last weekend, I had my first sexual experience with my boyfriend.
We used a (non-thin) condom throughout the entire act (ensuring there was space at the tip and that it was put on correctly) along with water-based lubricant.
After several movements, my boyfriend withdrew and ejaculated externally.
I would like to ask if these contraceptive methods can be considered almost completely effective in preventing pregnancy.
Since this was my first sexual encounter, I am not very knowledgeable about these matters.
I would appreciate your response.
Thank you!

Xuan, 20~29 year old female. Ask Date: 2020/03/26

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you are using contraception, the chances of pregnancy should be low.
Wishing you good health.

Reply Date: 2020/03/26

More Info

When it comes to preventing pregnancy, the combination of condoms and the withdrawal method (also known as "pulling out") can be effective, but it's important to understand the nuances and limitations of these methods.

Condoms are a barrier method of contraception that, when used correctly, can be highly effective in preventing pregnancy. They work by preventing sperm from entering the vagina and reaching the egg. The effectiveness of condoms is significantly increased when they are used properly throughout the entire sexual act. This includes ensuring that the condom is put on before any genital contact occurs, using a new condom for each act of intercourse, and checking for any damage before use. According to the Centers for Disease Control and Prevention (CDC), condoms have a typical use effectiveness rate of about 85%, meaning that about 15 out of 100 women will become pregnant in a year if their partners use condoms as their only method of contraception.

Withdrawal, on the other hand, involves the male partner pulling out before ejaculation to prevent sperm from entering the vagina. While this method can reduce the risk of pregnancy, it is not very reliable on its own. The effectiveness of withdrawal is highly dependent on the male partner's ability to predict ejaculation and withdraw in time. Studies suggest that with typical use, about 22 out of 100 women will become pregnant within a year when relying solely on withdrawal.

When combining these two methods, the overall risk of pregnancy can be reduced further. However, it is essential to note that no method is 100% effective. Even with the use of condoms and withdrawal, there is still a small chance of pregnancy. This risk can be influenced by several factors, including the proper use of condoms, the timing of withdrawal, and the presence of pre-ejaculate fluid, which can contain sperm.

In your case, since you used a condom throughout the entire sexual act and your boyfriend withdrew before ejaculation, the likelihood of pregnancy is low but not impossible. If you are concerned about the possibility of pregnancy, you might consider using additional contraceptive methods for added protection. Options include hormonal birth control (such as pills, patches, or injections), intrauterine devices (IUDs), or emergency contraception if you are within the appropriate time frame after unprotected intercourse.

It's also worth noting that while condoms are effective at preventing pregnancy, they are also the only method that provides protection against sexually transmitted infections (STIs). Therefore, if you or your partner have not been tested for STIs, using condoms is advisable for your health and safety.

In conclusion, while using condoms and the withdrawal method can significantly reduce the risk of pregnancy, they are not foolproof. If you are looking for more reliable contraception, consider consulting with a healthcare provider to discuss your options and find a method that best suits your needs.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you can. Wishing you good health.

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