How Effective Is The Pullout Method
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How Effective Is The Pullout Method
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Four people will get pregnant if 100 people use the pull out method perfectly. It can be hard to pull out. About one in five people who use withdrawal get pregnant every year in real life.
Yes, that is correct. It is possible to get pregnant from the pull-out method. The pull-out method involves removing the penis from the vagina before ejaculation.
It is very unlikely that you will get pregnant from precum. Four out of 100 people will get pregnant when using the withdrawal method correctly. There is a 4% chance that a baby will be born if the man ejaculates away from the vagina.
The withdrawal method is not a good form of birth control. If pre-ejaculation fluid contains sperm, it is possible for it to enter the vagina. The withdrawal method does not protect against sexually transmitted infections.
The effectiveness of the pull out method is dependent on how it is used. The pull out method works 80% of the time. The pull out method is effective at preventing pregnant women from getting pregnant.
Four babies will be born to people who use the pull out method perfectly. Plan B is a great way to put your mind at ease if you suspect that pre-cum has entered your body. In fact, that is the case.
According to Mike Hsieh, M.D., director of the Men’s Health Center at UC San Diego, about 20 percent of women can get pregnant from withdrawal method during sex.
Pre-ejaculation, also known as Cowper’s fluid, is a fluid that is released before male ejaculation. It’s possible to get pregnant from precum because it contains active sperm.
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In this post, we’re going to take a look at what the pull out method is, how it works, and its effectiveness as a method of contraception. We’ll also cover some other potential birth control options with higher effectiveness rates than the pull out method. So join us as we revisit some sex ed basics and answer the question, ‘how effective is pulling out?’.
Also known as withdrawal, the pull out method is used to prevent pregnancy by removing the penis from the vagina before ejaculation happens. The pull out method is one of the oldest methods of birth control recorded, and while contraceptive technology has advanced pretty far since then, the pull out method remains, well, a little primitive.
As with other birth control methods , the pull out method’s effectiveness comes down to how it’s used. With typical use, the pull out method is 80% effective. If used perfectly, the pull out method is 96% effective at preventing pregnancy. However, this is very hard to do, as perfect use involves predicting ejaculation and pulling out before it happens.
Typical use effectiveness reflects how a birth control method is typically used, and in the case of the pull out method it’s lower than perfect use, since it’s not possible to always get that crucial timing right. An 80% typical use effectiveness means that, on average, 20 out of 100 couples using this method will get pregnant in a year of use. Find out more about the difference between typical and perfect use when it comes to birth control effectiveness .
Even when the pull out method is used perfectly, there will always be a risk of unintended pregnancy. Of course, no birth control method is 100% effective, but some methods are closer to being fully effective than others…
When withdrawal is timed right and is used perfectly, there is still a risk of pregnancy due to pre-ejaculate or pre-cum. This can enter the vagina before ejaculation and just like regular ejaculate it contains sperm , so can still cause pregnancy.
If you are already using, or thinking about using, the pull out method as a means of birth control, it’s worth knowing that you’ve got other options available, and many of these are more effective at preventing pregnancy than the pull out method. If you’re thinking about switching birth control , it’s worth having a conversation with your healthcare provider and read up on all your options before making a choice.
We know some couples choose withdrawal because they don’t want to use hormonal birth control methods or other contraceptive options, for various reasons. Below are a few alternative birth control methods that should be considered as a more reliable method than pulling out:
One of the most effective birth control methods out there, the copper IUD is completely hormone-free. It’s more than 99% effective, due to there being very little human error involved as the copper IUD is fitted into the uterus by a healthcare professional, and it can stay there and be used as birth control for several years.
If fitted up to five days after unprotected sex, the copper IUD can also be used as emergency birth control . This method is long-acting and invasive and it does have its own downsides, with some women reporting side effects like heavier periods and pain after the fitting.
An over-the-counter birth control option that’s also used for protecting against sexually transmitted infections , condoms are 87% effective with typical use and are 98% effective at preventing pregnancy with perfect use.
Latex-free condoms are now available for those with allergies, and the technology of condom design has come a long way since the early days. However, we know that not everyone wants to use condoms all the time, and for many couples, it makes more sense to opt for a different birth control method they’re more comfortable using.
Unlike the regular combined pill, the mini pill doesn’t contain any synthetic estrogen. Instead, it contains progestin, a synthetic version of the sex hormone progesterone . This is useful for women who want to use a birth control pill, but for those whom synthetic estrogen isn’t an option.
With perfect use, the mini pill is 99% effective at preventing pregnancy. With typical use, it’s 92% effective. Just like other hormonal birth control options, the mini pill is reported to have side effects for some women such as changes to libido and mood.
In 2018, Natural Cycles became the first FDA Cleared birth control app available in the US. It’s a combination of the basal body temperature method and an algorithm that learns the pattern of your unique menstrual cycle so you are aware of your own fertile window (that’s right, you can’t get pregnant every day of your cycle).
