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Pulling out.

RhinoRhino TheRhinLOLRegistered User regular
edited January 2011 in Help / Advice Forum
We use condoms now.

My Doctor (general MD) suggested this also it's on planned parenthood website. Some places says condom is around 2% and 4% for pulling out (in regards to pregnancy). We're both STD free and only worried about getting knocked up.

Is this legit?

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Posts

  • DruhimDruhim Registered User, ClubPA regular
    edited January 2011
    You've talked to your doctor, you know the risks and seem to have accepted them. What do you expect us to add?

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  • FoodFood Registered User regular
    edited January 2011
    it's not worth the risk trust me

    Food on
  • Mojo_JojoMojo_Jojo We are only now beginning to understand the full power and ramifications of sexual intercourse Registered User regular
    edited January 2011
    What is your question?

    Mojo_Jojo on
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  • OnTheLastCastleOnTheLastCastle let's keep it haimish for the peripatetic Registered User regular
    edited January 2011
    That is the risk for doing it perfectly. Which can be tricky. The failure rate is much higher for most people who fuck it up. *rimshot* No, but seriously...

    You could combine spermicide with that, I suppose. You've talked to your doctor so like Dru said, you know the risks.

    OnTheLastCastle on
  • DruhimDruhim Registered User, ClubPA regular
    edited January 2011
    The only thing I'll add is that you need to ask what that 4% means. 4% every time you have sex? 4% failure monthly? annually? over an average lifetime? without a timeframe, that statistic is meaningless.

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  • ceresceres When the last moon is cast over the last star of morning And the future has past without even a last desperate warningRegistered User, Moderator Mod Emeritus
    edited January 2011
    It's much higher-risk than other forms of birth control... much higher. At that point, it's all about whether or not you're ready to take that risk, and if you're prepared for a child should the event arise.

    ceres on
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  • admanbadmanb unionize your workplace Seattle, WARegistered User regular
    edited January 2011
    I think the important fact is that that's 4% chance of failure when you do it right, every time.
    Druhim wrote: »
    The only thing I'll add is that you need to ask what that 4% means. 4% every time you have sex? 4% failure monthly? annually? over an average lifetime? without a timeframe, that statistic is meaningless.

    Birth control failure rates are always annual.

    admanb on
  • DruhimDruhim Registered User, ClubPA regular
    edited January 2011
    I think the important fact is that none of the failure rates are facts. They're guesses.

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  • ForarForar #432 Toronto, Ontario, CanadaRegistered User regular
    edited January 2011
    True. There are a huge number of variables involved, including your health, hers, ages, etc.

    You don't mention any other forms of birth control. Is it an option for her to try a hormonal method? (which of course aren't 100% either, but are vastly better than just pulling out and hoping really hard)

    Forar on
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  • TopiaTopia Registered User regular
    edited January 2011
    I think what people are trying to say is that in the heat of the moment its hard to pull out. And then there goes your 4%.

    Yes, pulling out works. But you have to pull out early enough, which is hard to do when you're enjoying sex, which you always should be.

    Topia on
  • japanjapan Registered User regular
    edited January 2011
    I'd like to thank the Catholic Church for the withdrawal method of contraception, without which I wouldn't be here today. Only a celibate could come up with the line "at the point of ejaculation, withdraw". Let me tell you: At the point of ejaculation, wild horses couldn't make my arse go in [a backwards] direction.

    Seriously. It is a far riskier method of contraception than any other, and more than any other depends on you performing the technique perfectly. I would honestly say only try using this method if you are financially and emotionally prepared (both of you) to deal with an unexpected pregnancy.

    japan on
  • KillgrimageKillgrimage Registered User regular
    edited January 2011
    Withdrawal has been the standard BC for us for several years. My husband knows himself and has enough self control to get out before it's too late. Yes, I am pregnant now, but that's because we started getting sloppy (and we got married so we figured if anything happened, oh well).

    There was a study recently that seemed to indicate that when done right, withdrawal is better than condoms. Part of the reason for this is the debunking of the myth that there is sperm in pre-cum, which is why people thought it was an especially bad idea.

    If you can do it right, you can do it. But it takes a lot of self control.

    Killgrimage on
  • HevachHevach Registered User regular
    edited January 2011
    It also takes a game plan. If you like trying new things and varying the routine (which are good things - two of the best ways there are to build intimacy and keep a relationship interesting you can ask for), it's particularly bad. You will find positions and angles where any carefully managed stamina you have is gone in about four thrusts. And consistently with every partner I've had, the things that get the best reception are ones you're not going to be getting out of on short notice or where you don't have enough control to do that yourself.

