Can You Get Pregnant from Withdrawal Method After Period? - Obstetrics and Gynecology

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Can I get pregnant?


If your girlfriend had sexual intercourse within a week after her menstrual period and you withdrew before ejaculation, the chances of pregnancy are relatively low, especially if you are certain that there was no ejaculation inside her.
However, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm, which could potentially lead to pregnancy.
If you are concerned about the possibility of pregnancy, it may be advisable for her to take a pregnancy test or consult a healthcare professional for further guidance.

Niming, 20~29 year old female. Ask Date: 2016/03/11

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you need to wait.
Generally, a pregnancy test should be taken at least 12 days after conception for accurate results.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/03/11

More Info


The withdrawal method, also known as "pulling out," is a form of contraception where the male partner withdraws his 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 and has several factors that can influence its effectiveness.

To address your question directly: Yes, it is possible to become pregnant from the withdrawal method, even if ejaculation occurs outside the vagina. Pre-ejaculate fluid (pre-cum), which can be released before ejaculation, may contain sperm. If any sperm from this fluid enters the vagina, there is a chance of fertilization occurring, especially if the female partner is in her fertile window.

The timing of intercourse in relation to the menstrual cycle is crucial. A typical menstrual cycle lasts about 28 days, but it can vary from person to person. Ovulation usually occurs around 14 days before the start of the next period. Sperm can survive in the female reproductive tract for up to five days, so if intercourse occurs within a week after menstruation, it could coincide with the fertile window, depending on the length of the cycle.

In your case, since the intercourse occurred about a week after your girlfriend's period, it is essential to consider her cycle length. If she has a shorter cycle (e.g., 21-24 days), she may ovulate soon after her period ends, increasing the likelihood of pregnancy. Conversely, if she has a longer cycle (e.g., 30-35 days), the risk may be lower, but it is still present.

Regarding the effectiveness of the withdrawal method, studies suggest that with perfect use, it can be about 96% effective, but typical use drops this effectiveness to around 78%. This means that many couples relying on this method may experience unintended pregnancies. Factors that can affect its success include the male partner's ability to withdraw in time, the presence of pre-ejaculate fluid, and the timing of the female partner's ovulation.

If you are concerned about the possibility of pregnancy, it may be wise for your girlfriend to take a home pregnancy test if her period is late or if she experiences any early signs of pregnancy, such as nausea or breast tenderness. Additionally, if you are actively trying to avoid pregnancy, consider discussing more reliable contraceptive methods with a healthcare provider. Options include hormonal contraceptives, intrauterine devices (IUDs), or barrier methods like condoms, which can provide more effective protection against unintended pregnancy.

In conclusion, while the withdrawal method can reduce the risk of pregnancy, it is not entirely reliable, and there is still a possibility of conception occurring, especially if the timing aligns with the fertile window. If you have further concerns or questions about contraception and family planning, consulting a healthcare professional can provide personalized guidance based on your specific circumstances.

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Dr. Huang Jianzhong reply Obstetrics and Gynecology
The menstrual period started on February 19 and ended around February 23. Intercourse without protection with withdrawal on February 27. What is the likelihood of pregnancy in this situation? Answer: The likelihood of pregnancy is low.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it should be safe during this period and you are unlikely to get pregnant. Wishing you good health.

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

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Hello Doctor: My period started on October 29th and lasted for a week, which is on schedule. I had unprotected external ejaculation in the early morning of November 18th. I would like to ask if there is a possibility of pregnancy in this situation?


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

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