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Coitus interruptus

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samples were analyzed after the critical two-minute point. That is, looking for motile sperm in small amounts of pre-ejaculate via microscope after two minutes – when the sample has most likely dried – makes examination and evaluation "extremely difficult". Thus, in March 2011 a team of researchers assembled 27 male volunteers and analyzed their pre-ejaculate samples within two minutes after producing them. The researchers found that 11 of the 27 men (41%) produced pre-ejaculatory samples that contained sperm, and 10 of these samples (37%) contained a "fair amount" of motile sperm (in other words, as few as 1 million to as many as 35 million). This study therefore recommends, in order to minimize
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that 9.8% of unmarried men who have had sexual intercourse in the last three months in 2002 used withdrawal, which then increased to 14.5% in 2006–2010, and then to 18.8% in 2011–2015. The use of withdrawal varied by the unmarried man's age and cohabiting status, but not by ethnicity or race. The use of withdrawal decreased significantly with increasing age groups, ranging from 26.2% among men aged 15–19 to 12% among men aged 35–44. The use of withdrawal was significantly higher for never-married men (23.0%) compared with formerly married (16.3%) and cohabiting (13.0%) men.
283:(sperm cells), which would compromise the effectiveness of the method. However, several small studies have failed to find any viable sperm in the fluid. While no large conclusive studies have been done, it is believed by some that the cause of method (correct-use) failure is the pre-ejaculate fluid picking up sperm from a previous ejaculation. For this reason, it is recommended that the male partner urinate between ejaculations, to clear the urethra of sperm, and wash any ejaculate from objects that might come near the woman's vulva (such as hands and penis). 296:
pre-ejaculate. All pre-ejaculate specimens were examined within an hour of production and then dried; all pre-ejaculate specimens were found to be true pre-ejaculate. It is widely believed that urinating after an ejaculation will flush the urethra of remaining sperm. However, some of the subjects in the March 2011 study who produced sperm in their pre-ejaculate did urinate (sometimes more than once) before producing their sample. Therefore, some males can release the pre-ejaculate fluid containing sperm without a previous ejaculation.
357:(NSFG) in 2014, 8.1% of reproductive-aged women reported using withdrawal as a primary contraceptive method. This was a significant increase from 2012 when 4.8% of women reported the use of withdrawal as their most effective method. However, when withdrawal is used in addition to or in rotation with another contraceptive method, the percentage of women using withdrawal jumps from 5% for sole use and 11% for any withdrawal use in 2002, and for adolescents from 7.1% of sole withdrawal use to 14.6% of any withdrawal use in 2006–2008. 1907: 341:, 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. 292:
across a wide range of observed values, total sperm count (as with other identified semen and sperm characteristics) has weak power to predict which couples are at risk of pregnancy. Regardless, this study introduced the concept that some men may consistently have sperm in their pre-ejaculate, due to a "leakage," while others may not.
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the 2006–2010 cycle of the National Survey of Family Growth, found significant differences in failure rate based on parity status. Women with 0 previous births had a 12-month failure rate of only 8.4%, which then increased to 20.4% for those with 1 prior birth and again to 27.7% for those with 2 or more.
