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    Withdrawal (Coitus Interruptus)

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    Mochammad Adam Eldi
    The document discusses withdrawal, or coitus interruptus, as a method of contraception. Withdrawal involves the man removing his penis from the woman's vagina before ejaculation to prevent sperm from entering. While it has some benefits like being immediately effective and low-cost, withdrawal also has significant limitations, including a risk of pregnancy around 20% with typical use. The document provides guidance on who can and cannot effectively use withdrawal as their method of contraception.

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    Withdrawal (Coitus Interruptus)

    Uploaded by

    Mochammad Adam Eldi
    154 views9 pages
    The document discusses withdrawal, or coitus interruptus, as a method of contraception. Withdrawal involves the man removing his penis from the woman's vagina before ejaculation to prevent sperm from entering. While it has some benefits like being immediately effective and low-cost, withdrawal also has significant limitations, including a risk of pregnancy around 20% with typical use. The document provides guidance on who can and cannot effectively use withdrawal as their method of contraception.

    Original Description:

    coitus

    Original Title

    Coitus Interuptus

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    The document discusses withdrawal, or coitus interruptus, as a method of contraception. Withdrawal involves the man removing his penis from the woman's vagina before ejaculation to prevent sperm from entering. While it has some benefits like being immediately effective and low-cost, withdrawal also has significant limitations, including a risk of pregnancy around 20% with typical use. The document provides guidance on who can and cannot effectively use withdrawal as their method of contraception.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    154 views9 pages

    Withdrawal (Coitus Interruptus)

    Uploaded by

    Mochammad Adam Eldi
    The document discusses withdrawal, or coitus interruptus, as a method of contraception. Withdrawal involves the man removing his penis from the woman's vagina before ejaculation to prevent sperm from entering. While it has some benefits like being immediately effective and low-cost, withdrawal also has significant limitations, including a risk of pregnancy around 20% with typical use. The document provides guidance on who can and cannot effectively use withdrawal as their method of contraception.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 9

    Withdrawal

    (Coitus Interruptus)

    Withdrawal
    A traditional method of family planning in which the man
    completely removes his penis from the womans vagina before he
    ejaculates

    Sperm do not enter the vagina and fertilization is prevented

    Withdrawal: Contraceptive Benefits

    Effective immediately

    Does not affect breastfeeding

    Can be used as backup to other methods

    No method-related health risks

    Always available

    No cost involved

    Withdrawal: Noncontraceptive Benefits

    Promotes male involvement in family planning

    Possible closer relationship for couple

    Withdrawal: Limitations

    Effectiveness depends on willingness of couple to use method


    with every act of intercourse (4191 pregnancies per 100
    women during the first year of use)

    Effectiveness may be further decreased by sperm from a


    recent (< 24 hours) ejaculation remaining in the penis (urethra)

    May diminish sexual pleasure

    Does not protect against STDs (e.g., HBV, HIV/AIDS)

    Trussell et al 1998.

    Who Can Use Withdrawal


    Men/couples:

    Who wish to participate actively in family planning

    With religious or philosophical reasons for not using other


    methods

    Who need contraception immediately

    Who need a temporary method while awaiting another method

    Who need a backup method

    Who have intercourse infrequently

    Withdrawal: Who May Require


    Additional Counseling
    Men who:

    Experience premature ejaculation

    Have difficulty withdrawing the penis from the vagina prior to


    ejaculation

    Have other physical or psychological conditions that may


    affect timely withdrawal

    Withdrawal: Who May Require


    Additional Counseling

    Women whose age, parity or health problems make pregnancy


    a high risk

    Women whose partner will not cooperate

    Couples with poor communication or problems in their


    relationship

    Couples in which either partner has more than one sexual


    partner

    Withdrawal: Client Instructions

    To enhance cooperation and avoid misunderstanding, before


    intercourse the couple should discuss their intention to use
    withdrawal.

    Before intercourse, the man should urinate and wipe off the tip
    of the penis to remove any remaining sperm for a prior
    ejaculation.

    When he feels he is about to ejaculate, the man should


    withdraw his penis from his partners vagina, making sure the
    ejaculation occurs away from his partners genitalia. (The
    woman can help by moving away at this time.)

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