What is the chance of getting pregnant with external ejaculation?

Patient's question:

I took the birth control pill on September 1st, had external ejaculation on September 7th, and had bleeding for four days on September 13th, which was light. Is this considered a menstrual period? What is the chance of getting pregnant with external ejaculation?

Doctor's answer:

If your menstrual period is around September 13th and you have experienced repeated vaginal bleeding for four days, it should be considered a normal menstrual cycle. I suggest that while withdrawal (external ejaculation) can be more effective than breastfeeding in terms of contraception, it's best to choose a safer and more effective method of birth control during intercourse. Condoms are a good option—they are breastfeeding-safe, hygienic, and can help prevent the recurrence of gynecological inflammation.

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