From the Guidelines
Using a condom and the pull-out method together can significantly reduce the risk of pregnancy, with an estimated failure rate of less than 2% with perfect use, as the condom has a 2% failure rate with perfect use and the pull-out method has a 4% failure rate with perfect use 1. When considering the use of both a condom and the pull-out method, it's essential to understand the effectiveness of each method individually.
- The condom has a 2% failure rate with perfect use and a 15% failure rate with typical use, as seen in the data from the 2010 U.S. Medical Eligibility Criteria for Contraceptive Use 1.
- The pull-out method has a 4% failure rate with perfect use and a 27% failure rate with typical use, according to the same study 1. To maximize the effectiveness of using both methods, it's crucial to follow proper protocol:
- Ensure the condom is put on before any genital contact
- Check for damage or tears in the condom
- Leave space at the tip of the condom
- Hold the base of the condom when withdrawing Even with both methods, it's essential to remember that no contraception except abstinence is 100% effective. For individuals seeking even greater protection, consider adding a hormonal method like birth control pills, patches, or an IUD. If concerned about a possible pregnancy, emergency contraception is available within 3-5 days after unprotected sex, with a treatment schedule that can reduce the risk for pregnancy by at least 75% 1.
From the FDA Drug Label
Condoms, sponge, withdrawal, spermicides, diaphragm: Use correctly every time you have sex Tier 3 Less Effective More than 13 pregnancies per 100 women in one year
The chance of pregnancy with a condom and pull-out method is more than 13 pregnancies per 100 women in one year if used correctly every time. However, the effectiveness of these methods can vary depending on proper use. 2