    Condoms are cheap, and there's thousands of places that just give them out for free. The pill's less cheap but covered by many insurance plans. Family planning clinics all over the country offer income based discounts.

    Hevach on
  • ElinElin Registered User regular
    edited January 2011
    Anecdotal: My cousin has been pregnant 3 times using Natural Family Planning, and not on purpose either.

    Have you ever had sexy time with your lady while drunk? Do you think you could pull out in that situation? How about first thing in the morning when you're not all the way awake? What about at night when you're really tired?

    Basically, it would take a ton of discipline at all times. You can't get lazy even once. Add in that ejaculating will not feel as good when you're pulling out (information coming from the husband.) I wouldn't recommend this as a serious form of birth control. That 4% statistic, that is qualified "with perfect use." So 4% of people who never made a mistake got pregnant. Twice the number of people that never made a mistake with condoms.

    If your lady has an issue with using hormonal birth control look into getting her a diaphragm.

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  • MegaMan001MegaMan001 CRNA Rochester, MNRegistered User regular
    edited January 2011
    The statistics governing natural family planning with regards to either pulling out or the rhythm method are extremely varied because it requires so much on behalf of the users. Most studies and textbooks I've read on obstetrics from 5% to 20%.

    So, does it work? Yes in the sense that it works better than doing nothing and still having regular intercourse. Does it work better than a multitude of other, easier options. No.

    You need to weigh the benefits of not having a child with the risks of unwanted pregnancy. Then, consider what the side effects and harms of various methods. Allergies with latex? Hormonal shifts if your partner goes on birth control?

    Sure, some people may go years without having a kid on pulling out. Some get one on the first try - it's all about risks and benefits.

    I suggest you take a few moments to consider the question, "What would my life be like if she got pregnant?" Can you afford it? Do you want the responsibility? Is she ready to be a mother?

    If your answer is 'No' then you should really evaluate the birth control options available. The Depo Provera formulation, for instance, is much less hormone over a very long period of time than the pill - requires a single injection every 3 months for 99% effectiveness.

    MegaMan001 on
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  • Anon the FelonAnon the Felon In bat country.Registered User regular
    edited January 2011
    My wife and I did the "withdraw" method for a while. Until one drunken night and a following pregnancy scare. I believe it took her all of a day to get on the phone and get on Marena. In the throws of love making, and/or hot lovins, pulling out is hard. It very often ruins the moment as well as makes a mess on something/someone that you then have to clean up.

    My advice? Keep on keepin' on with Condoms man. It's really is better then the alternatives if you are not prepared for children. If you and her are really against Condoms, have a talk with her doctor about the IUD's. I can tell you, my wife got one...it has revolutionized our sex life. Some younger women don't want one, which is fine. In that case as the man you're kind of stuck with the burden of being responsible.

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  • GafotoGafoto Registered User regular
    edited January 2011
    Condoms are cheaper than child support.

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  • UsagiUsagi Nah Registered User regular
    edited January 2011
    Lots of good info/opinions in here about why pulling out as your sole BC method is a horrible idea

    If you're pursuing it because you're fed up with rubbers and want a different option, have you and your lady considered other methods? I know the pill has a lot of unpopular opinions floating around about it right now, people seem to think they're one industrial pill dispenser and if your body doesn't compute with it you're in for a whole host of hormonal and physical side effects. However, that's not the case, they're are dozens of different types of birth control pills/patches/rings in either triphasic or monophasic delivery systems with multiple different hormonal combinations. Working with your doctor to find the right combination and delivery system for your body and your age is very important, but the results are pretty great and the reliability is very reassuring.

    And there's also other non-hormonal options, like IUD's and diaphragms though if you're not interested in condoms as a couple I'd infer that you'll probably feel the same way about the diaphragm. IUD's are making a resurgence with the popularity of Mirena, I know several ladies who are very happy about having them as they're a more long-term birth control option (up to five years, I think). Mirena also releases hormones, but the other type of IUD (copper based) does not.

    Lastly, if you're convinced that you definitely never ever want to have kids and there's no convincing you otherwise, consider a vasectomy. Yes, it's pretty much permanent, but it's about as effective a pregnancy preventer you can get without stopping having sex.

    Usagi on
  • AlyceInWonderlandAlyceInWonderland Registered User regular
    edited January 2011
    I, personally, suggest the NuvaRing. I use it, and it's been a God send. She doesn't have to take a pill every day, it's a steady low dose of hormones, and it's fairly inexpensive at planned parenthood. Not to mention it's a lot more effective than pulling out.

    If you want a kid, by all means, use the pull out method, but if that's not your plan, and you still use it, you're in for a world of poopy diapers, bottles and crying.

