Will pregnancy occur without internal ejaculation?

Patient's question:

Doctor, I am a woman, 23 years old, and not married. I am planning to get married to my boyfriend in the second half of this year. Currently, we have sex without ejaculation inside, but how can I get pregnant? For now, we don't want a child. If I don't want to carry it, will taking birth control pills affect my health in the future?

Doctor's answer:

Hello, if there is no decision to ejaculate inside during sexual activity, the chance of accidental pregnancy is relatively low. However, it is important to pay attention to rest and hygiene. In future sexual activities, continue to use contraception and avoid extremely cold foods. At the same time, pay close attention to observing menstruation. If menstruation arrives on schedule, pregnancy can be ruled out. If it is the dangerous period, you can consider taking emergency contraception medication.

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