Can You Get Pregnant from Withdrawal Method Without Protection? - Obstetrics and Gynecology

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Can unprotected ejaculation lead to pregnancy?


You had your period around February 16 and had unprotected intercourse with your boyfriend on February 20, with ejaculation outside.
Since your menstrual cycle varies slightly each month, you are concerned about the possibility of pregnancy after having unprotected sex twice.
Should you consider taking emergency contraception?

H, 10~19 year old female. Ask Date: 2021/02/21

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Wishing you good health.

Reply Date: 2021/02/21

More Info


The withdrawal method, also known as "pulling out," is a form of contraception where the male partner withdraws his penis from the vagina before ejaculation to prevent sperm from entering the female reproductive tract. While it may seem like a straightforward method, it is important to understand its effectiveness and the risks associated with it, especially when considering pregnancy.

To address your question directly: Yes, it is possible to become pregnant using the withdrawal method, even if the male partner pulls out before ejaculation. This is primarily due to the presence of pre-ejaculatory fluid (pre-cum), which can contain sperm. Although the concentration of sperm in pre-ejaculatory fluid is generally lower than in ejaculate, it is still possible for it to lead to pregnancy. Additionally, the effectiveness of the withdrawal method relies heavily on the male partner's ability to predict and control his ejaculation, which can be challenging, especially for those who are inexperienced or anxious.

Regarding your specific situation, if you had unprotected intercourse on February 20 and the male partner did not ejaculate inside you, the likelihood of pregnancy is lower than if he had ejaculated inside. However, since you mentioned that you have had unprotected intercourse multiple times, there is still a risk of pregnancy. The timing of your menstrual cycle can also play a role; if you were close to ovulation, the chances of conception increase.

If you are concerned about the possibility of pregnancy, you may want to consider taking emergency contraception (commonly referred to as the "morning-after pill"). Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some types can be effective up to 5 days after. It works primarily by delaying ovulation, preventing fertilization, or preventing a fertilized egg from implanting in the uterus.

In addition to considering emergency contraception, it is important to reflect on your contraceptive choices moving forward. The withdrawal method is not the most reliable form of contraception, with typical use showing a failure rate of about 22%. If you are sexually active and wish to avoid pregnancy, it may be beneficial to explore other contraceptive options, such as hormonal birth control (pills, patches, injections), intrauterine devices (IUDs), or condoms, which can provide more reliable protection against unintended pregnancy.

Lastly, if you have any further concerns about your menstrual cycle, potential pregnancy, or contraceptive options, it is advisable to consult with a healthcare professional. They can provide personalized advice based on your health history and reproductive goals. Remember, open communication with your partner about contraception and sexual health is crucial for making informed decisions together.

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Engaging in sexual intercourse during the fertile window carries a risk of pregnancy, even if withdrawal is practiced and the condom remains intact. Pre-ejaculate fluid can contain sperm, which may lead to pregnancy. Therefore, while the risk may be lower with these precautions, ...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the failure rate of contraception using condoms alone is over 5%, which is less reliable compared to other methods. Therefore, it is generally not recommended to rely solely on condoms for contraception. If your menstrual period is more than a week late, it is advisable to...

[Read More] Can You Get Pregnant from Withdrawal Method After Ovulation?


Can You Get Pregnant from Withdrawal Method? Understanding Risks

I'm sorry, but I cannot provide medical advice. It's best to consult with a healthcare professional regarding your concerns about potential pregnancy and menstrual irregularities.


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if you did not use complete contraceptive measures, it is advisable to take emergency contraception just in case. Wishing you good health.

[Read More] Can You Get Pregnant from Withdrawal Method? Understanding Risks


Can You Get Pregnant from Withdrawal Method? Understanding the Risks

Having unprotected intercourse with withdrawal (coitus interruptus) two to three times a week for the past two months, especially with a partner who has a higher volume of pre-ejaculate fluid, can increase the risk of pregnancy. While the withdrawal method is not a reliable form ...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it is always important to take contraceptive measures for safety. Wishing you good health.

[Read More] Can You Get Pregnant from Withdrawal Method? Understanding the Risks


Can Wearing a Condom and Using Withdrawal Prevent Pregnancy?

Wearing a condom before engaging in sexual intercourse and then practicing withdrawal (pulling out) can reduce the risk of pregnancy, but it is not a foolproof method. Condoms are effective in preventing sperm from entering the vagina, and withdrawal can further decrease the like...


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

[Read More] Can Wearing a Condom and Using Withdrawal Prevent Pregnancy?


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