Natural Cycles is 93% effective with typical use and it’s 98% effective with perfect use. The method requires the use of condoms or abstaining from sex on fertile days - users of the app should know that using the pull out method on fertile days is classed as unprotected sex.
In reality, a method’s effectiveness comes down to how you go about using that method, and it’s a very individual thing. However, pulling out is consistently tricky to time, and even when used perfectly there is still some risk that cannot be reduced. We know the pull out method remains popular, partly because of its ease of availability, but also because there is a wider knowledge gap when it comes to our reproductive health options.
At Natural Cycles we do not advise the use of withdrawal as a means of birth control. Instead, we encourage individuals to research birth control methods and discuss contraceptive options with a healthcare professional to find one that best suits their lifestyle.
More than 1.8 million women worldwide have already made the switch to Natural Cycles. As well as an FDA Cleared birth control method, Natural Cycles can also be used to plan a pregnancy when the time is right. 100% hormone-free and tailored to you, Natural Cycles puts you in control of your own fertility journey. Are you ready to join our community of Cyclers?
A writer with a passion for women’s health, Jennifer Gray has years of experience writing about various reproductive health topics including birth control, planning pregnancy, women’s anatomy, and so much more.
With 10 years of experience working in the field of fertility, Dr. Jack Pearson is Natural Cycles’ in-house expert. As Medical Affairs Manager, he dedicates his time to conducting groundbreaking research and educating healthcare professionals.
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5 Types of Birth Control Without a Prescription
Not all kinds of birth control require a trip to the doctor’s office. Today we’re going to take a look at the types of birth control you can get without a prescription. Whether it’s for convenience or a need to be discreet - there are many reasons to choose birth control without a prescription. Let’s take a closer look at the options available, how effective they are, and more…
Today we’re going to take a look at the birth control sponge. Whether you’re passionate about this hormone-free method or don’t know the first thing about it, we want you to understand your options and know where they sit in the contraceptive landscape. Let’s take a look at how the birth control sponge works, its effectiveness and more.
How to Choose the Right Birth Control App
Thinking of switching to a birth control app? Whether you’re sick of side effects, or just want to learn more about your natural cycle, our guide is here to help you choose the right birth control app. From looking for certifications, to the questions to ask your doctor, as digital birth control experts, we’re here to help. Read on to find out more…
Medically Reviewed by Brunilda Nazario, MD on July 24, 2020
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.
Couples 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 that you or your partner could be pregnant, talk to your doctor about emergency contraception.
Bedsider: "5 myths about pulling out, busted."
Feminist Women's Health Center: "Withdrawal ('Pulling Out')."
Planned Parenthood: "Withdrawal (Pull-Out Method)."
Trussell, J. Contraception, May 2011.
Center for Young Women’s Health: “Contraception: Pros and Cons of Different Contraceptive Methods.”
Journal of the British Fertility Society : “Sperm content of pre-ejaculatory fluid.”
Mayo Clinic: “Withdrawal method (coitus interruptus).”
Contraception : “Better than nothing or savvy risk-reduction practice? The importance of withdrawal.”
CDC: “Contraceptive Guidance for Health Care Providers: Coitus Interruptus (Withdrawal).”
What you should know to prevent pregnancy.
© 2005 - 2022 WebMD LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.
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In fact, it's twice as popular as it used to be.
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Rosemary Donahue is the former digital wellness editor of Allure . Their writing on health, culture, LGBTQ+ identity, and beauty has appeared on Nylon , Bustle, Vogue , Racked, and MarieClaire.com. You can read more about their work at rosemarydonahue.com .
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While the pull-out method can be can be effective for preventing pregnancy if used perfectly, it's certainly not as good as condoms or the pill. (It also doesn't protect against STIs, as condoms do). That's why this new study from the National Center for Health Statistics about the increasing popularity of the method is a bit worrisome.
According to the NCHS, the pull-out method, also called the withdrawal method, nearly doubled in popularity among unmarried men from 2002 to 2015: In 2002, 10 percent of unmarried men reported using it, while in 2015, 19 percent did. To get these statistics, the NCHS surveyed 3,700 unmarried men who'd had intercourse in the prior three months. On an encouraging note, they found that male contraceptive use is increasing overall — but while condom use and use of vasectomies remain steady, use of the pull-out method is on the rise.
Again, the pull-out method does work to prevent pregnancy. According to Planned Parenthood, just four out of 100 women who use the method will get pregnant if it's executed correctly every single time. However, none of us are perfect, which is why about 27 of every 100 women who use this method will end up pregnant IRL. Compare that with the nine women out of 100 who will get pregnant while on the pill or the 18 in 100 who will get pregnant while using condoms. As Planned Parenthood reports, pregnancy can happen if even a small amount of semen gets in the vagina, and it's all too easy for that to happen when you're using the pull-out method. Play it safe(r) by combining withdrawal with another form of birth control, and don't forget the importance of preventing STIs .
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