Precumm
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Precumm
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Some frequently asked questions about precum
Can peeing after sex kill sperm cells from precum?
What should you do if you've been exposed to precum through unprotected sex?
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Many couples rely on withdrawal as a method of contraception — but just how safe is it? Find out what precum is and the real risks of getting pregnant from it.
The pull-out method has been shown to be one of the least effective methods of contraception , but lots of us are still using it to avoid pregnancy.
In fact, a 2013 report by the Centers for Disease Control and Prevention (CDC) found that 60 percent of the female population in the U.S. (or their partners) have used the withdrawal method at least once, making it one of the most common methods of contraception. And a 2015 study revealed that seven percent of female and six percent of male respondents claim that withdrawal is their only method of contraception.
Even though the pull-out method might seem convenient, it actually carries a few risks that could result in major inconvenience (to put it mildly). Withdrawal doesn’t provide protection from sexually transmitted infections (STIs) . And even if your partner pulls out before ejaculation, you may still be exposed to sperm cells in the form of precum.
So, what is precum ? And can it get you pregnant? We asked the experts.
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Precum, also known as “pre-ejaculatory fluid,” is the fluid that sometimes appears at the tip of the penis before ejaculation . This can happen at any time during arousal.
Contrary to what lots of people think, precum isn’t actually the same thing as semen — even if it looks a lot like it! So, where does it come from? Well, precum is produced in the Cowper’s glands and is made up of enzymes and mucus. So, in its purest form, precum doesn't actually contain any sperm cells at all. The problem is that precum often becomes contaminated with sperm during sex — more on that below.
Precum actually has quite an important job to do. It helps the urethra (the tube that transports sperm and urine) prepare to ejaculate semen.
As Dr. Peace Nwegbo-Banks , OB-GYN, explains, “The urethra serves two purposes in men — it allows for the passage of sperm and urine. Because urine has an acidic pH, this can affect sperm motility.”
In other words, precum makes the urethra less acidic and, therefore, more hospitable for all of those sperm cells that are on their way.
Something people often google is “ Can you get pregnant from precum ?” — and the answer is yes.
Even though precum doesn't naturally contain sperm, it can be contaminated with sperm . For example, a 2013 study found that 41 percent of people surveyed had traces of live sperm in their precum — although only 37 percent contained a “reasonable proportion” of motile sperm that could result in pregnancy .
“If [someone with a penis] has recently ejaculated, residual sperm can reside within the urethra,” Nwegbo-Banks explains. So, in other words, yes, precum can deliver sperm to the vaginal canal and, in some cases, lead to pregnancy.
While it’s impossible to tell if your partner’s precum contains sperm, what we do know is that the withdrawal (or pull-out) method is very risky. In fact, a 2017 study found 20 percent of people relying on withdrawal for contraception ended up with an unintended pregnancy — the highest failure rate of any contraceptive method tested.
If you’re not planning on getting pregnant, you’re much better off using a different method of contraception. IUDs, birth control pills, and condoms have all been shown to be much more effective than the pull-out method.
Pregnancy isn't the only risk that comes with the pull-out method because precum can also spread STIs.
As the World Health Organization (WHO) explains, STIs are usually spread through sexual contact, and HIV, chlamydia, hepatitis B, and gonorrhea can be spread through fluids including — you guessed it — precum.
So the pull-out method can be pretty risky, especially if you’re having casual sex or are unsure if your partner has been recently tested for STIs. It’s also important to remember that conditions such as herpes and HPV can also be passed on through skin-to-skin contact, so while wearing a condom doesn’t entirely eliminate the spread of those viruses, it does help a little.
Precum occurs during arousal prior to ejaculation. Different people produce different amounts of precum. In some cases, the amount will be so small that it’s not noticeable.
A 2013 study found that the amount of precum produced was usually less than a teaspoon. In many cases, it’s barely noticeable.
If you have used the withdrawal method and are worried about getting pregnant, unfortunately, peeing after sex won't help to kill any sperm cells that may have already made it to your vaginal canal.
As Nwegbo-Banks explains, urine comes from your urethra, so it won't interact with any active sperm cells in your vagina or uterus.
However, urine can kill sperm cells when it interacts with them. So, if your partner has recently ejaculated, they may be able to kill some —not all — of the remaining sperm cells in their urethra by urinating. If you then decide to use the withdrawal method after this, their precum will be less likely to contain high levels of sperm. Even so, you should use a condom if you’re not planning for pregnancy and/or you and your partner haven’t been recently tested for STIs.
