Patient's question:
I am living apart from my husband, and we only get to see each other every 10 days. We have three or four nights of intimacy every night. He is 29 years old, and I don't like using condoms. He also doesn't allow me to take medication, saying it will harm my health, so we always practice withdrawal. I'm worried that doing this all the time might harm his health. Moreover, we plan to have a child in two years. Is there any good solution? Thank you!Doctor's answer:
Hello:The withdrawal method, also known as the coitus interruptus method or external ejaculation method, is based on a physiological phenomenon in men. The male climax occurs in two stages. In the first stage, semen is concentrated at the base of the penis, referred to as the "inevitable ejaculation" phase. Within a few seconds, it transitions to the second stage—the "ejaculation" phase, where semen is expelled through the urethra.
When using the withdrawal method, the man withdraws his penis from the vagina during the inevitable ejaculation phase and ejects semen outside the woman's body. While the secretions of a man during sexual arousal may contain a small amount of sperm, it is not guaranteed to contain sperm. Although pregnancy is possible, the chances are very low. The reason the withdrawal method is not recommended as a form of contraception is that it is difficult to control. If he can indeed control it well, it is possible that you may not get pregnant.
However, the withdrawal method can lead to a serious sexual issue: premature ejaculation. The most common practice for couples using the withdrawal method for contraception is to stimulate the man to a highly excited state during foreplay, insert the penis, thrust a few times, and suddenly withdraw to ejaculate. This allows the man to achieve satisfaction while ensuring the woman does not conceive. However, due to the ease of falling into sexual psychological traps, both partners often overlook the idea that the man should help satisfy the woman from the outset. As a result, the man may soon develop a habit of premature ejaculation.
The withdrawal method can condition young men with little sexual experience to have a rapid ejaculation response. Men are unable to thrust in the vagina until they reach climax or enjoy the pleasure of climax freely. At the same time, both physically and psychologically, both partners may come to view the vagina as just