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or so that they can have a full experience and be able to "feel" their partner. Other reasons for the popularity of this method are its anecdotal increase in male sexual deftness, it has no direct monetary cost, requires no artificial devices, has no physical side effects, can be practiced without a
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consistently and correctly at every act of intercourse, the failure rate is 4% per year. This rate is derived from an educated guess based on a modest chance of sperm in the pre-ejaculate. In comparison, the pill has a perfect-use failure rate of 0.3%, IUDs a rate of 0.1–0.6%, and internal condoms a
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Like many methods of birth control, reliable effect is achieved only by correct and consistent use. Observed failure rates of withdrawal vary depending on the population being studied: American studies have found actual failure rates of 15–28% per year. One US study, based on self-reported data from
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When asked if withdrawal was used at least once in the past month by women, use of withdrawal increased from 13% as sole use to 33% ever use in the past month. These increases are even more pronounced for adolescents 15 to 19 years old and young women 20 to 24 years old Similarly, the NSFG reports
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However, recent research suggests that this might not be accurate. A contrary, yet non-generalizable study that found mixed evidence, including individual cases of a high sperm concentration, was published in March 2011. A noted limitation to these previous studies' findings is that pre-ejaculate
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is less effective at preventing pregnancy. As a result, it is also less cost-effective than many more effective methods: although the method itself has no direct cost, users have a greater chance of incurring the risks and expenses of either child-birth or abortion. Only models that assume all
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An analysis of Demographic and Health Surveys in 43 developing countries between 1990 and 2013 found a median 12-month failure rate across subregions of 13.4%, with a range of 7.8–17.1%. Individual countries within the subregions were even more varied. A large scale study of women in England and
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and disease transmission, the use of condoms from the first moment of genital contact. As a point of reference, a study showed that, of couples who conceived within a year of trying, only 2.5% included a male partner with a total sperm count (per ejaculate) of 23 million sperm or less. However,
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Similarly, another robust study performed in 2016 found motile sperm in the pre-ejaculate of 16.7% (7/42) healthy men. What more, this study attempted to exclude contamination of sperm from ejaculate by drying the pre-ejaculate specimens to reveal a fern-like pattern, characteristics of true
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preferred small families and are known to have practiced a variety of birth control methods. There are references that have led historians to believe withdrawal was sometimes used as birth control. However, these societies viewed birth control as a woman's responsibility, and the only
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in the 5th century AD, contraceptive practices fell out of use in Europe; the use of contraceptive pessaries, for example, is not documented again until the 15th century. If withdrawal was used during the Roman Empire, knowledge of the art may have been lost during its decline.
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Based on data from surveys conducted during the late 1990s, 3% of women of childbearing age worldwide rely on withdrawal as their primary method of contraception. Regional popularity of the method varies widely, from a low of 1% in Africa to 16% in Western Asia.
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Scotland during 1968–1974 to determine the efficacy of various contraceptive methods found a failure rate of 6.7 per 100 woman-years of use. This was a β€œtypical use” failure rate, including user failure to use the method correctly. In comparison, the
410:"Table 26-1 Percentage of women experiencing an unintended pregnancy during the first year of typical use and the first year of perfect use of contraception and the percentage continuing use at the end of the first year. United States" 1897: 259:
have an actual use failure rate of 10–18%. However, some authors suggest that actual effectiveness of withdrawal could be similar to the effectiveness of condoms; this area needs further research. (See
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is that it can be used by people who have objections to, or do not have access to, other forms of contraception. Some people prefer it so they can avoid possible adverse effects of
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From the 18th century until the development of modern methods, withdrawal was one of the most popular methods of birth-control in Europe, North America, and elsewhere.
1387: 883:"Evaluation of contraceptive efficacy and cycle control of a transdermal contraceptive patch vs an oral contraceptive: a randomized controlled trial" 1000:
Jones, RK; Fennell, J; Higgins, JA; Blanchard, K (June 2009). "Better than nothing or savvy risk-reduction practice? The importance of withdrawal".
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couples practice perfect use of the method find cost savings associated with the choice of withdrawal as a birth control method.
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Kovavisarach E, Lorthanawanich S, Muangsamran P (February 2016). "Presence of Sperm in Pre-Ejaculatory Fluid of Healthy Males".