If you have used the withdrawal method, you may be at risk of becoming pregnant or contracting an STI. If you’re not certain of the other person’s STI status, it’s a good idea to get tested. And if you don’t want to get pregnant, emergency contraception is your best option.
There are two different types of emergency contraception pills. One contains levonorgestrel and needs to be taken within 72 of unprotected sex. The other contains ulipristal acetate and needs to be taken within 120 hours (5 days) of unprotected sex. Having a copper IUD inserted within 120 hours of unprotected sex also works for emergency contraception. You may wish to speak with your doctor about more effective long-term contraception methods.
“Which Young Adults Are Most Likely to Use Withdrawal?” NCBI , www.ncbi.nlm.nih.gov/pmc/articles/PMC4373981. Accessed 11 Nov. 2021. “Sperm Content of Pre-Ejaculatory Fluid.” NCBI , www.ncbi.nlm.nih.gov/pmc/articles/PMC3564677. Accessed 11 Nov. 2021. Sundaram, Aparna. “Contraceptive Failure in the United States: Estimates From the 2006–2010 National Survey of Family Growth.” Wiley Online Library , 1 Mar. 2017, onlinelibrary.wiley.com/doi/full/10.1363/psrh.12017. Accessed 11 Nov. 2021. “Sexually Transmitted Infections (STIs).” World Health Organisation , 14 June 2019, www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis). Accessed 11 Nov. 2021. NHS website. “Emergency Contraception (Morning After Pill, IUD).” Nhs.Uk , 8 July 2021, www.nhs.uk/conditions/contraception/emergency-contraception. Accessed 11 Nov. 2021.
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Pre-ejaculate, sometimes called precum, is a clear fluid that is released when a man becomes sexually aroused, but before he ejaculates. Sometimes, it can be seen at the tip of the penis, but many men don’t even notice it.
The fluid is produced by a pair of pea-sized glands called the Cowper’s glands, located near the urethra, a tube in the penis with a dual purpose: allowing urine and semen to exit the body.
Pre-ejaculate fluid neutralizes any acidity left by urine in the urethra, protecting sperm that flows through.
Men produce differing amounts of precum, from a few drops to about a teaspoon. Generally, the amount is nothing to worry about.
In rare cases, men produce much more fluid, and there have been reports of men whose clothes are soiled when they become aroused. Medications might help, and men in this situation are advised to see their doctor.
Many people wonder whether a woman can get pregnant from pre-ejaculate fluid. The answer is yes – although this is not common.
Typically, precum does not contain any sperm. However, if a man has ejaculated recently, sperm cells might still be found in the urethra and mix with the pre-ejaculate fluid. When this happens, it is still possible for a woman to become pregnant.
For example, if a man removes his penis from his partner’s vagina before ejaculating (“pulling out”), sperm in the precum can still travel up the vagina and fertilize an egg.
For this reason, couples who do not wish to become pregnant should use condoms during all sexual activities.
It’s also important to know that sexually-transmitted infections, like HIV and chlamydia, can be transmitted through precum. For instance, if a person gives oral sex to a man, he or she could become infected through contact with pre-ejaculatory fluid. This is another important reason to practice safe sex.
From Wikipedia, the free encyclopedia
Clear fluid emitted from the urethra of the penis during sex
Not to be confused with premature ejaculation .
^ Jump up to: a b c d e f Chudnovsky, A.; Niederberger, C.S. (2007). "Copious Pre-Ejaculation: Small Glands—Major Headaches". Journal of Andrology . 28 (3): 374–5. doi : 10.2164/jandrol.107.002576 . PMID 17251594 .
^ Jump up to: a b Chughtai B, Sawas A, O'Malley RL, Naik RR, Ali Khan S, Pentyala S (April 2005). "A neglected gland: a review of Cowper's gland". Int. J. Androl . 28 (2): 74–7. doi : 10.1111/j.1365-2605.2005.00499.x . PMID 15811067 .
^ Vazquez E (1997). "Is it safe to suck?". Posit Aware . 8 (4): 15. PMID 11364482 .
^ Jump up to: a b c Zukerman Z.; Weiss D.B.; Orvieto R. (April 2003). "Short Communication: Does Preejaculatory Penile Secretion Originating from Cowper's Gland Contain Sperm?" . Journal of Assisted Reproduction and Genetics . 20 (4): 157–159. doi : 10.1023/A:1022933320700 . PMC 3455634 . PMID 12762415 .
