Does pre-ejaculate fluid contain sperm?

Patient's question:

I've been married for just over two months. My wife and I have been discussing and decided not to have children so soon. However, she's worried about the potential side effects of birth control pills and doesn't want to take them. She has been using withdrawal (coitus interruptus) as a method to breastfeed, but it seems there's always some pre-ejaculate fluid released before ejaculation. Does pre-ejaculate fluid contain sperm?

Doctor's answer:

The possibility of sperm being present in the prostatic fluid mentioned by the patient should be very low. If the patient can confirm that they always practice withdrawal ejaculation, ensuring no semen enters the female body, it is generally considered highly unlikely to result in pregnancy. Additionally, it is recommended that the patient opt for intercourse during the female's safe period and practice withdrawal ejaculation, as the likelihood of pregnancy is very small. Regulating physical and mental health, maintaining personal hygiene, and avoiding bacterial invasion due to weakened immunity are also advised.

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