    AlyceInWonderland on
  • fightinfilipinofightinfilipino Angry as Hell #BLMRegistered User regular
    edited January 2011
    you might consider getting a new doctor, OP. :/

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  • Al_watAl_wat Registered User regular
    edited January 2011
    I have never heard from a legitimate source that pulling out is effective. Sure when you think about it for 5 seconds it seems like it would be, but its not.

    Al_wat on
  • WonderMinkWonderMink Adventure! Candy IslandRegistered User regular
    edited January 2011
    Al_wat wrote: »
    I have never heard from a legitimate source that pulling out is effective. Sure when you think about it for 5 seconds it seems like it would be, but its not.

    well it is better than nothing. But not that much better.

    Stick with the condoms.

    WonderMink on
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  • OnTheLastCastleOnTheLastCastle let's keep it haimish for the peripatetic Registered User regular
    edited January 2011
    It is a legitimate thing, it just takes a lot of control or it is ineffective. I think we can all accept planned parenthood as an authority on these matters.

    Note the rate is 4% if ALWAYS done correctly, 27% if not ALWAYS done correctly. That's... a lot of work.

    http://www.plannedparenthood.org/health-topics/birth-control/withdrawal-pull-out-method-4218.htm

    edit: And condoms are 2%/15%. Lets use real facts and figures here, rather than our feelings.

    OnTheLastCastle on
  • WonderMinkWonderMink Adventure! Candy IslandRegistered User regular
    edited January 2011
    furthermore, as arousal goes up rational decisions go out the window.

    http://www.youtube.com/watch?v=mFMDgW0wDeI&feature=player_embedded#!

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  • As7As7 Registered User regular
    edited January 2011
    I, personally, suggest the NuvaRing. I use it, and it's been a God send. She doesn't have to take a pill every day, it's a steady low dose of hormones, and it's fairly inexpensive at planned parenthood. Not to mention it's a lot more effective than pulling out.

    If you want a kid, by all means, use the pull out method, but if that's not your plan, and you still use it, you're in for a world of poopy diapers, bottles and crying.

    My wife uses the ring and it's pretty great. Yeah, it's tangible and not as innocuous as a pill or IUD but you are at much less of a risk of forgetting to apply it and it can always be taken out for short periods of time.

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  • flowerhoneyflowerhoney Registered User regular
    edited January 2011
    gonna have to put another vote out there for the ring, I use it and its the best birth control method I've tried

    flowerhoney on
  • VisionOfClarityVisionOfClarity Registered User regular
    edited January 2011
    She should really make an appointment with her Gyno and discuss her options with him. Every woman is different and what works for one may not work for others. It's important she work with her doctor to find the right solution for her.

    VisionOfClarity on
  • brain operatorbrain operator Registered User regular
    edited January 2011
    If you honestly, absolutely do not want to use any kind of physical/hormonal BC while still having sex, I would seriously advise abstaining from penetration altogether to avoid getting pregnant. Semen is released already before what is commonly considered ejaculation, so you actually have to pull out before the point of no return to be relatively safe (and that's very relative in any case) anyway.

    All in all I'd say you're being silly geese for even considering coitus interruptus for BC while really not wanting to become pregnant though. Seriously.

    brain operator on
  • BowenBowen Sup? Registered User regular
    edited January 2011
    Any doctor that suggests the pulling out method as a valuable form of birth control shouldn't be a doctor. I suggest you find a new one. It is a thing, but so is "just use mouthwash to keep your mouth clean, it totally worked for my mom who only lost 1 tooth"

    Bowen on
  • KistraKistra Registered User regular
    edited January 2011
    The average failure rates for condoms and pulling out are both around 15-20%. (Meaning that 15-20% of average couples using either type of birth control will get pregnant over the course of a year - this is how all birth control failure rates are reported)

    Using pulling out as a form of birth control really isn't any more ridiculous than using condoms alone. It does require more self-control but it requires less planning ahead.

    I think it is really horrible that some of you are insulting her doctor when her doctor is just providing the OP's gf with the most current information available. Yes, I will provide citations as soon as I get to work.

    Kistra on
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  • BowenBowen Sup? Registered User regular
    edited January 2011
    Well, I've seen 10% for "average" use for condoms and 30% for "average" use of the pull out method.

    Though with perfect use condom jumps to 2%, I don't see any "perfect" use for the pull out method so it's either 100% if you're able to do it every time (and abstain from sex afterwords) or it never happens? I would say that a doctor would be horrible for recommending it, and not giving every other list of options. Or at least cautioning it as a last resort. Kind of like the rhythm method.