^ Gohara WF (1 February 1980). "Rate of decrease of glutamyltransferase and acid phosphatase activities in the human vagina after coitus". Clinical Chemistry . 26 (2): 254–7. doi : 10.1093/clinchem/26.2.254 . PMID 6101549 .
^ Jump up to: a b c "Researchers find no sperm in pre-ejaculate fluid". Contraceptive Technology Update . 14 (10): 154–156. October 1993. PMID 12286905 .
^ Killick SR, Leary C, Trussell J, Guthrie KA (2011). "Sperm content of pre-ejaculatory fluid" . Human Fertility . 14 (1): 48–52. doi : 10.3109/14647273.2010.520798 . PMC 3564677 . PMID 21155689 .
^ Kovavisarach, E.; Lorthanawanich, S.; Muangsamran, P. (2016). "Presence of Sperm in Pre-Ejaculatory Fluid of Healthy Males". J Med Assoc Thai . 99 Suppl 2: S38–41. ISSN 0125-2208 . PMID 27266214 .
^ Masters, W.H. (1966). Johnson, V.E . Boston, MA: Little, Brown and Company. p. 211.
^ Pudney, J., Oneta, M., Mayer, K., Seage, G., Anderson, D. (1992). "Pre-ejaculatory fluid as potential vector for sexual transmission of HIV-1". Lancet . 340 (8833): 1470. doi : 10.1016/0140-6736(92)92659-4 . PMID 1360584 . S2CID 7106584 . {{ cite journal }} : CS1 maint: uses authors parameter ( link )
^ Ilaria, G., Jacobs, J.L., Polsky, B. et al. (1992). "Detection of HIV-1 DNA sequences in pre-ejaculatory fluid". Lancet . 340 (8833): 1469. doi : 10.1016/0140-6736(92)92658-3 . PMID 1360583 . S2CID 43112865 . {{ cite journal }} : CS1 maint: uses authors parameter ( link )
Pre-ejaculate (also known as pre-ejaculatory fluid , pre-seminal fluid or Cowper's fluid , and colloquially as pre-cum ) is a clear, colorless, viscous fluid that is emitted from the urethra of the penis during sexual arousal . It is similar in composition to semen but has distinct chemical differences. The presence of sperm in the fluid is variable from low to absent. Pre-ejaculate functions as a lubricant and an acid neutralizer.
The fluid is discharged from the urethra of the penis during arousal , masturbation , foreplay or at an early stage during sexual intercourse , some time before the individual fully reaches orgasm and semen is ejaculated. It is primarily produced by the bulbourethral glands ( Cowper's glands ), with the glands of Littré (the mucus-secreting urethral glands ) also contributing. [1] [2] The amount of fluid that is issued varies widely among individuals. Some individuals do not produce any pre-ejaculate fluid, [3] while others emit as much as 5 ml (0.18 imp fl oz; 0.17 US fl oz). [1] [4]
Pre-ejaculate fluid contains chemicals associated with semen, such as acid phosphatase , but other semen markers, such as gamma-glutamyltransferase , are absent. [5]
Pre-ejaculate neutralizes residual acidity in the urethra caused by urine , creating a more favorable environment for the passage of sperm. [2] The vagina is normally acidic, so the deposit of pre-ejaculate before the emission of semen may change the vaginal environment to promote sperm survival. [1] Pre-ejaculate also acts as a lubricant during sexual activity , [1] and plays a role in semen coagulation . [1]
Low levels or no sperm exists in pre-ejaculate, although studies examined small samples of men. [4] [6] Two contrary studies found mixed evidence, including individual cases of a high sperm concentration. [7] [8] Popular belief – dating to a 1966 Masters and Johnson study [9] – stated that pre-ejaculate may contain sperm that can cause pregnancy, which is a common basis of argument against the use of coitus interruptus (withdrawal) as a contraceptive method. [4] [6]
Studies have demonstrated the presence of HIV in most pre-ejaculate samples from infected men. [6] [10] [11]
In rare cases, an individual may produce an excessive amount of pre-ejaculate fluid that can be a cause of embarrassment or irritation. A few case reports have indicated satisfactory results when such individuals are treated with a 5-alpha-reductase inhibitor , such as finasteride . [1]
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