Can You Get Pregnant from Intercourse with Withdrawal Method? - Obstetrics and Gynecology

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Can I get pregnant?


If your menstrual cycle is 30 days and you had intercourse on the 15th and 17th days of your cycle with external ejaculation, the likelihood of pregnancy is relatively low.
However, it is important to note that sperm can survive in the female reproductive tract for several days, and ovulation typically occurs around the midpoint of the cycle.
If you ovulate later than usual, there is a possibility of pregnancy.
It is advisable to monitor your cycle and consider taking a pregnancy test if your period is late.

Xiao An, 10~19 year old female. Ask Date: 2021/12/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: There is a possibility of pregnancy even if there is no ejaculation inside the vagina, as pre-ejaculatory fluid may contain sperm.
It is recommended to check for pregnancy if your period is more than a week late.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2021/12/07

More Info


The withdrawal method, also known as coitus interruptus, is a form of contraception where the male partner withdraws his penis from the vagina before ejaculation to prevent sperm from entering the reproductive tract. While this method can reduce the likelihood of pregnancy, it is not foolproof and carries a risk of failure.

In your case, you mentioned that your menstrual cycle is approximately 30 days long, and you had intercourse on the 15th and 17th of your cycle using the withdrawal method. To assess the likelihood of pregnancy, it is essential to understand the timing of ovulation in relation to your menstrual cycle. Ovulation typically occurs around 14 days before the start of your next period. Therefore, if your cycle is 30 days long, you would likely ovulate around day 16 of your cycle. This means that having intercourse on days 15 and 17 could coincide with your fertile window, which includes the days leading up to and including ovulation.

The withdrawal method has a failure rate of about 20% with typical use, meaning that 20 out of 100 couples using this method for a year may experience an unintended pregnancy. This failure rate is primarily due to pre-ejaculatory fluid (pre-cum), which can contain sperm and may be released before withdrawal occurs. Additionally, the effectiveness of this method relies heavily on the male partner's ability to withdraw in time, which can be challenging and may lead to mistakes.

Given your situation, the likelihood of pregnancy is not negligible, especially since you had intercourse close to your ovulation period. If you are concerned about the possibility of pregnancy, it would be advisable to take a home pregnancy test if your period is late. Home pregnancy tests are generally accurate when taken after a missed period, as they detect the hormone human chorionic gonadotropin (hCG), which is produced after a fertilized egg implants in the uterus.

If you are actively trying to avoid pregnancy, it may be beneficial to consider more reliable forms of contraception. Options include hormonal contraceptives (like birth control pills, patches, or injections), intrauterine devices (IUDs), or barrier methods (like condoms). These methods can provide a higher level of effectiveness compared to the withdrawal method.

In conclusion, while the withdrawal method can reduce the risk of pregnancy, it is not entirely reliable, especially when intercourse occurs near the time of ovulation. If you are trying to conceive or avoid pregnancy, it is essential to understand your menstrual cycle and consider more effective contraceptive methods. If you have further questions or concerns about your reproductive health, consulting with a healthcare provider can provide personalized guidance and support.

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