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Recommendations for Contraceptive Use

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Withdrawal (coitus interruptus)

Q.2. Are couples practicing withdrawal protected from STDs?

Recommendations

Rationale

No.

Withdrawal has not been proven to protect against STDs. Both partners should be informed that they can transmit STDs to each other whether or not withdrawal is complete. Some researchers speculate that consistent use of withdrawal may partially reduce the risk of transmission of some STDs from men to women when compared to users of no contraceptive method, because there is a reduction in the volume of potentially pathogen-containing fluid to which a woman is exposed. However, the man is still exposed if the woman is infected. More research must be conducted to evaluate if correct and consistent use of withdrawal reduces the risk of STD transmission to either or both partners.

  1. Rogow D, Horowitz S. Withdrawal: a review of the literature and an agenda for research. Studies in Family Planning. 1995;26 (3):140-53.
  2. Richters J. Coitus Interruptus: could it reduce the risk of HIV transmission? Reproductive Health Matters 1994;3:105-7.


Any part of Recommendations for Updating Selected Practices in Contraceptive Use may be reproduced or adapted to meet local needs without prior permission from the TG/CWG Secretariat, provided the TG/CWG is acknowledged and the material is made available free of charge or at cost.


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