1912: 958: 2160: 1665: 1051: 968: 917: 745: 700: 666: 636: 751: 2305: 2013: 1983: 1952: 1868: 261: 825:"Contraceptive Failure Rates in the Developing World: An Analysis of Demographic and Health Survey Data in 43 Countries" 2381: 2117: 824: 2300: 2391: 2386: 2102: 354: 248: 2360: 2003: 1808:(284). National Center for Health Statistics (NCHS), U.S. Centers for Disease Control and Prevention (CDC): 1–8. 1747:"Which young adults are most likely to use withdrawal? The importance of pregnancy attitudes and sexual pleasure" 1509:"Time to pregnancy and semen parameters: a cross-sectional study among fertile couples from four European cities" 1042:
Hatcher RA, Nelson AL, Trussell J, Cwiak C, Cason P, Policar MS, Aiken AR, Marrazzo J, Kowal D (September 2018).
486: 1319: 2132: 1945: 206:. This text is believed to have been written over 2,500 years ago. Societies in the ancient civilizations of 118: 2122: 1379: 776:"Contraceptive Failure in the United States: Estimates from the 2006–2010 National Survey of Family Growth" 593: 334: 183: 227: 2092: 2327: 2292: 2240: 1698:"Contraceptive method use in the United States: trends and characteristics between 2008, 2012 and 2014" 577: 215:
well-documented contraception methods were female-controlled devices (both possibly effective, such as
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Perhaps the oldest description of the use of the withdrawal method to avoid pregnancy is the story of
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For 1998, about 18% of married men in Turkey reported using withdrawal as a contraceptive method.
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Rogow D, Horowitz S (1995). "Withdrawal: a review of the literature and an agenda for research".
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Creatsas GK (December 1993). "Sexuality: sexual activity and contraception during adolescence".
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Trussell J, Leveque JA, Koenig JD, London R, Borden S, Henneberry J, et al. (April 1995).
1249:"Male contraception without prescription. A reevaluation of the condom and coitus interruptus" 838:
Vessey, M; Lawless, M; Yeates, D (April 1982). "Efficacy of Different Contraceptive Methods".
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Slama R, Eustache F, Ducot B, Jensen TK, JΓΈrgensen N, Horte A, et al. (February 2002).
505: 2210: 1927: 925: 288: 24: 1799:"Unmarried Men's Contraceptive Use at Recent Sexual Intercourse: United States, 2011-2015" 8: 2335: 2310: 2112: 2024: 1139: 252: 1842:"Distribution of married men's use of condom, withdrawal, and other contraceptive means" 1762: 1713: 1013: 2235: 1988: 1771: 1746: 1722: 1697: 1642: 1617: 1443: 1418: 1349: 1265: 1248: 1224: 1199: 1115: 1090: 1069: 863: 800: 775: 560: 489:(1991). "A Guide to Methods of Birth Control." Briefing Paper No. 25, Washington, D. C. 465: 152: 1998: 1593: 1576: 851: 2340: 1809: 1798: 1776: 1727: 1647: 1598: 1557: 1530: 1489: 1448: 1300: 1270: 1229: 1200:"Does preejaculatory penile secretion originating from Cowper's gland contain sperm?" 1120: 1057: 1047: 1017: 964: 906: 855: 805: 741: 720: 696: 662: 632: 552: 548: 473: 374: 974: 867: 564: 1766: 1758: 1717: 1709: 1637: 1629: 1588: 1520: 1479: 1438: 1430: 1260: 1219: 1211: 1110: 1102: 1009: 896: 847: 795: 787: 544: 457: 381: 1672: 2245: 1434: 734: 929: 2066: 313:
prescription or medical consultation, and provides no barriers to stimulation.
207: 1525: 1508: 1215: 1061: 2375: 2250: 2195: 1968: 901: 882: 276: 148: 1484: 1468:"World Health Organization reference values for human semen characteristics" 1467: 2200: 2168: 2028: 1813: 1780: 1731: 1602: 1561: 1534: 1493: 1452: 1304: 1233: 1091:"Efficacy information in contraceptive counseling: those little white lies" 1021: 910: 809: 387: 280: 211: 178:
This method was used by an estimated 38 million couples worldwide in 1991.
