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Is pregnancy possible with the withdrawal method?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am scared that I am pregnant. I had unprotected sex on the last day of my period. My partner and I used the pull-out method, and he ejaculated for only a few minutes. I am still scared that I am pregnant from pre-ejaculation. What can I do?

Please suggest.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I understand your anxiety about the possibility of pregnancy after having unprotected sex using the withdrawal (pull-out) method, especially when it occurred at the end of your period. Let me walk through the medical facts and guidance step-by-step to help you feel more reassured and understand what to do next.

The primary concern here is exposure to pre-ejaculatory fluid, which can contain sperm in some cases. Withdrawal method is not a reliable form of contraception, as pre-ejaculate may lead to unintended pregnancies, though the chances are lower than with full ejaculation inside the vagina. Having sex on the last day of your period generally carries a low risk of conception, but it is not zero, especially in women with short menstrual cycles or early ovulation.

You should take a home pregnancy test if your next period is delayed by more than a week and wait for at least 14 to 21 days after the incident to get the most accurate results. You should consult a gynecologist if the result of the test is unclear. The risk of pregnancy from the pull-out method on the last day of your period is low but not zero. If your menstrual cycle is regular (for example, 28 days), ovulation typically occurs around day 14, and the sperm lifespan is around five days. Therefore, the likelihood of viable sperm meeting an egg under these conditions is minimal, but still possible.

Consider starting a reliable contraceptive method for next time, like oral contraceptive pills, condoms, long-acting reversible contraception (LARC) like implants and IUDS (intrauterine device). Discuss options with a GP (general practitioner) or family planning clinic.

I hope this answers your query.

Let me know if I need to assist you further.

Thank you.

Medically reviewed byDr. K. Shobana
Published At July 13, 2025
Reviewed AtJuly 15, 2025

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