Coitus interruptus

1968

A large scale study of women in England and Scotland during 1968–1974 to determine the efficacy of various contraceptive methods found a failure rate of 6.7 per 100 woman-years of use.

1990

Women with 0 previous births had a 12-month failure rate of only 8.4%, which then increased to 20.4% for those with 1 prior birth and again to 27.7% for those with 2 or more. An analysis of Demographic and Health Surveys in 43 developing countries between 1990 and 2013 found a median 12-month failure rate across subregions of 13.4%, with a range of 7.8-17.1%.

However, a reduction in the volume of bodily fluids exchanged during intercourse may reduce the likelihood of disease transmission compared to using no method due to the smaller number of pathogens present. == Prevalence == Based on data from surveys conducted during the late 1990s, 3% of women of childbearing age worldwide rely on withdrawal as their primary method of contraception.

1991

This method was used by an estimated 38 million couples worldwide in 1991.

2002

However, when withdrawal is used in addition to or in rotation with another contraceptive method, the percentage of women using withdrawal jumps from 5% for sole use and 11% for any withdrawal use in 2002, and for adolescents from 7.1% of sole withdrawal use to 14.6% of any withdrawal use in 2006–2008.

These increases are even more pronounced for adolescents 15 to 19 years old and young women 20 to 24 years old Similarly, the NSFG reports that 9.8% of unmarried men who have had sexual intercourse in the last three months in 2002 used withdrawal, which then increased to 14.5% in 2006–2010, and then to 18.8% in 2011–2015.

2006

study, based on self-reported data from the 2006-2010 cycle of the National Survey of Family Growth, found significant differences in failure rate based on parity status.

However, when withdrawal is used in addition to or in rotation with another contraceptive method, the percentage of women using withdrawal jumps from 5% for sole use and 11% for any withdrawal use in 2002, and for adolescents from 7.1% of sole withdrawal use to 14.6% of any withdrawal use in 2006–2008.

These increases are even more pronounced for adolescents 15 to 19 years old and young women 20 to 24 years old Similarly, the NSFG reports that 9.8% of unmarried men who have had sexual intercourse in the last three months in 2002 used withdrawal, which then increased to 14.5% in 2006–2010, and then to 18.8% in 2011–2015.

2011

A contrary, yet non-generalizable study that found mixed evidence, including individual cases of a high sperm concentration, was published in March 2011.

Thus, in March 2011 a team of researchers assembled 27 male volunteers and analyzed their pre-ejaculate samples within two minutes after producing them.

However, some of the subjects in the March 2011 study who produced sperm in their pre-ejaculate did urinate (sometimes more than once) before producing their sample.

These increases are even more pronounced for adolescents 15 to 19 years old and young women 20 to 24 years old Similarly, the NSFG reports that 9.8% of unmarried men who have had sexual intercourse in the last three months in 2002 used withdrawal, which then increased to 14.5% in 2006–2010, and then to 18.8% in 2011–2015.

2012

This was a significant increase from 2012 when 4.8% of women reported the use of withdrawal as their most effective method.

2013

Women with 0 previous births had a 12-month failure rate of only 8.4%, which then increased to 20.4% for those with 1 prior birth and again to 27.7% for those with 2 or more. An analysis of Demographic and Health Surveys in 43 developing countries between 1990 and 2013 found a median 12-month failure rate across subregions of 13.4%, with a range of 7.8-17.1%.

2014

Regional popularity of the method varies widely, from a low of 1% in Africa to 16% in Western Asia. In the United States, according to the National Survey of Family Growth (NSFG) in 2014, 8.1% of reproductive-aged women reported using withdrawal as a primary contraceptive method.

2016

Regardless, this study introduced the concept that some men may consistently have sperm in their pre-ejaculate, due to a "leakage," while others may not. Similarly, another robust study performed in 2016 found motile sperm in the pre-ejaculate of 16.7% (7/42) healthy men.




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