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was created from a revision of this article dated 4 August 2023
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Compared to the other common reversible methods of contraception such as
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Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
695:(4th ed.). Cincinnati: The Couple to Couple League. p. 146. 2072: 2043: 1547: 1327: 1320:"An examination of the sperm content of human pre-ejaculatory fluid" 461: 1993: 1618:"The economic value of contraception: a comparison of 15 methods" 823:
Polis, C; Bradley, SEK; Bankole, A; et al. (24 March 2016).
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Cooper TG, Noonan E, von Eckardstein S, et al. (2010).
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Sundaram, A; Vaughan, B; Kost, K; et al. (March 2017).
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Killick SR, Leary C, Trussell J, Guthrie KA (March 2011).
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Casey FE (20 March 2024). Talavera F, Barnes AD (eds.).
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Audet MC, Moreau M, Koltun WD, et al. (May 2001).
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The method is largely ineffective in the prevention of
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Hatcher RA, Trussel J, Stewart F, et al. (2000).
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Hatcher RA, Trussel J, Stewart F, et al. (1994).
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Ortayli N, Bulut A, Ozugurlu M, Cokar M (May 2005).
1291:"Researchers find no sperm in pre-ejaculate fluid". 1197: 1088: 255:(IUDs) have an actual use failure rate of 0.1–0.8%. 1671:. Population Reference Bureau. 2002. Archived from 837: 733: 661:. Santa Barbara, Calif: ABC-CLIO. pp. 74–75. 2373: 1089:Trussell TJ, Faden R, Hatcher RA (August 1976). 1792: 1790: 1695: 1037: 1035: 1033: 1031: 952: 950: 1326:. Knowledge for Health Project. Archived from 1198:Zukerman Z, Weiss DB, Orvieto R (April 2003). 780:Perspectives on Sexual and Reproductive Health 690: 537:Current Opinion in Obstetrics & Gynecology 251:has an actual use failure rate of 2–8%, while 1953: 1246: 1204:Journal of Assisted Reproduction and Genetics 995: 993: 991: 447: 325:, hormonal contraceptives, and male condoms, 171:) may be directed away in an effort to avoid 1787: 1666:"Family Planning Worldwide: 2002 Data Sheet" 1286: 1284: 1140:"Can pre-ejaculation fluid cause pregnancy?" 1028: 947: 713:The Medical Letter on Drugs and Therapeutics 1796: 1744: 443: 441: 1994:Preventing sexually-transmitted infections 1960: 1946: 1412: 1410: 1408: 1406: 1404: 1074:: CS1 maint: location missing publisher ( 988: 1967: 1770: 1721: 1641: 1609: 1592: 1524: 1483: 1442: 1373: 1371: 1281: 1264: 1223: 1167: 1114: 963:(18th ed.). New York: Ardent Media. 900: 799: 686: 684: 622: 620: 618: 1923:, and does not reflect subsequent edits. 1906: 1419:"Sperm content of pre-ejaculatory fluid" 1380:"Coitus interruptus (Withdrawal method)" 654: 534: 438: 1696:Kavanaugh ML, Jerman J (January 2018). 