Can retrograde ejaculation also lead to pregnancy?

Patient's question:

Can retrograde ejaculation also lead to pregnancy????????????????

Doctor's answer:

Hello: It is possible! The withdrawal method of contraception refers to the practice where, during sexual intercourse, the male partner interrupts the act at the moment he is about to reach orgasm and (ejaculate), quickly withdraws his penis, and releases the seminal fluid outside the female's vagina to achieve contraception. This is an ancient form of birth control.
The withdrawal method, although simple, has a high failure rate. The reason for this failure is that a small amount of seminal fluid may have already entered the vagina before the male withdraws his penis. Since the act of nearing orgasm and ejaculation is a continuous process with a very short interval between them, most men cannot accurately ( means "grasp the timing" in this context), and as a result, they may not withdraw their penis from the vagina in time when they are about to reach orgasm. This allows the first released seminal fluid to enter the female's vagina, and since this portion of the seminal fluid contains the highest number of sperm, it increases the likelihood of pregnancy.
Additionally, before the act of ejaculation occurs, a small amount of sperm may already have entered the vagina. This is due to sperm stored in the vas deferens, which, during sexual arousal, are released into the urethra first through the contraction of the vas deferens. Then, they spill into the vagina along with urethral secretions. This pre-ejaculation sperm leakage is uncontrollable, and it can also lead to contraceptive failure.
The withdrawal method is also known as the coitus interruptus method. To prevent seminal fluid from entering the vagina, both partners (especially the male) become highly tense during intercourse and may suddenly interrupt the act when orgasm is reached. This can disrupt the occurrence of orgasm and hinder sexual satisfaction. Over time, it may lead to nervous exhaustion, and some men may experience sexual dysfunction.

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