Thanks for taking the time to ask a question that many young people have. I’ll answer your question in two parts. Show
First, let’s talk about “pulling out” as a method of birth control. Pulling out, also known as “withdrawal” means that a male partner pulls his penis out of his female partner’s vagina before ejaculating (cumming). Often pulling out is described as “better than nothing”. This is true, but I would not recommend this alone as a reliable means of birth control. There are a few problems with this method. One problem is that any time sperm enters a female’s reproductive tract, there is a chance for pregnancy. Pre-cum does not contain as much sperm as cum itself, but it still can contain some. And all it takes is one sperm to meet one egg on the right day for fertilization to occur. There are different estimates of pregnancy chances with withdrawal as birth control. One figure that I believe is fairly accurate is that in a year of 100 couples using only pulling out as birth control, 25 will become pregnant. That is 1 in 4. More on sperm, eggs and pregnancy can be found HERE. Now, about condoms. Condoms are definitely important to prevent sexually transmitted infections. In fact barrier methods (condoms, dental dams and anything that blocks direct skin to skin contact) is the best thing we have to prevent passing infections back and forth between 2 sexually active partners. Condoms, too, can be useful for birth control. They are not one of the most reliable methods, however, especially when used by young people. This is not because young people are dumb, but rather young people often do not know how to use condoms properly and are less experienced than more mature couples. Typically, in teens condoms can fail to prevent pregnancy in about 1 in 7 teens using condoms alone for birth control for a year. Here’re a few things about condoms:
So, what if you combine withdrawal and condom use? That definitely will have better effectiveness for birth control than either method alone. But there are so many better and more convenient options for birth control available for young people, that I encourage every young person in an intimate (sexual) relationship to explore these options with their doctor or school nurse or other trusted medical professional. HERE is a great link where you can explore different birth control options. Many states in the US have laws enabling teens and minors to get reproductive and sexual health care without adult consent. I am not encouraging teens to make these decisions without the advice of adults, but I do know that for many teens, talking about birth control and sex with parents is simply not an option. Getting the health care you need to protect yourself and to prevent unwanted illness or pregnancy is an important part of becoming a sexually active person. If you live in the US, you can see what your state’s laws say about minors (less than legal age of adulthood) and accessing sexual health care without parental consent HERE. Now, if you are planning to submit a comment - do NOT submit your email! No need to submit your name either. And remember, comments are not for personal medical questions. This is what your doctor is for! Medically Reviewed by Traci C. Johnson, MD on August 08, 2022 The pull-out method is a form of birth control in which a man takes their penis out of a woman's vagina before they ejaculate so fewer sperm get inside. It’s also known as coitus interruptus or the withdrawal method. It isn’t as easy as it sounds. The man needs a lot of control to time it right. It doesn't work if they can't feel when they are close to orgasm or if they're so caught up in the moment that they don't pull out in time. The best ways to use the pull-out method Here are some tips to make it work better: Pulling out isn’t a very reliable way to prevent pregnancy. It works about 78% of the time, which means that over a year of using this method, 22 out of 100 women -- about 1 in 5 -- would
get pregnant. By comparison, male condoms are 98% effective when used correctly every time. Can you get pregnant if your partner pulls out? Yes, you can. But the pull-out method may work better than doing nothing. Does the pull-out method prevent STDs? No, it doesn’t. You can still get a sexually transmitted disease (STD) such as HIV, chlamydia, gonorrhea, herpes, or syphilis while using this method. Benefits of the Pull-Out MethodCouples may choose this method if they wouldn’t mind a surprise pregnancy or because:
Not only is it not very effective, withdrawal isn’t a good method of birth control because: If you're worried the method did not go as planned, talk to your doctor
about emergency contraception, which should be taken as soon as possible after sex to try to prevent a pregnancy. Can you get pregnant with a condom and pulling out?Of every 100 women whose partners use the pull out method by itself, four will become pregnant each year if they always do it correctly. But by using condoms and the pull out method together, you and your partner have a high level of protection from pregnancy and sexually transmitted infections.
How effective are condoms and pulling out together?Pull-out method statistics show that out of 100 women who use the pull-out method perfectly, four will get pregnant. In general, 27 women whose partners pull out get pregnant out of 100. (To compare, roughly 15 out of 100 couples who use condoms get pregnant.)
Do I have to pull out if I wear a condom?When using a condom, you have to pull out after you have ejaculated and before your penis goes soft, holding the condom firmly in place.
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