What is the likelihood of pregnancy with the use of a condom (contraceptive device) and the coital withdrawal (pull-out) method?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: April 29, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Using both a condom and the withdrawal method together can significantly reduce the risk of pregnancy, with a combined failure rate of less than 2% when used perfectly, as the condom has a 2% failure rate with perfect use and withdrawal has a 4% failure rate with perfect use 1. When considering the use of both a condom and the withdrawal method, it's essential to understand the effectiveness of each method individually. According to the data, condoms have a 2% failure rate with perfect use and an 18% failure rate with typical use, while withdrawal has a 4% failure rate with perfect use and a 27% failure rate with typical use 1.

Key Points to Consider

  • The failure rates of condoms and withdrawal methods can be significantly reduced when used together, providing a backup protection if one fails.
  • To maximize effectiveness, ensure the condom is put on correctly before any genital contact, check for damage, leave space at the tip, and withdraw before ejaculation even with the condom on.
  • Neither method provides perfect protection against STIs, though condoms offer good protection.
  • For even greater pregnancy prevention, consider adding a hormonal method like the pill, patch, or IUD in consultation with a healthcare provider.

Effectiveness Comparison

  • The combined failure rate of less than 2% when using both methods perfectly is significantly lower than the individual failure rates of condoms (2% with perfect use) and withdrawal (4% with perfect use) 1.
  • The data suggests that using both methods together can provide a higher level of protection against pregnancy compared to using either method alone.

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

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.