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What are the chances of pregnancy with withdrawal method?

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

Patient's Query

Hi doctor,

If I have sex with a girl and use the withdrawal method, what is the percentage risk of her getting pregnant?

Please help.

Answered by Dr. Ali Osman

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I am genuinely concerned about your worries.

The withdrawal method (pulling out before ejaculation) is not very reliable. With perfect use every single time, the risk of pregnancy over the course of a year is about four percent.

However, in real life, with typical use due to imperfect timing and the fact that pre-ejaculate can contain sperm, the risk increases to around 20 percent over a year.

Regarding your recent incident, it is impossible to calculate the exact percentage of risk because it depends on several factors:

  1. Whether she was in her fertile window.

  2. Whether any semen came into contact with the vagina.

  3. How close was ovulation to that day?

If the intercourse occurred during her ovulation days, the risk could be significant, even with withdrawal. If it happened far from ovulation, the risk is much lower.

If this happened within the last few days, emergency contraception can help reduce the risk. If it has already been more than about two weeks, then taking a pregnancy test would be the next best step if her period is late.

Feeling anxious is normal in this situation. The withdrawal method is risky mainly because it heavily relies on self-control and timing. Condoms are a much safer option and also protect against infections.

If you have any more questions, feel free to ask. I would be happy to guide you. Please keep your valuable feedback for better patient care.

Thank you so much.

Answered by Dr. Ali Osman
Medically reviewed by iCliniq medical review team
Published At May 4, 2026
Reviewed At May 7, 2026

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

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