Can You Get Pregnant from Withdrawal Method During Ovulation?

Q: Can You Get Pregnant from Withdrawal Method During Ovulation?

Hello, the questioner： There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. <br>The effectiveness of emergency contraception is not 100%, with a failure rate of about 3%, but it is still considere

Could this lead to pregnancy?

Hello, doctor.
My situation is that during my fertile window (I'm not sure, but my tracking app indicates it was two days after ovulation), I had unprotected intercourse with my boyfriend, but there was no ejaculation inside; he only inserted and withdrew three times.
Afterward, I was worried, so I took emergency contraception within 24 hours.
I'm very concerned about the possibility of pregnancy.
Thank you for your help!

77, 10~19 year old female. Ask Date: 2022/06/06

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm.
The effectiveness of emergency contraception is not 100%, with a failure rate of about 3%, but it is still considered a remedial option.
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: 2022/06/06

More Info

The withdrawal method, also known as coitus interruptus, involves the male partner withdrawing the penis from the vagina before ejaculation to prevent sperm from entering the female reproductive tract. While this method can reduce the risk of pregnancy, it is not foolproof, especially during the ovulation period when a woman is most fertile.

In your case, you mentioned that the sexual activity occurred during what you believe to be your ovulation period, which is typically around the middle of your menstrual cycle. This is a critical time for conception, as an egg is released and can be fertilized by sperm. Even though you did not ejaculate inside, pre-ejaculate fluid (pre-cum) can contain sperm. Studies have shown that pre-ejaculate can lead to pregnancy, although the likelihood is lower than with full ejaculation.

Taking emergency contraception (the "morning-after pill") within 24 hours of unprotected intercourse is a responsible decision. These pills work primarily by delaying ovulation, preventing fertilization, or preventing a fertilized egg from implanting in the uterus. The sooner you take the emergency contraceptive after unprotected intercourse, the more effective it is. It is most effective when taken within 72 hours, but some types can be taken up to five days after intercourse.

Given that you took the emergency contraceptive within 24 hours, your chances of becoming pregnant are significantly reduced. However, it's important to note that no method of contraception is 100% effective, and the withdrawal method is particularly unreliable due to the potential presence of sperm in pre-ejaculate fluid.

In addition to the risk of pregnancy, it’s also crucial to consider sexually transmitted infections (STIs). Using condoms not only helps prevent pregnancy but also provides protection against STIs. If you have concerns about STIs or if you experience any unusual symptoms, it would be wise to consult a healthcare provider.

If you find yourself frequently worried about unintended pregnancies, it may be beneficial to discuss more reliable contraceptive methods with your healthcare provider. Options include hormonal birth control (like the pill, patch, or IUD), barrier methods (like condoms), or long-acting reversible contraceptives (like the implant or IUD). These methods can provide more consistent protection against pregnancy compared to the withdrawal method.

In summary, while the withdrawal method can reduce the risk of pregnancy, it is not a reliable form of contraception, especially during ovulation. Your decision to take emergency contraception was a proactive step to further reduce the risk of pregnancy. If you have ongoing concerns or questions about your reproductive health, consider reaching out to a healthcare professional for personalized advice and support.

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Can You Get Pregnant from Withdrawal Method After Ovulation?

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...

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Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, 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 healt...

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you should not be pregnant. If you are still concerned, you can take emergency contraception. Wishing you good health.

Can You Get Pregnant from Withdrawal During Ovulation?

If intercourse occurs during the ovulation period without using a condom, but with withdrawal, is there a risk of pregnancy?

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of getting pregnant are low, but it is best to take preventive measures beforehand. Do not rely on the safe period. If your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.