Coitus interruptus

Coitus interruptus is a rather unsafe method of contraception. Why this is so and for whom it is still suitable, read here!

Coitus interruptus

Of the coitus interruptus (Coitus interruptus) is one of the oldest birth control methods. The man pulls his penis from the vagina of the woman just before the ejaculation. Although this offers some protection against pregnancy. However, it is possible to become infected with sexually transmitted diseases. Read here the most important information about coitus interruptus and for whom the method is suitable.

Oldest contraceptive: coitus interruptus

Already in the Bible and in the Qur'an the coitus interruptus (Latin: coitus = intercourse, meeting interruptus = interrupted) has been described, making it the oldest contraceptive. Even today, many people use this form of contraception. Here, the man interrupts the intercourse with the partner in time: he pulls the penis out of the vagina shortly before orgasm and ejaculates outside the female body to prevent pregnancy.

Read also

  • Billings Method
  • coitus interruptus
  • diaphragm
  • Depo-Provera
  • Failed attempts of contraceptive history
  • Femidom
  • IUS
  • Rhythm method of contraception
  • copper chain
  • Lea contraceptive

Security not very high

Compared with other birth control methods, coitus interruptus is not very safe. The safety of a contraceptive is described by the so-called Pearl Index. The higher its value, the more likely an unwanted pregnancy. Coitus interruptus is between 4 and 18. This means that if 100 women prevent coitus interruptus for one year, four to 18 of them still become pregnant. For comparison, the Pearl index of condoms is between 2 and 12, that of the hormonal contraceptive between 0.1 to 0.9.

Uncertainty factor: intoxication of feelings

Why the high Pearl index in coitus interruptus? A man must be physically in control to interrupt intercourse at the right moment. In sexual ecstasy men do not always succeed, especially not young men. Depending on the partner's cycle, pregnancy can be very likely.

Uncertainty factor: pleasure drops

In connection with coitus interruptus, one often reads and hears about the so-called "pleasure drop", the pre-ejaculate. By this one understands the clear liquid, which emerges shortly before the actual ejaculation. It is formed by the Cowper gland (Bulbourethraldrüse), rinses the urethra and serves as a natural lubricant. Up to four milliliters can escape before ejaculation.

The widespread opinion that the pleasure drop contains male sperm, is not sufficiently scientifically proven until today. Some older studies have reported low levels of sperm in pleasure drops, while others have not. But whether they are actually part of the pleasure drop or whether in the experiments small amounts of previous or subsequent ejaculation in the pleasure drops arrived, is not clear. There are no current studies.

In any case, the number of semen in the pre-ejaculate can be reduced by urinating the male prior to sexual intercourse, thus flushing possible sperm from a previous urethral ejaculation. To remove sperm on the outside of the penis, helps wash.

Coitus interruptus not uncommon

More often than expected, couples protect themselves from pregnancy only through coitus interruptus. In an investigation, about 44 percent of just under 14,000 ten to thirty year olds from 35 countries said they did not use contraceptives with a new partner. Also, from 340 members of the US Society for Family Planning between the ages of 35 and 49, more than half relied on coitus interruptus and did not use another method of contraception to prevent pregnancy. In doing so, some people said they did not know about possible sexual illnesses of the partner, "in the heat of the moment" refrained from other contraceptives, to have been under alcohol or drugs or simply to have been too young to protect themselves better.

Coitus interruptus: For whom?

Coitus interruptus as a method of contraception is quite suitable for couples, where the man is aware of his responsibility, both partners do not necessarily refuse a possible pregnancy and are informed about the health of the other - the coitus interruptus does not protect against sexually transmitted diseases such as AIDS! Anyone who also uses condoms or temperature measurement as a form of contraception increases the protection against pregnancy.

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    The dark side of the pill

    The pill is practical and very safe to use - that's why they are so popular. Around seven million women in Germany swallow them daily. But this form of hormonal contraception also carries risks. Find out more about the most common side effects here.

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    Hemorrhage and breast tenderness

    Especially, who has just switched to the new pill, can experience bleeding, nausea or breast tenderness. After three to six months, the body usually gets used to the hormone intake and the symptoms go back.

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    Mental burden

    Hormones not only affect the body, but also the psyche: Mood swings, nervousness or mild depression are therefore also in the side effects of the pill on the leaflet. And, unintentionally, the drug also contributes to the prevention: Some women simply have less desire for sexual intercourse.

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    Altered vaginal discharge

    The vaginal discharge may also be altered by a hormonal contraceptive method. In some women the mucus increases, in others it is reduced during intercourse. Sometimes, the pill also favors inflammation or fungal attack of the vagina.

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    blurred vision

    What many do not know: vision can be influenced by the pill. In some women, the intake leads to impaired vision, they see, for example, blurred - possibly this is caused by optic nerve inflammation. In rare cases, the tolerability of contact lenses may also suffer from taking the pill.

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    increase in weight

    "The pill makes you fat," many women think. Rightly so: Some preparations favor water retention in the tissue - they are also visible on the scale. However, there are hormones (such as drospirenone) that actually reduce the risk of water retention. Sometimes, the pill also stimulates the appetite. If you are worried about your weight, pay particular attention to a healthy diet.

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    Increased risk of thrombosis

    Regular use of the pill can increase the risk of thrombosis. This is especially true for third-generation pills, as a recent British study has shown. Accordingly, such pills increase the risk of thrombosis fourfold. This is particularly problematic for women who have an increased likelihood of blood clots anyway - for example, smokers. Thrombosis can be deadly - in the form of pulmonary embolism, stroke and heart attack, for example.

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    Whether the long-term pill intake increases the risk of cancer is discussed again and again in expert circles. It may increase the risk of breast cancer, cervical cancer, and liver cancer slightly, but may even lower the likelihood of endometrial and ovarian cancer. The research still does not provide any clear evidence here.

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    Off to the doctor

    Basically, if you feel that the pill has you unwanted side effects, discuss this with your gynecologist. Often, a drug change can cause a lot. Otherwise, there are several other ways of (hormonal) prevention, to which you may respond less strongly. And: The good news is, most of the downsides are quickly gone as soon as they drop the pill.

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    Long-term side effects

    But what about fertility? Is it still influenced after weaning? The answer is yes. Studies have shown that women who have discontinued have more cycle problems than women who never took the pill. Most of the time, however, the disorders recur after nine months at the latest and the body regains its natural rhythm.

Watch out for sex

Careful and therefore reasonable should be those who are barely aware of their sexual partners, young and impetuous, consume alcohol and drugs, are not well informed and definitely want to prevent pregnancy. Of the coitus interruptus is not a safe contraceptive method. In addition, there is a risk of infection with venereal diseases.

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