Whenever you have unprotected sex, pregnancy is possible (even if he did not ejaculate inside the vagina and regardless of how long the intercourse lasted). However, since he did not ejaculate, your risk is lower.
Withdrawal or the pull out method is not considered a reliable method of birth control. However, it is more effective when it is done correctly. Of every 100 women whose partners use withdrawal, four will become pregnant each year if the method is done perfectly. Of every 100 women whose partners use withdrawal, 27 will become pregnant if withdrawal is not always performed correctly.
Couples who have great self-control, experience, and trust tend to use the pull out method more effectively. The male partner must be able to know exactly when ejaculation is coming and must be able to pull out before any semen is deposited in the vagina. Generally, younger or less experienced men have a more difficult time predicting the time of ejaculation and have more difficulty pulling out in time.
However, even if a man pulls out in time, pregnancy is still possible because of pre-seminal fluid (also called pre-ejaculate). Pre-seminal fluid leaks out of the penis prior to ejaculation. Sometimes this fluid contains sperm that is left in the urethra from a previous ejaculation. If a man urinates between ejaculations before having sex again, it will help clear the urethra of sperm and may increase the effectiveness of withdrawal.
If you are more than one week late for your period, take a pregnancy test. If it is negative, repeat the test every two weeks until you either have a normal period or a positive test result.
Since your partner does not seem to like condoms, you may want to consider using a hormonal method of birth control. If you live near our service area, please contact one of our offices for an appointment. If you live further away, call the Family Planning or Planned Parenthood office closest to you.
1. March 2012
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