coitus interruptus

The coitus interruptus ( lat. Coitus "sex" and interruptus "interrupted"; Abbr. CI) is a method of natural birth control in which the sex is interrupted before ejaculation so that the ejaculation of the man outside the vagina and the vulva is performed, to the advance of the sperm to the egg in the fallopian tubes to prevent the woman.

Reliability for contraception

The pearl index of coitus interruptus is 4 with perfect use and 22 with typical use. The low level of contraceptive security is due to the fact that sperm can escape from the penis even before ejaculation, e. B. if the last ejaculation was not long ago, but also because the drop of longing can already contain sperm. The use of coitus interruptus requires communication between both partners and a great strength of will and body control on the part of the man, which is often insufficient in the case of sexual arousal.

The coitus interruptus is therefore, if no other contraceptives are available and neither abstinence nor others - not penetrative - forms of collective satisfaction are concerned, at least "better than nothing". In no case does coitus interruptus , unlike a condom, protect against sexually transmitted diseases such as AIDS and others.

During coitus interruptus no technical, chemical or hormonal remedies are required.

Social aspects

The Catholic Church condemns coitus interruptus with reference to the biblical Onan , who wanted to use this method to free himself from the legal obligation to impregnate the wife of his deceased brother and to hand over the brother's inheritance to their children.

In contrast, coitus interruptus is allowed in Islam . It was practiced in the time of the Prophet Mohammad and approved by him (see Contraception in Islam ).

In the Anglo-Saxon world, a relativization of the blanket rejection of coitus interruptus can be observed on various occasions .

The reasons given are too little research and thus reliable figures, ethical-moral and practical reasons. Aid organizations support campaigns in certain developing countries in which coitus interruptus is mentioned as "the last alternative" in the educational work .

In addition, in certain countries such as B. Romania or Turkey and among population groups such as elderly couples, the CI is still used frequently, while it is z. B. is unpopular in Germany.

The coitus interruptus is considered very unreliable. However, it can be a family planning option for couples who have been together for a long time and do not want to rule out pregnancy in principle.

advantages

• Can be used if no other means are available.
• This is considered a natural, free and environmentally friendly method, but is only halfway effective for experienced couples. These should not have to rule out a possible pregnancy .
• Certain women prefer this hormone-free method because it does not have the disadvantages of hormonal ones, such as weight gain, breast growth or listlessness.
• Some couples find it sexually stimulating to experience ejaculation outside the vagina .

disadvantage

• No protection against sexually transmitted diseases
• Completely ineffective for inexperienced couples such as B. adolescents or men who do not perceive their sexual function well or cannot control it well.
• Many couples find this method sexually frustrating because they want to experience ejaculation inside the vagina.
• Masters and Johnson regard coitus interruptus as the cause of sexual problems such as premature effusion or erectile problems due to the stress of success that occurs.

techniques

The techniques for coitus interruptus serve on the one hand to have a suitable position to "pull out quickly" and to alleviate its disadvantages such as frustration caused by the sudden interruption of traffic or the risk of being late. In any case, communication and trust from both partners is required. The couple chooses a position in which the man is on top, such as the missionary position or coitus a tergo . The man can then quickly and easily withdraw before orgasm. The ejaculation can then be on the woman's body or e.g. B. in a handkerchief or in a stocking, but in any case away from the vaginal opening. A variant that increases security arises when something is withdrawn earlier and the conclusion is made by hand massage of the man or woman. With a tergo , the woman can reach under her body to the penis. An apparent success in contraception can be due to the fact that the woman did not ovulate during or after the interrupted sexual intercourse .

See also

• Coitus reservatus is a form of sexual intercourse in which the man completely avoids ejaculation.

Web links

• Coitus interruptus. Familienplanung.de, the information portal of the Federal Center for Health Education (BZgA)

Individual evidence

1. ↑ BzgA (Hrsg.): Secure - contraception for her and him, Cologne: 2019, p. 67.Available at https://www.bzga.de/infomaterialien/familienplanung/verhuetung/
2. ↑ Genesis 38.8-10  EU
3. ↑ [1] (PDF; 46 kB) Rachel K. Jones, Julie Fennell, Jenny A. Higgins, Kelly Blanchard: Better than nothing or savvy risk-reduction practice? The importance of withdrawal
4. ↑ [2] Plannedparenthood.org
5. ^ United Nations Population Information Network (POPIN): Withdrawal popular in some cultures
6. ↑ [3] (PDF; 477 kB) Family Planning Worldwide 2002 Data Sheet
7. ↑ Charlotte Shane: And a study like this: Pulling out is almost as effective as condoms. In: Vice. July 1, 2016, accessed January 16, 2020 . 
8. ↑ RA Hatcher, J. Trussell, F. Stewart et al .: Contraceptive Technology. 18th edition. Ardent Media, New York 2000, ISBN 0-9664902-6-6 .
9. ↑ Ortayli, N, A Bulut, M Ozugurlu, M Cokar: Why Withdrawal? Why not withdrawal? Men's perspectives . In: Reproductive Health Matters . 25, No. 13, 2005, pp. 164-173. doi : 10.1016 / S0968-8080 (05) 25175-3 . PMID 16035610 .
10. ^ Coitus interruptus (withdrawal) . In: Abstinence & Natural Birth Control Methods . Sexually Transmitted Disease Resource. 2006. Archived from the original on September 10, 2006. Retrieved September 5, 2006.
11. ^ WH Masters, VE Johnson: Human sexual inadequacy . Little, Brown and Company, Boston 1970.
12. ↑ suitable positions (Engl.)

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !