Pregnancy Risks with Withdrawal Method After Menstruation - Obstetrics and Gynecology

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Safe period and withdrawal method?


The likelihood of pregnancy after unprotected intercourse, even if it occurs shortly after menstruation, is generally low but not zero.
Sperm can survive in the female reproductive tract for up to five days, so if ovulation occurs shortly after menstruation, there is a possibility of conception.

Regarding masturbation, frequent ejaculation can temporarily reduce sperm concentration, but this effect is usually short-lived.
Regular ejaculation does not significantly impact overall fertility in healthy individuals.

Mr. Chen, 10~19 year old female. Ask Date: 2022/11/08

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.
The concentration does not have a significant impact.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/11/08

More Info


When considering the risks of pregnancy associated with the withdrawal method (also known as coitus interruptus) after menstruation, it's essential to understand both the mechanics of this method and the factors that influence its effectiveness.

The withdrawal method 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. The effectiveness of withdrawal largely depends on the male partner's ability to predict ejaculation and withdraw in time. Studies suggest that with typical use, the failure rate of this method can be as high as 22%, meaning that about 22 out of 100 women may become pregnant within a year of using this method alone.

In your specific case, if your girlfriend's menstruation has just ended, the likelihood of pregnancy is generally lower, as ovulation typically occurs about 14 days after the start of menstruation in a regular cycle. However, sperm can survive in the female reproductive tract for up to five days, and some women may have irregular cycles or ovulate earlier or later than expected. Therefore, if intercourse occurs shortly after menstruation, there is still a risk of pregnancy if ovulation occurs soon after.

Regarding your question about masturbation and its effect on sperm concentration, frequent ejaculation, whether through masturbation or sexual intercourse, can temporarily lower sperm concentration. However, this effect is usually short-lived. The body continuously produces sperm, and sperm counts typically return to baseline levels within a few days after ejaculation. Therefore, while daily masturbation may lead to a temporary decrease in sperm concentration, it is unlikely to have a significant long-term impact on fertility.

If you and your girlfriend are concerned about the risk of unintended pregnancy, it may be beneficial to consider more reliable contraceptive methods. Options such as hormonal birth control (pills, patches, injections), intrauterine devices (IUDs), or condoms can provide more effective protection against pregnancy compared to the withdrawal method.

In summary, while the withdrawal method can reduce the risk of pregnancy, it is not entirely reliable, especially if used during the fertile window. The timing of ovulation, the ability to withdraw in time, and the potential impact of frequent ejaculation on sperm concentration are all factors to consider. If you are looking for more effective contraception, discussing options with a healthcare provider can help you make an informed decision that suits your needs.

Similar Q&A

Pregnancy Risk with Withdrawal Method During Menstrual Cycle

Your girlfriend's menstrual period started on January 20 and intercourse occurred on January 24 with withdrawal (pull-out method). Her period ended on January 26. Since her menstrual cycle can vary by 1 to 2 days but typically lasts 5 to 7 days, the likelihood of pregnancy i...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, if your menstrual cycle is from day 1 to day 20, the chances of pregnancy are low. It is advisable to take appropriate contraceptive measures to avoid any concerns. Thank you! Wishing you peace and health, Dr. Chang.

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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. Additionally, early pregnancy does not always present specific symptoms, and subjective symptoms cannot be used to make ...

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Hello, doctor: My period started on October 29 and lasted for a week (regular cycle). I had unprotected intercourse with withdrawal on the early morning of November 18. I would like to know if there is a possibility of pregnancy in this situation. What is the likelihood of becomi...


Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended to practice safe behaviors to reduce the risk of sexually transmitted infections, while also preventing unintended pregnancies. If there is a delay in your menstrual cycle, you can take a home pregnancy test or visit an obstetrics and gynecology clinic fo...

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If your girlfriend's menstrual period was from February 7 to February 11, and you had unprotected intercourse for a short time on February 12 but withdrew before ejaculation, there is still a possibility of pregnancy. The withdrawal method is not a reliable form of contracep...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you should not be pregnant. Wishing you good health.

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