1401: 626: 353:In the United States, according to the 2374: 1377: 1368: 943:First-Year Contraceptive Failure Rates 681: 650: 648: 615: 23:" redirects here. For other uses, see 1941: 1339: 1337: 1317: 1311: 1137: 588: 503: 1999:Over-the-counter oral contraceptives 874: 528: 1984:Comparison of birth control methods 1869:Contraception and abortion in Islam 1763:10.1016/j.contraception.2014.12.005 1714:10.1016/j.contraception.2017.10.003 1014:10.1016/j.contraception.2008.12.008 645: 629:The Humble Little Condom: A History 262:Comparison of birth control methods 13: 2361:Male contraceptives in development 1893: 1797:Daniels K, Abma JC (August 2017). 1334: 693:The Art of Natural Family Planning 16:Withdrawal method of birth-control 14: 2403: 1862: 1745:Higgins JA, Wang Y (April 2015). 1622:American Journal of Public Health 1095:American Journal of Public Health 631:. Amherst, NY: Prometheus Books. 516:from the original on 29 July 2019 1905: 549:10.1097/00001703-199312000-00011 355:National Survey of Family Growth 316: 249:combined oral contraceptive pill 2004:Oral contraceptive formulations 1834: 1823:from the original on 2019-12-03 1738: 1689: 1658: 1568: 1541: 1500: 1459: 1390:from the original on 2006-09-24 1357:from the original on 2008-04-20 1293:Contraceptive Technology Update 1240: 1191: 1180:from the original on 2009-02-21 1161: 1150:from the original on 2009-05-11 1131: 1082: 1046:(21st ed.). New York, NY. 831: 816: 767: 754:from the original on 2020-08-02 604:from the original on 2009-03-02 600:. Creative Loafing Media, Inc. 594:"Who wrote the Bible? (Part 1)" 487:Population Action International 426:from the original on 2022-05-04 335:sexually transmitted infections 275:It has been suggested that the 184:sexually transmitted infections 1247:Free MJ, Alexander NJ (1976). 1144:Women's health: Expert answers 582: 571: 1: 1594:10.1016/S0968-8080(05)25175-3 926:The Alan Guttmacher Institute 852:10.1016/s0140-6736(82)91885-2 719:(885): 111–4. December 1992. 691:Kippley J, Kippley S (1996). 658:Encyclopedia of birth control 393: 344: 299: 1435:10.3109/14647273.2010.520798 711:"Choice of contraceptives". 113:Advantages and disadvantages 7: 2311:Fertility awareness methods 1581:Reproductive Health Matters 1299:(10): 154–6. October 1993. 417:Contraceptivetechnology.org 367: 228:decline of the Roman Empire 219:, and ineffective, such as 10: 2408: 1318:Clark S (September 1981). 1168:Cornforth T (2003-12-02). 450:Studies in Family Planning 237: 189: 63:Failure rates (first year) 18: 2353: 2324: 2306:Calendar (rhythm) methods 2289: 2282: 2259: 2219: 2181: 2159: 2131: 2091: 2082: 2057: 2012: 1976: 1472:Human Reproduction Update 1174:About.com: Women's Health 182:does not protect against 117: 112: 104: 96: 88: 83: 75: 67: 62: 54: 46: 41: 34: 2382:Methods of birth control 1044:Contraceptive technology 960:Contraceptive Technology 902:10.1001/jama.285.18.2347 736:Contraceptive Technology 2392:Latin words and phrases 2387:Contraception for males 2221:Emergency Contraception 1526:10.1093/humrep/17.2.503 1378:Delvin D (2005-01-17). 1216:10.1023/A:1022933320700 1138:Harms RW (2007-09-20). 310:hormonal contraceptives 167:so that the ejaculate ( 2141:Multi-month injections 2084:Hormonal contraception 2048:Levonorgestrel implant 2014:Long-acting reversible 1901: 1881:Listen to this article 2269:Vaginal pH modulation 2246:Low-dose mifepristone 2146:Progestogen-only pill 2040:Contraceptive implant 1900: 1634:10.2105/AJPH.85.4.494 1485:10.1093/humupd/dmp048 1330:on 24 September 2015. 