Withdrawal ("pulling out")
When couples use withdrawal, the man pulls his penis out of his partner's vagina before ejaculation ("coming"). This prevents sperm from entering the woman's body. To practice withdrawal correctly, a man needs to have self-control. He needs to know when he is about to ejaculate ("come"), and he needs to make sure that none of his semen ("cum") touches or enters his partner's vagina. It was once thought that a man's pre-ejaculate contained sperm; it doesn't. Instead, there may be semen present in a man's urethra (which ends with the opening at the tip of the penis) from a previous ejaculation. More likely, a man may not withdraw completely before ejaculating or if he does, he may not ejaculate far enough away from the woman's vagina to be effective. Like abstinence and fertility awareness, withdrawal can be challenging. Is withdrawal a real method? Absolutely. Are there other more effective methods? Sure. With typical use, nineteen women in 100 would become pregnant in one year. With perfect use, four women in 100 would get pregnant in one year. That's similar to the effectiveness of the female condom. Withdrawal does not prevent transmission of STDs.
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