Do you need to take contraceptive pills when using withdrawal as a method of contraception?

Jul 17, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
During sexual intercourse, the withdrawal method (coitus interruptus) is an unreliable form of contraception. Especially if the woman is in her ovulation period, emergency contraceptive pills should be taken when using the withdrawal method. This is because withdrawal does not effectively prevent pregnancy—men may release a small amount of semen before ejaculation due to excitement, which creates the risk of unintended pregnancy.

In general, whether or not to take emergency contraception after withdrawal (coitus interruptus) depends on the specific circumstances. If any discomfort occurs, it is recommended to seek medical advice promptly. The details are as follows:

1. Not necessary

Withdrawal refers to the practice in which, during sexual intercourse, the male withdraws the penis from the vagina just before ejaculation, so that semen is released outside the partner's body. If ejaculation occurs entirely outside the body and there is no accidental contact between semen or prostatic fluid and the area around the female's vaginal opening during intercourse, emergency contraception is generally not required.

2. Necessary

Although the intention is to ejaculate outside the body, during sexual activity pre-ejaculate fluid—which may contain a small number of sperm—could enter the vagina, or semen might come into contact with the female genital area during position changes. In such cases, taking emergency contraception may be advisable.

To avoid unnecessary harm to the body, it is recommended to consult a healthcare professional. Maintaining a balanced diet, getting adequate rest, and reducing stress in daily life contribute to overall health.

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