Withdrawal: Better Than Nothing?

Possibly, according to a recent study via Feministe:

A new commentary, “Better Than Nothing or Savvy Risk-Reduction Practice? The Importance of Withdrawal,” by Rachel K. Jones et al., published in the June 2009 issue of Contraception, highlights that withdrawal is only slightly less effective than the male condom at preventing pregnancy. Yet there is a general reluctance among health care providers and individuals alike to consider withdrawal as a viable method of contraception—even as a backup to more effective methods or as an alternative to not using contraceptives at all—which likely stems from misconceptions about its effectiveness at preventing unintended pregnancy.

The best available estimates indicate that with “perfect use,” 4% of couples relying on withdrawal will become pregnant within a year, compared with 2% of couples relying on the male condom. More realistic estimates suggest that with “typical use,” 18% of couples relying on withdrawal will become pregnant within a year, compared with 17% of those using the male condom. In other words, with either method, more than eight in 10 avoid pregnancy.

My first thought is that I sincerely hope no horny teenagers get wind of this new information.

Secondly, there’s a reason withdrawal is known in some quarters as “pull and pray.” As Rachel notes, “even the best-intentioned person can lose their head (yeah yeah yeah) in the heat of the moment.”

I’m all for couples in long-term, monogamous relationships using withdrawal if it’s the method that works best for them. But beyond that, I – and the authors of the study – understand the reluctance of health care providers and educators publicly pushing withdrawal as a viable method of contraception.

Though the study focuses on the relative efficacy of withdrawal, it’s quite obvious withdrawal does nothing to protect partners from exposure to sexually transmitted diseases. I’m also interested in figuring out what constitutes “perfect use” of withdrawal – is there really such a thing?

However, I also can’t see how more education would be such a bad thing. I’m all for everyone being aware of their options. And if withdrawal is one of those options, and it’s truly better than nothing, then I’m cool with it if it means a reduction in unplanned pregnancies.

Because we all know abstinence is the best option. But best, of course, works better in theory than in the backseat of a Honda Civic.

x-posted at False Hustle

5 comments to Withdrawal: Better Than Nothing?

  • i agree that it could work for monogamous couples to prevent conception, but yeah, what about STDs? at least with condoms you prevent both, provided it’s used correctly–which would be easier to educate than the “perfect” use of withdrawal. and of course it’s better than nothing–anything is better than nothing, but it doesn’t make it good.

  • Considering that this info is coming RIGHT before summer vacation, this is a perfect storm of teenage sex. I am telling all the 15-year old boys in the area that THEY WERE RIGHT ALL ALONG! VINDICATION!

  • NinaG

    I’m all for withdrawal for anyone who has an aversion to condoms or lacks access to them.

  • lsn

    STDs were my first thought too. I really wouldn’t want to be promoting withdrawal over condoms for that reason. There might be an decrease in unplanned pregnancies (and I really do think it’s a ‘might’) but if there’s no change or an increase in STD rates then I’m not sure it’s a good option.

    (My second thought was Billy Connolly’s routine about his Scottish Catholic sex education, and “at the point of ejaculation, withdraw.” “Father? At the point of ejaculation wild horses could not drag my arse in the other direction…”)

  • lsn

    I’d add within a monogamous/exclusive relationship and with both parties being aware of the pregnancy likelihood, and/or using other contraceptive methods if it’s unwanted. I think if the relationship’s not exclusive then you’re better off using condoms to reduce STD risk, aversion or not.

    The access issue is a problem though.

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