Pregnancy Risks After Intercourse with Withdrawal Method

Probability of Pregnancy

Hello doctor, I would like to ask a question.
I had sexual intercourse with my girlfriend, and although we practiced withdrawal before ejaculation and cleaned up afterward, I feel there might be a small amount of semen left inside.
This occurred on October 6, and according to her records, her period is expected around October 14, which is about 8 days later.
What is the likelihood of her becoming pregnant?

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

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to take emergency contraception as a precaution.
Wishing you good health.

Reply Date: 2022/10/06

More Info

When it comes to understanding the risks of pregnancy after engaging in sexual intercourse using the withdrawal method, it is important to consider several factors. The withdrawal method, also known as "pulling out," involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the female reproductive tract. While this method can reduce the likelihood of pregnancy, it is not foolproof.

Firstly, the effectiveness of the withdrawal method largely depends on the male partner's ability to withdraw in time and the presence of pre-ejaculatory fluid, or pre-cum, which can contain sperm. Studies suggest that about 22% of couples who rely solely on this method for contraception will experience an unintended pregnancy within a year. This statistic highlights the inherent risks associated with the withdrawal method, especially if there is any uncertainty about the timing of withdrawal or if there is any residual sperm left in the vagina.

In your case, since you mentioned that you had intercourse on October 6 and your girlfriend is expecting her period around October 14, the timing is crucial. If her menstrual cycle is regular, she may be able to take a home pregnancy test shortly after her expected period date. However, testing too early can lead to false negatives, as the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy, may not be detectable until a few days after a missed period.

Regarding the likelihood of pregnancy, while the withdrawal method does reduce the risk, it does not eliminate it entirely. If there was any pre-ejaculatory fluid present or if the withdrawal was not executed perfectly, there is a possibility of pregnancy. If your girlfriend does miss her period, it would be advisable for her to take a pregnancy test to confirm her status.

Additionally, if there are concerns about potential pregnancy and if your girlfriend is feeling anxious about it, she may consider consulting a healthcare provider for further guidance. They can provide information on emergency contraception options if the intercourse occurred within a certain timeframe and if she is not already pregnant.

Lastly, it is important to discuss the emotional and physical implications of potential pregnancy with your partner. Open communication about contraception methods and family planning is essential in a relationship to ensure both partners are on the same page regarding their reproductive health.

In summary, while the withdrawal method can reduce the risk of pregnancy, it is not entirely reliable. The likelihood of pregnancy depends on various factors, including the timing of withdrawal and the presence of sperm in pre-ejaculatory fluid. If your girlfriend's period is late, a pregnancy test is recommended, and consulting a healthcare provider can provide further clarity and options.

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Hello, it is always important to take contraceptive measures for safety. Wishing you good health.

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