First and foremost, it is important to note that there are no studies on perfect use of withdrawal. Estimated perfect use of withdrawal is 96%. This statistic is based on sperm in lab samples NOT on a couple using withdrawal for one year. Typical use of withdrawal is more evidence-based. Typical use generally has a 20% failure rate over one year. Use withdrawal at your own risk based on your intentions. There is no guarantee that perfect use efficacy can be achieved because no studies have been done proving this. However, there are tips for making sure withdrawal is less likely to fail. When using withdrawal, you are relying entirely on the person with the penis to pull out in time.
This file was originally created by Aisha Mukooza and details her experience.
1) He urinates before and in-between rounds. This is to ensure that residue sperm from a previous ejaculation is flushed out of the urethra.
2) He withdraws way before the actual ejaculation. This is to ensure that he doesn’t fail to withdrawal in time.
3) He ejaculates far away from the vagina/vulva. This is to ensure there’s no accidental transmission of sperm in the vagina/vulva.
Note: Both of you should wash off (the semen) immediately to ensure there’s no accidental transmission of sperm in the vagina/vulva.
How I Practice Withdrawal
Also, withdrawal requires serious communication. I made sure my fiancé understood how important it was for him to communicate to me if he ever felt like he didn’t withdraw in time or if he wasn’t sure. This happened twice the first three or so months. There’s no shame in that. Anyway, we are masters at it now. Still, urinating before sex and after each round makes withdrawal as birth control 96% effective (THIS NUMBER IS AN ESTIMATE). Also, it’s very important not to ejaculate close to the vagina opening which may lead to semen leaking into the vagina. Cleaning any area that may have gotten into contact with semen, like the penis and hands, is just as important; you don’t want semen transmitted back into the vagina by accident.
Checking for Sperm in Pre-Ejaculate
You can use a cheap microscope to see whether your significant other has sperm in precum. You can use the 1200x setting to view it. Several women in the Facebook community have tried it, and no one has found sperm in precum yet .Supposedly, a man either always has sperm in his precum or he never does. As mentioned above, there is also the potential for leftover sperm to be picked up by precum if you don’t wash and urinate between rounds.
Highly recommended additional reading:
An article from Scientific American which discusses the nuances of withdrawal:
Can You Prevent Pregnancy with the Pullout Method?