Contraception: Common Myths and Safe Practices - Obstetrics and Gynecology

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Regarding contraception?


Hello, Doctor: I would like to ask a few questions.

1.
If my boyfriend and I engage in intimate touching while wearing clothes, is there a risk of pregnancy? (I have heard of cases where this led to pregnancy, and I'm unsure if this is true or not.)
2.
If I want to ensure safe contraception, when should the condom be put on? I have read that it should be put on when he is erect, but I have also seen other information suggesting that putting it on too early might hinder further activities.
My boyfriend also mentioned that it could be uncomfortable and might prevent us from proceeding.
I would like to ask the doctor how we can safely practice contraception in this situation.
Thank you for your response.

Niming, 20~29 year old female. Ask Date: 2014/06/05

Dr. Lin Wenbin reply Obstetrics and Gynecology


1.
If there are penile secretions on the hands (including pre-ejaculatory fluid) and they come into direct contact with the vaginal mucosa, pregnancy may occur.
2.
Condoms should be put on as soon as an erection occurs, and they should not be removed and re-applied during intercourse.
It is essential to stop intercourse immediately after ejaculation for the protection to be effective.
Other methods do not provide protective effects.

Reply Date: 2014/06/05

More Info


Understanding contraception is crucial for making informed decisions about sexual health. Let's address your questions one by one, while also debunking some common myths and providing safe practices.

1. Can you get pregnant from dry humping or grinding through clothes?
The likelihood of pregnancy from dry humping (or any form of sexual activity that does not involve direct genital contact) is extremely low. Pregnancy occurs when sperm fertilizes an egg, and for that to happen, sperm must be deposited in or near the vaginal canal. If you are fully clothed and there is no direct contact between the genitals, the chances of sperm reaching the vagina are negligible. However, it is important to note that if there is any transfer of bodily fluids (such as pre-ejaculate) through clothing, there is a very small risk, but it is generally considered to be minimal.
The myth that one can become pregnant from such activities often stems from misunderstandings about how pregnancy occurs. It's essential to educate yourself and your partner about reproductive health to alleviate unnecessary fears.

2. When should condoms be used for safe sex?
Condoms are a highly effective method of contraception when used correctly. They should be put on before any genital contact occurs, including oral sex, to prevent the transmission of sexually transmitted infections (STIs) and to ensure that no sperm comes into contact with the vagina.
The common advice is to put on the condom when the penis is erect, but it is crucial to ensure that the condom is applied before any genital rubbing or penetration occurs. If your boyfriend is concerned about comfort, you can practice putting on the condom together before engaging in sexual activity. This can help both of you feel more comfortable and ensure that the condom is applied correctly.

Here are some tips for using condoms effectively:
- Check the expiration date: Always check the expiration date on the condom package before use.

- Open carefully: Open the condom package carefully to avoid tearing it with sharp objects like teeth or nails.

- Pinch the tip: When putting on the condom, pinch the tip to leave space for semen and roll it down the shaft of the penis.

- Use water-based or silicone-based lubricants: If additional lubrication is needed, use water-based or silicone-based lubricants to prevent the condom from breaking. Avoid oil-based lubricants, as they can degrade latex condoms.

- Remove carefully: After ejaculation, hold the base of the condom while withdrawing to prevent spillage. Dispose of the condom properly.

3. Addressing concerns about comfort and pleasure:
Many people worry that putting on a condom might interrupt the flow of intimacy. To address this, consider incorporating condom application into foreplay. This can make the process feel more natural and less mechanical. Communication with your partner about preferences and comfort levels is key to a satisfying sexual experience.

In conclusion, understanding how pregnancy occurs and the proper use of condoms can significantly reduce anxiety around sexual activity. It's essential to have open discussions with your partner about contraception and to educate yourselves on safe practices. If you have further questions or concerns about contraception or sexual health, consider consulting a healthcare provider for personalized advice.

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