Pull Out Method Birth Control
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Pull Out Method Birth Control
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.
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Also known as the pull-out method, withdrawal involves removing the penis from the vagina before ejaculation occurs. This is done in order to prevent insemination from taking place. Considering withdrawal to be a legitimate form of birth control is the subject of some debate. However, it does function in lowering the likelihood of impregnation to some extent.
Removing the penis from the vagina before ejaculation removes the source of sperm from the site of impregnation. The sperm can instead be deposited virtually anywhere else without the risk of pregnancy.
In addition to these benefits, the reasons why people prefer withdrawal (pull out method) are:
There are several drawbacks to withdrawal as well.
First, it is not as effective as many other birth control options available. The pull out method will result in 4 pregnant women for every 100 who use it through the course of a year. Compare this to the birth control pill , which brings this number down to 1 in 100. And that’s only to speak of people who use the pull out method with absolutely perfect technique. When used with imperfect technique, 27 out of every 100 women who use withdrawal will become pregnant.
Furthermore, withdrawal leaves both partners completely exposed to sexually transmitted infections. It also requires expert self-control, especially on the part of the male. Therefore, withdrawal is not recommended as a sole form of birth control for teenagers, the sexually inexperienced, or those who commonly experience pre-mature ejaculation.
Withdrawal will result in pregnancy in 4 out of 100 women who use this as their only form of birth control for one year. This is assuming perfect technique is employed.
Assuming the technique is sometimes poorly employed, it will result in pregnancy in 27 out of 100 women who use this as their only form of birth control for one year.
The pull out method may fail for a number of reasons. Some sources believe that it is possible to impregnate a woman from pre-ejaculation or pre-cum. This can happen during sex or if there is leftover semen on the shaft of the penis from an earlier orgasm. It is also possible to impregnate a woman if semen lands on the vulva (opening of the vagina).
Disregarding risk of pregnancy and infection, withdrawal is a comparatively safe form of birth control. It does not cause any disturbances in hormone levels, nor does it have medical side effects like some other birth control drugs do.
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Withdrawal (Pull Out Method)
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If you do it correctly, pulling out is a pretty effective way of preventing pregnancy. But it can be hard to do it the right way every time. Pulling out also doesn’t protect against STDs, so using a condom is a good idea - both to help prevent STDs, and to add extra pregnancy prevention.
The better you are about using the pull out method correctly — keeping any ejaculation (cum) away from the vulva and vagina every single time you have sex — the better it will work to prevent pregnancy. For every 100 people who use the pull out method perfectly, 4 will get pregnant.
But pulling out can be difficult to do perfectly. So in real life, about 22 out of 100 people who use withdrawal get pregnant every year — that’s about 1 in 5.
The reality is withdrawal isn’t as effective as other types of birth control, but it’s definitely better than not using anything at all. And pulling out can be easily combined with other methods to give you extra pregnancy preventing power. Using withdrawal AND condoms together, for example, gives you pretty excellent protection against pregnancy.
If you use withdrawal for birth control, it’s a good idea to keep emergency contraception (aka the morning-after pill) around, just in case semen (cum) gets in or near your vagina. Emergency contraception can prevent pregnancy for up to 5 days after unprotected sex.
Want to use a more effective form of birth control? Check out the IUD and the implant . They’re the most effective kinds of birth control.
There’s no way to know your exact chances of pregnancy in a particular situation. What we do know is that withdrawal works about 78% of the time overall. But the odds of pregnancy are always higher during the 5 days leading up to, and during, ovulation — these are called fertile days.
If no semen gets on your vulva or in your vagina , pregnancy can’t happen — whether or not you’re ovulating. But it’s sometimes hard for people to know if they pulled out completely before any semen (cum) came out. And some people may also have a tiny bit of sperm in their pre-cum . If sperm gets in your vagina during your fertile days, pregnancy is more likely to happen.
It’s also hard to know for sure exactly when you ovulate, even if you’re tracking your cycle. Many people’s cycles change from month to month. And lots of things (like stress or illness) can mess with your cycle and change the timing of ovulation.
The bottom line is, there are lots of different factors that can affect your chances of getting pregnant. If you’re really worried about preventing pregnancy, you might want to look into methods of birth control that are more effective than pulling out (like IUDs , the implant, the shot , or the pill ). You can also use condoms along with pulling out — that way you’ll still be protected from pregnancy even if your partner doesn’t pull out in time (and you’ll be protected from STDs , too).
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We asked an expert if this double-up technique is actually necessary.
Fingers crossed you already know that wearing two condoms at once is never a good idea—but what about doubling up on two other kinds of birth control options? You might be surprised to learn that many women are combining the pull-out method with other forms of birth control during sex, according to a new study published in the journal Contraception .
Researchers surveyed 3,276 women about their methods of birth control within the past 30 days of the experiment. They found that 77 percent of women said they used a combination of the withdrawal method and highly effective birth control (such as the Pill) simultaneously. Study authors hypothesize that these women were trying to "doubly protect" themselves against unintended pregnancy.
Sorry to burst your bubble, but there's absolutely no way to tell if combining these two forms of birth control will actually increase your pregnancy protection. While it's possibl
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