Can retrograde ejaculation also lead to pregnancy?

Patient's question:

On the third day after menstruation, I had sex with him and used withdrawal as contraception. Will this cause pregnancy??

Doctor's answer:

Males may not ejaculate inside the vagina, but the secretions at the vaginal opening contain sperm. If sperm enter and combine with an egg, it may lead to pregnancy. Intercourse with withdrawal () is relatively safer, but not 100% safe. Sometimes, if not controlled properly, a small amount of semen may be released into the vagina, resulting in contraceptive failure. Additionally, during sexual activity, the pre-ejaculate fluid () secreted by the male before ejaculation also contains a small amount of sperm, which can also lead to pregnancy.

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