From the Guidelines
Using a condom and the pull-out method together can significantly reduce the risk of pregnancy, with an estimated effectiveness of about 96-97% with typical use, according to the data from 1. When considering the effectiveness of contraceptive methods, it's essential to look at both typical use and perfect use scenarios. The data from 1 provides insight into the effectiveness of various contraceptive methods, including the use of condoms and the withdrawal method.
Effectiveness of Condom and Withdrawal Method
- The withdrawal method alone has a typical use effectiveness of 27% and a perfect use effectiveness of 4%, as indicated in the study 1.
- The male condom has a typical use effectiveness of 15% and a perfect use effectiveness of 2%, as shown in the data from 1.
Combining Methods for Better Protection
Using both a condom and the withdrawal method together can provide a higher level of protection against pregnancy.
- This combined approach offers a backup protection mechanism, where if one method fails (e.g., a condom breaks), the other method (withdrawal) can still prevent pregnancy.
- However, it's crucial to remember that pre-ejaculate fluid can contain sperm, and neither method provides complete protection against all sexually transmitted infections.
Recommendations for Use
For maximum effectiveness when using a condom and the withdrawal method:
- Ensure the condom is applied correctly before any genital contact.
- Check the condom for any damage or defects.
- Leave space at the tip of the condom to collect semen.
- Withdraw well before ejaculation to minimize the risk of sperm entering the vagina.
Considerations for Additional Protection
For individuals seeking even greater protection against pregnancy, consider:
- Adding a hormonal contraceptive method, such as the pill, patch, or ring.
- Discussing long-acting reversible contraceptives (LARCs) with a healthcare provider, such as intrauterine devices (IUDs) or implants. By understanding the effectiveness and proper use of the condom and withdrawal method, individuals can make informed decisions about their contraceptive choices and reduce the risk of unintended pregnancy.
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
From the Research
Chance of Pregnancy with Condom and Pull Out
- The provided studies do not directly address the chance of pregnancy with condom and pull out methods 3, 4.
- The studies focus on emergency contraception methods, such as copper intrauterine devices and hormonal emergency contraception pills 3, and provider counseling about combined hormonal contraception methods 4.
- There is no mention of condom and pull out methods in the provided studies, and therefore, no information can be derived from them regarding the chance of pregnancy with these methods.
- The studies highlight the importance of comprehensive counseling about available contraception methods and their individual features to improve contraceptive selection and use 4.
- However, they do not provide any data or insights on the effectiveness of condom and pull out methods in preventing pregnancy 3, 4.