Patient's question:
Main symptoms: My husband and I have sex because I'm afraid of getting pregnant, and he always uses withdrawal during the risky period. I found that he gets very nervous during withdrawal, which directly affects the quality of our sex life. However, he is unwilling to use a condom. So I want to ask if it's not good for his health to keep doing this? Onset time: Test results:Doctor's answer:
The withdrawal method, also known as coitus interruptus or the male withdrawal technique. The withdrawal method is based on a physiological phenomenon in men. The male climax is divided into two stages: the first stage, where semen is concentrated at the base of the penis, known as the "inevitable ejaculation" stage, followed by the second stage—the "ejaculation" stage—where semen is expelled through the urethra. When using the withdrawal method, the man withdraws his penis from the vagina during the inevitable ejaculation stage to ejaculate outside the body. During sexual arousal, the secretions of a man may contain a small amount of sperm, but it is not guaranteed to contain sperm. Although there is a possibility of conception, the chances are very low. The reason the withdrawal method is not recommended for contraception is that it is difficult to control. If he can indeed control it well, you may not get pregnant. However, the withdrawal method can lead to a significant sexual issue: premature ejaculation. For couples using the withdrawal method for contraception, the most common procedure is to stimulate the man to a highly excited stage during foreplay, insert, thrust a few times, and suddenly withdraw to ejaculate, ensuring the man is satisfied while preventing the woman from becoming pregnant. However, due to the ease of falling into sexual psychological traps, both partners often overlook the idea that the man should help the woman achieve satisfaction from the beginning. As a result, men may soon develop a habit of premature ejaculation. The withdrawal method can cause young men with little sexual experience to develop a quick ejaculation response. Men cannot thrust in the vagina until they reach climax and cannot freely enjoy the pleasure of climax. At the same time, physiologically and psychologically, both partners may view the vagina as an organ solely for the man to achieve ejaculation. The withdrawal method may be the most popular form of contraception worldwide, but it is also the least effective. Statistics show that if 100 couples use this method for contraception, 30 women will become pregnant. There are three reasons why the withdrawal method is prone to failure: 1. Sperm cells are often released from the urethral opening a few drops before ejaculation, with each drop containing about 50,000 sperm. If it flows into the vagina, even a single drop of semen is enough to fertilize a woman's egg. 2. During the most intense stage of thrusting, the timing of withdrawing the penis may be delayed too late due to the man's attachment to pleasure, allowing some semen to enter the vagina. 3. Sometimes after withdrawal ejaculation, the man immediately touches the woman's vagina with his fingers to bring her to climax, or engages in a second sexual act shortly after. In both cases, fingers and the penis may introduce sperm into the vagina. The withdrawal method is not a good form of contraception, even when used during the safe period, the failure rate remains high, and it may lead to premature ejaculation. Therefore, for newly married couples who want to avoid pregnancy, they can try contraceptive tools or medication. If they insist on using the withdrawal method, they might just end up "losing the war and the prize"!