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Withdrawal
Online Birth Control Education

The withdrawal method of birth control, also known as coitus interruptus, involves the man withdrawing his penis from the vagina before ejaculation. In theory, this prevents sperm from being deposited in the vagina and subsequently fertilizing an ovum. Typically, a couple has penile-vaginal intercourse until the man withdraws his penis from the vagina when ejaculation is impending. The man must rely on his own sense of forthcoming ejaculation in order to practice this method. While some men do have ejaculatory control, others do not which can lead to not practicing this method consistently. Even though ejaculation may not occur in the vagina the release of pre-ejaculate which is typically released just before ejaculation goes unnoticed by the man and the woman. Pre-ejaculate is unlikely to release viable sperm for a single act of intercourse, but may contain STI producing organisms.

How to use this method:

  • If more than one intercourse takes place in a short time frame, before insertion the man should urinate and wipe off the tip of his penis to remove any sperm remaining from a previous ejaculation.
  • The penis should be removed prior to ejaculation and ejaculation should occur away from his partner’s genitals.

Withdrawal is ineffective in protecting partners from STIs and HIV. However, withdrawal is a better method of contraception as compared to using no method at all.

Advantages

  • No cost
  • No chemicals or devices
  • Always available
  • No side effects

Disadvantages

  • High failure rate
  • Interruption may diminish couple's sexual pleasure
  • No protection from STI

Efficacy

  • Failure rate: Typical use: 27%; Perfect use: 4%

 

Online Birth Control Education
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last reviewed: Spring 2005