Can pregnancy occur without ejaculation during intercourse?

In addition to contraceptive methods such as using condoms, taking birth control pills, etc., the withdrawal method is also one of the methods used by many couples.

1. What is withdrawal (coitus interruptus)?

Withdrawal is when a man ejaculates outside of the woman's body during sexual intercourse. Normally, instead of ejaculating inside the woman’s vagina, the man ejaculates outside.
This method is used by many people because they believe that using birth control pills may have some impact on future reproductive health, while condoms reduce pleasure during sex.
Many people believe that withdrawal can prevent sperm from entering the vagina, thus preventing pregnancy effectively. However, this is not true.

Tình dục an toàn tuổi thanh thiếu niên

Thanh thiếu niên và thanh niên là nhóm đối tượng có nguy cơ mắc phải các bệnh lây truyền qua đường tình dục cao, cũng như các vấn đề về tình dục. Vậy làm thế nào để phòng ngừa các bệnh tình dục và tránh mang thai ngoài ý muốn ở độ tuổi này? Hãy cùng làm trắc nghiệm sau để tìm hiểu kiến thức tình dục an toàn ở tuổi thanh thiếu niên.

2. Can pregnancy occur from intercourse without ejaculation or withdrawal?

According to experts, pregnancy can still occur during intercourse without ejaculation or with withdrawal for several reasons:

  • Typically, when a man ejaculates, about 40 million to more than 400 million sperm are released. During sexual intercourse, the man’s penis also releases a fluid, which may contain sperm. When intercourse occurs, sperm can enter the vagina, making pregnancy possible.
  • Especially in cases where the man reaches orgasm or high arousal and cannot control withdrawing from the vagina, a small amount of sperm may have been released, making pregnancy more likely.
  • Additionally, if intercourse occurs near ovulation without using any contraception, even withdrawal can lead to a pregnancy rate of up to 70%. This is because sperm can survive in a woman's uterus for about 3 days, so the risk of pregnancy is quite high.

Thus, even when a man does not ejaculate during sex, the woman can still become pregnant. To avoid unintended pregnancy, it is recommended to advise the partner to use emergency contraception. However, it is important to consult a specialist before using emergency contraceptives to avoid potential side effects.

Men not ejaculating during sexual intercourse, women can still get pregnant.
Men not ejaculating during sexual intercourse, women can still get pregnant.

3. Is it harmful to have intercourse without ejaculation or withdrawal?

Doctors specializing in male reproductive health state that although withdrawal is used by many couples to prevent unintended pregnancy, it is not very effective and carries some risks, such as:

3.1 Low contraceptive effectiveness

Using withdrawal as a method of contraception does not provide high effectiveness since sperm can still be released before the man reaches orgasm, leading to unintended pregnancy.

3.2 No protection against sexually transmitted infections (STIs)

Withdrawal cannot protect against sexually transmitted infections such as syphilis, genital warts, genital herpes, gonorrhea, HIV, etc.

Ejaculation outside cannot prevent sexually transmitted diseases.
Ejaculation outside cannot prevent sexually transmitted diseases.

3.3 Premature ejaculation

One consequence of using withdrawal is the risk of premature ejaculation. When a man reaches orgasm, his heart rate and blood pressure increase, and stopping ejaculation causes the central nervous system and ejaculation control to become disrupted, resulting in premature ejaculation.

3.4 Nerve exhaustion

If the penis is erect and intercourse is suddenly interrupted, it can negatively affect the man’s psychology. Over time, this may lead to exhaustion and serious consequences such as premature ejaculation and erectile dysfunction.

Therefore, even without ejaculation or with withdrawal, pregnancy is still possible, and it does not protect against STIs. Couples who do not want to become pregnant should choose an appropriate method of contraception to ensure both safety and reproductive health in the future.

Ejaculation is a necessary factor for men to achieve pleasure during sexual intercourse. However, for some reason, men may engage in intercourse without ejaculating. Regardless of the cause, it can affect sexual life. If this condition persists, men should consult a specialist for advice and timely treatment.

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