1253:Public Health Reports 1107:10.2105/AJPH.66.8.761 267:For couples that use 2301:Breastfeeding method 2211:Contraceptive sponge 2095:estrogen–progestogen 2044:Etonogestrel implant 1932:More spoken articles 655:Bullough VL (2001). 506:"Coitus interruptus" 289:unintended pregnancy 253:intrauterine devices 159:is withdrawn from a 25:AZL (disambiguation) 2336:Non-penetrative sex 2328:vaginal intercourse 2293:vaginal intercourse 2113:Contraceptive patch 2108:Extended cycle Pill 2025:Intrauterine device 1989:Male contraceptives 1556:(Suppl 2): S38–41. 1345:"Withdrawal Method" 918:"Contraceptive Use" 151:during penetrative 2236:Ulipristal acetate 2224:(Post-intercourse) 2118:Monthly injections 1902: 1513:Human Reproduction 1350:Planned Parenthood 1146:. MayoClinic.com. 792:10.1363/psrh.12017 627:Collier A (2007). 327:coitus interruptus 306:coitus interruptus 269:coitus interruptus 180:Coitus interruptus 153:sexual intercourse 132:Coitus interruptus 36:Coitus interruptus 2369: 2368: 2349: 2348: 2177: 2176: 1898: 1053:978-1-7320556-0-5 970:978-0-9664902-6-8 846:(8276): 841–842. 747:978-0-8290-3171-3 702:978-0-926412-13-2 668:978-1-57607-181-6 638:978-1-59102-556-6 598:The Straight Dope 375:Coitus reservatus 304:The advantage of 128: 127: 2399: 2287: 2286: 2133:Progestogen-only 2089: 2088: 1962: 1955: 1948: 1939: 1938: 1922: 1920: 1909: 1908: 1899: 1889: 1887: 1882: 1857: 1856: 1854: 1852: 1838: 1832: 1831: 1829: 1828: 1822: 1803: 1794: 1785: 1784: 1774: 1742: 1736: 1735: 1725: 1693: 1687: 1686: 1684: 1683: 1677: 1670: 1662: 1656: 1655: 1645: 1613: 1607: 1606: 1596: 1572: 1566: 1565: 1545: 1539: 1538: 1528: 1504: 1498: 1497: 1487: 1463: 1457: 1456: 1446: 1414: 1399: 1398: 1396: 1395: 1375: 1366: 1365: 1363: 1362: 1341: 1332: 1331: 1315: 1309: 1308: 1288: 1279: 1278: 1268: 1244: 1238: 1237: 1227: 1195: 1189: 1188: 1186: 1185: 1165: 1159: 1158: 1156: 1155: 1135: 1129: 1128: 1118: 1086: 1080: 1079: 1073: 1065: 1039: 1026: 1025: 997: 986: 985: 983: 982: 973:. 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Retrieved 1846:ResearchGate 1845: 1836: 1825:. Retrieved 1805: 1757:(4): 320–7. 1754: 1750: 1740: 1708:(1): 14–21. 1705: 1701: 1691: 1680:. Retrieved 1673:the original 1660: 1625: 1621: 1611: 1584: 1580: 1570: 1553: 1549: 1543: 1516: 1512: 1502: 1475: 1471: 1461: 1429:(1): 48–52. 1426: 1422: 1392:. Retrieved 1383: 1359:. Retrieved 1348: 1328:the original 1323: 1313: 1296: 1292: 1256: 1252: 1242: 1210:(4): 157–9. 1207: 1203: 1193: 1182:. Retrieved 1173: 1163: 1152:. Retrieved 1143: 1133: 1101:(8): 761–7. 1098: 1094: 1084: 1043: 1005: 1001: 979:. Retrieved 975:the original 959: 942: 941:- see table 934:. Retrieved 930:the original 921: 892: 886: 876: 843: 839: 833: 818: 783: 779: 769: 756:. Retrieved 735: 716: 712: 692: 672:. Retrieved 657: 628: 606:. Retrieved 597: 584: 573: 540: 536: 530: 518:. Retrieved 510:Medscape.com 509: 453: 449: 428:. 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Index

AZL (disambiguation)
STI
birth control
sexual intercourse
penis
vagina
ejaculation
semen
insemination
sexually transmitted infections
Onan
Torah
Bible
Greece
Rome
pessaries
amulets
decline of the Roman Empire
combined oral contraceptive pill
intrauterine devices
Condoms
Comparison of birth control methods
pre-ejaculate
spermatozoa
unintended pregnancy
hormonal contraceptives
IUDs
sexually transmitted infections
HIV
National Survey of Family Growth

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