    Bowen on
  • VisionOfClarityVisionOfClarity Registered User regular
    edited January 2011
    Planned Parenthood has a 'not perfect use' failure rate of 15% for condoms and 27% for withdrawal.

    Perfect for condom is 2% and perfect for withdrawal is 4%. I'd argue it's harder to maintain perfection with withdrawal than condom but people are different. Most people are not perfect in their usage of most forms of bc though.

    VisionOfClarity on
  • KistraKistra Registered User regular
    edited January 2011
    The article in the Journal of Contraception lists 4% failure rate for perfect use of withdrawal and and 18% average use failure rate. Compared with 2% ideal failure rate for condoms and 17% average use failure rate for condoms.

    Condoms and pulling out are pretty statistically identical in terms of average and ideal use. Would you consider a doctor horrible for recommending condom usage?

    Pulling out may or may not be the ideal method for the OP and the OP's gf. But I think it is premature to be condemning the doctor as "horrible" when we don't know anything else about the discussion that went on or about the gf's medical history. We don't know that the doctor and the OP's gf didn't go through a long list of all the options and decide for reasons that haven't been shared here that it is the best option.

    Contraception 79 (2009) 407–410

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  • DruhimDruhim Registered User, ClubPA regular
    edited January 2011
    the numbers for failure rate also vary quite a bit depending on the source, so take those numbers with a grain of salt

    Druhim on
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  • ShanadeusShanadeus Registered User regular
    edited January 2011
    My husband knows himself and has enough self control to get out before it's too late.
    Yes, I am pregnant now, but that's because we started getting sloppy (and we got married so we figured if anything happened, oh well).


    You're making a great case :^:

    But I agree, pulling out is for people with extremely high self-control, drunk/tired/groggy or not.

    For the OP I recommend looking into a vasectomy, just drop off some fresh sperm before getting it done. Not that you have to do even that as you can always reverse the vasectomy later on - and in a couple of years I expect the reversal procedure to get even better.

    Shanadeus on
  • KistraKistra Registered User regular
    edited January 2011
    Shanadeus wrote: »
    For the OP I recommend looking into a vasectomy, just drop off some fresh sperm before getting it done. Not that you have to do even that as you can always reverse the vasectomy later on - and in a couple of years I expect the reversal procedure to get even better.

    Most of the time vasectomies can be reversed. Not all.

    If you are pretty sure you want kids a vasectomy probably isn't the best choice in birth control. It most likely can be reversed, but if you end up being one of the few that can't having kids is going to get a lot more expensive real fast.

    Just for fun, here is a recent study showing that about 70% of men who have a vasectomy reversed within the first 10 years are able to get their partner pregnant within two years after the reversal. And it excludes men whose partners have any fertility issues.

    Kistra on
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  • BowenBowen Sup? Registered User regular
    edited January 2011
    Kistra wrote: »
    For the OP I recommend looking into a vasectomy, just drop off some fresh sperm before getting it done. Not that you have to do even that as you can always reverse the vasectomy later on - and in a couple of years I expect the reversal procedure to get even better.

    Most of the time vasectomies can be reversed. Not all.

    If you are pretty sure you want kids a vasectomy probably isn't the best choice in birth control. It most likely can be reversed, but if you end up being one of the few that can't having kids is going to get a lot more expensive real fast.

    This.

    Bowen on
  • DruhimDruhim Registered User, ClubPA regular
    edited January 2011
    Yeah, I agree that a vasectomy is not a solution unless you're pretty certain you never want kids. But sounds like you're young and it's probably a bit early in your life to make a decision like that. And I'm speaking as someone who got a vasectomy, but I did so confident that I never wanted to have kids.

    Druhim on
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  • ShanadeusShanadeus Registered User regular
    edited January 2011
    There's of course no guarantee that he'll remain fertile which is why I recommended he deposit some sperm before having the procedure done but it's up to him if he want to take the gamble.

    Besides, if he changes his mind in ten years then chances are that medical science has advanced sufficiently for there to be a negligent risk of infertility.

    Do you want kids in the future OP?

    Shanadeus on
  • brain operatorbrain operator Registered User regular
    edited January 2011
    Kistra wrote: »
    Condoms and pulling out are pretty statistically identical in terms of average and ideal use.
    Um, no. Or at least, that's not hardly the complete picture. They're close enough if you assume the couple in question to fall in either category - average or ideal. In reality they'll strive to be in the latter. Unless you add percentages commensurate with how successful they'll likely be in either case (as in, how much chance do they have of being close to perfect), this isn't saying anything of real value.

    brain operator on
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