What Are the Risks of Withdrawal Method and What Other Contraceptive Options Exist?

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The Risks of Withdrawal Method in Sexual Intercourse

Many couples utilize the withdrawal method, also known as "pulling out," as a form of contraception. However, this technique is considered one of the least reliable methods of preventing pregnancy, and it can pose additional risks to male sexual health. This article discusses the harmful impacts associated with the withdrawal method and alternative contraception methods available.

Potential Dangers of Withdrawal Method

1. Risk of Sexual Anxiety

During sexual intercourse, a man's sexual response is largely controlled by the brain. The intense psychological and physical stimulation can lead to an array of physiological changes, such as increased heart rate, heightened blood pressure, and penile engorgement. If intercourse is abruptly interrupted right before ejaculation, it can negatively impact sexual psychology, potentially leading to conditions like sexual anxiety and issues such as premature ejaculation and erectile dysfunction over time.

2. High Probability of Contraceptive Failure

The withdrawal method involves pulling out right before ejaculation to prevent sperm from entering the vagina. This natural contraception technique often falls short. During sexual excitement, a small amount of pre-ejaculatory fluid may be released, which can contain sperm. As a result, this increases the likelihood of unintended pregnancy.

3. Functional Ejaculation Issues

Engaging in the withdrawal method can also complicate the ejaculation process. The interruption can lead to dysfunction of the central nervous system related to ejaculation, resulting in potential long-term issues with ejaculation, such as functional anejaculation.

4. Risk of Female Sexual Dysfunction

When a woman reaches sexual climax but the act is forcefully interrupted, it may lead to significant dissatisfaction. This sudden drop in sexual stimulation can create psychological distress for the woman, contributing to issues like sexual dysfunction and decreased libido.

5. Strain on Relationship Harmony

Healthy sexual experiences can enhance relationships. However, using the withdrawal method can lead to misunderstandings between partners. Should an unintended pregnancy occur, the male partner may unjustly suspect infidelity, resulting in conflict. If intimacy is halted, the female partner may feel unfulfilled, which can create emotional distance between them.

Effective Contraceptive Alternatives

1. Liquid Contraceptive Gel

The liquid contraceptive gel boasts a success rate of over 96%. This water-soluble and transparent gel is effective in preventing sexually transmitted diseases while also possessing strong spermicide properties. To use, insert approximately 2 milliliters of the gel into the vagina prior to intercourse for a duration of up to eight hours.

2. Subdermal Contraceptive Implants

Offering a success rate of 99.9%, subdermal implants work by altering the viscosity of cervical mucus to block sperm entry, inhibiting uterine lining growth, and suppressing ovulation. These implants should be inserted by a qualified healthcare provider within seven days of menstruation or after a surgical procedure.

3. Calendar Method

This method has a moderate effectiveness rate of 70-80%. It involves tracking the menstrual cycle to identify fertile days, avoiding intercourse during those times. Women generally ovulate 14-16 days before their next expected period, and the days surrounding ovulation are deemed "unsafe." However, this method can be unreliable due to irregular ovulation patterns.

4. Oral Contraceptive Pills

With a very high success rate of 99.9%, oral contraceptives work by inhibiting ovulation and altering cervical mucus. They should be initiated within the first five days of menstruation and taken daily without interruption for effectiveness.

5. Emergency Contraceptive Pills

Emergency contraceptive pills are over 95% effective when taken shortly after unprotected intercourse. They are suitable for couples who may find themselves in unexpected sexual situations and do not wish to utilize long-term methods immediately.

Common Misconceptions About Contraception

1. Douching as a Contraceptive Method

Some believe that douching after intercourse can prevent pregnancy. This method is ineffective as sperm can travel quickly to the uterus, making it impossible to rely on washing alone.

2. Misinterpretation of "Safe Period"

Designated "safe periods" vary greatly among women due to factors such as stress and hormonal changes. Relying solely on this method without additional precautions can lead to unintended pregnancy.

3. Urine as a Contraceptive

Rinsing the vagina with urine as a means to prevent pregnancy is a misconception, as urine does not reach the reproductive organs in this context.

4. Menopause as a Guarantee Against Pregnancy

Women in menopause may still experience irregular ovulation. Therefore, conceiving during this phase remains a possibility unless an alternative contraception method is employed.

5. Misunderstanding Lactational Amenorrhea

Breastfeeding can temporarily suppress ovulation, but it is not a foolproof method of contraception. Women can still experience ovulation and potential pregnancy while nursing.

In summary, while the withdrawal method poses several risks and is not a reliable form of contraception, there are numerous effective options available. Couples should carefully consider their contraceptive choices to ensure both comfort and safety in their sexual relationship.