Criticism of Coitus interruptus

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Compared to the other common reversible methods of contraception such as IUDs, hormonal contraceptives and male condoms, coitus interruptus is less effective at preventing pregnancy.[1] As a result, it is also less cost-effective than many more effective methods: although the method itself has little direct cost, users have a greater chance of incurring the risks and expenses of pregnancy and child-birth. Only models that assume all couples practise perfect use of the method find cost savings associated with the choice of withdrawal as a birth control method.[2]

The method is largely ineffective in the prevention of STDs, like HIV, since pre-ejaculate may carry viral particles or bacteria which may infect the partner if this fluid comes in contact with mucous membranes. However, a reduction in the volume of bodily fluids exchanged during intercourse may reduce the likelihood of disease transmission compared to using no method due to the smaller number of pathogens present.[3]

The method may be difficult for some couples to use. The interruption of intercourse may leave some couples sexually frustrated or dissatisfied.[4]

References

  1. ^
  2. ^ James Trusell, et al. (April 1995). "Economic value of contraception". American Journal of Public Health 85 (4): 494–503. DOI:10.2105/AJPH.85.4.494. 
  3. ^
  4. ^ "Coitus Interruptus (Withdrawal)". Abstinence & Natural Birth Control Methods. Sexually Transmitted Disease Resource. 2006. http://www.sexual-health-resource.org/natural_birth_control.htm#withdrawal. Retrieved on 2006-09-05. 
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