6 REASONS WHY PULLING OUT ALONE IS LIKE RUSSIAN ROULETTE NOT CONTRACEPTION

Pulling out is not contraception – that is a myth – I think it’s like playing Russian Roulette with your sperm. All adults and young people globally need “pulling out” removed from their sex education curriculum and it needs removing from the internet as a method of contraception at large. In a survey of over 4500 American women pulling out alone was used by around 12% of couples (Jones et al 2015).

Russian Roulette is a form of torture used where just one bullet is loaded into a gun, then spun, while pointing the gun at someone’s head. There’s a 1/6 chance of death.

Why such an intense comparison? Doesn’t that thrill of risk make the sex even better? I was shocked to find out from the Centres for Disease Control, that almost half of all pregnancies in America were unintended (42%). There is a lack of access to birth control and healthcare; and nearly 40 percent of women were not satisfied with the contraception they were using according to the Guttmacher Institute.

The Kaiser Family Foundation reported that at least one-third of men feel left out when it comes contraception. More than half the men said they didn’t know a lot – or next to nothing – about contraceptive options.

The options for men’s contraception have always been extremely limited:-

1. Condoms
2. “pull out” or
3. a semi-reversible vasectomy.

We were once taken on a journey about the viability of the men’s contraceptive pill in the American sitcom “Workin Mums”. The joke is on the men who suffer side-effects such nausea, mood swings, headaches and loss of libido, as many women do on the pill.

If men’s knowledge and control of contraception is low, the responsibility unnecessarily lies with women to be aware of all the possibilities and to discuss them with their partner.

What if I argued that for the 12% of us who use pulling out alone as a method of contraception, it is contributing the breakdown of family and society? It’s unreliable at best, and in 20% of couples it will lead to pregnancy in 12 months as it’s only 70–80% effective. It should be avoided for 6 reasons and is like Russian Roulette: -

1. It relies of strong will power and self-control
2. Accurate judgement of when to pull out
3. Accurate reaction time
4. Can contain pre-ejaculate sperm
5. Risks sexually transmitted diseases (STDs) and infections (STIs)
6. Causes anxiety, stress and relationship strain due to fear of possible pregnancy

I hear you say – how can russian roulette and death be linked to birth? In America, there’s also a 42% chance of couples deciding to terminate an unwanted the pregnancy.

The abortion debate will always divide people, and I’m not here to judge your decisions around that. We can all agree prevention is better than termination. In some parts of the world abortion is illegal. New laws have come into effect in some states with the Fetal Hearbeat Bill, making abortions over 6 weeks illegal, further limiting people’s options.

Other methods you can discuss with your partner are as follows. You could ideally consider using two methods together: one barrier like a condom to prevent STIs and STDs, plus an additional method to prevent pregnancy:-

1. Male condoms
2. Female condoms
3. Pills (progesterone-only or combination pill)
4. Patches
5. Hormonal coils
6. Implants
7. Diaphragm

Oftentimes, women talk about how little men “suffer” in the process of conception, pregnancy and giving birth. After all, following moments of ecstasy, there’s nothing directly “physical” that Dads directly do with the baby, until they’re born.

I actually disagree that men don’t suffer. Were we living in societies where there was no sex before marriage, the boundaries would be much clearer. However, yes men do also suffer tremendously from unwanted pregnancies. Couples are also most likely to separate within the first year after a child is born.

As a society we wonder why so many fathers aren’t present, when the child isn’t something they “signed up for”. In this new world culture of dating apps and not declaring a relationship status, pleasure doesn’t neccessarily mean either the man or woman wish to become lifelong partners or parents.

Then when relationships don’t work out there are often court proceedings to get child maintenance, or decide upon childcare arrangements. Your lives and the child’s are altered completely.

Obviously there are millions of examples where the pregnancy was a pleasant surprise! Congratulations!

However, on doing research on what was a common phenomenon in community and society at large, I did think this message around pulling out was a mess.

It started with a lack of education and sharing of knowledge at school, which continued into lack of access to healthcare, understanding, communication and suitability of birth control into adulthood. So with “pull out and pray”, you may as well be putting a gun to someone’s head.

References

Jones, Lindberg & Higgins (2015). Pull and pray or extra protection? Contraceptive strategies involving withdrawal among US adult women. Retrived 26th June 2024 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254803/