{"id":1696,"date":"2020-05-18T13:37:54","date_gmt":"2020-05-18T13:37:54","guid":{"rendered":"https:\/\/www.mariestopes.org.kh\/?p=1696"},"modified":"2024-03-25T14:26:47","modified_gmt":"2024-03-25T14:26:47","slug":"withdrawal-and-emergency-contraception","status":"publish","type":"post","link":"https:\/\/www.mariestopes.org.kh\/km\/help-advice\/withdrawal-and-emergency-contraception\/","title":{"rendered":"Withdrawal and emergency contraception"},"content":{"rendered":"<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/www.mariestopes.org.kh\/wp-content\/uploads\/sites\/32\/2024\/03\/image-3-1.jpg\" alt=\"\" class=\"wp-image-1862\" srcset=\"https:\/\/www.mariestopes.org.kh\/wp-content\/uploads\/sites\/32\/2024\/03\/image-3-1.jpg 1024w, https:\/\/www.mariestopes.org.kh\/wp-content\/uploads\/sites\/32\/2024\/03\/image-3-1-300x300.jpg 300w, https:\/\/www.mariestopes.org.kh\/wp-content\/uploads\/sites\/32\/2024\/03\/image-3-1-150x150.jpg 150w, https:\/\/www.mariestopes.org.kh\/wp-content\/uploads\/sites\/32\/2024\/03\/image-3-1-768x768.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-font-msi-sp-font-family has-large-font-size\">Welcome back to the Marie Stopes blog!<\/p>\n\n\n\n<p>We have discussed some interesting things so far involving a wide range of topic from post-partum menstruation to how to discuss with your partner about abortion.<\/p>\n\n\n\n<p>Today we\u2019ll be exploring another important topic. In contraception talk, we will be focusing on one of the first techniques of family planning known as The Withdrawal Method.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-font-msi-sp-font-family\"><strong>Weighing the benefits and failures<\/strong><\/p>\n\n\n\n<p>So, what is the withdrawal method? It\u2019s the act of withdrawal of the penis before ejaculation as to prevent the sperm in the semen from entering the vaginal lumen.<\/p>\n\n\n\n<p>Today, although this traditional method of contraception is still widely used with 5% of users worldwide, it\u2019s nothing compared to female sterilization (24%) and male condom (21%).<\/p>\n\n\n\n<p>However, the trend in Cambodia looks a little different compared to world statistics. In 2014, Cambodia DHS conducted a survey on contraception use in Cambodia. The survey found that withdrawal was the second most used contraception method (27.9%) only being beaten by oral contraceptives (31.9%). This means that a lot of people still prefer this traditional contraception method to others, which is why it is important for sexual partners to understand what choices are available to them and whether this method is what\u2019s best for them.<\/p>\n\n\n\n<p>Let\u2019s start by talking about the good. Naturally, the withdrawal method has virtually zero ill effects on health since it is only reliant upon the withdrawal of the penis from the vaginal lumen before ejaculation. Compared to other methods of contraception, it\u2019s true that they incur relatively lower risks. However, this method does not prevent against STIs like condom does.<\/p>\n\n\n\n<p>The downside to the withdrawal method is that the pregnancy prevention rate is lower than other non-traditional methods. The success rate is only about 78%. For one, pre-cum or the pre-ejaculate might contain sperm that is viable to impregnate. Secondly, even if the semen lands on the vulva, it\u2019s not impossible for the sperm to swim to the vaginal opening. Last but not least, you need a lot of self-control to withdraw the penis on time.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-font-msi-sp-font-family\"><strong>What emergency contraception options are available?<\/strong><\/p>\n\n\n\n<p>There are&nbsp;<strong>two<\/strong>&nbsp;notable emergency contraception methods that you can get when the withdrawal method fails, or when other contraceptive methods fall short (e.g. condom breaking\u2026, etc.).<\/p>\n\n\n\n<p><strong>Emergency contraceptive pills<\/strong>&nbsp;are oral contraceptives with a slightly higher dose of hormone that can be used within 120 hours (5 days) or 72 hours (3 days) depending on the brand of the ECPs. It\u2019s important to note that the earlier you take the ECPs, the more effective it will be. However, it\u2019s recommended that you only use ECPs sporadically and not as the main contraceptive method if you\u2019re sexually active.<\/p>\n\n\n\n<p><strong>Copper IUD<\/strong>&nbsp;is not well known in Cambodia as an emergency contraception option, but it\u2019s important to know that it is, by far, the best emergency contraception method there is. It can prevent pregnancy up to 99.9% if they are placed within 5 days of unprotected intercourse. An important point to note is, if you are sexually active, this is the better contraception method than ECPs.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-font-msi-sp-font-family\"><strong>Destroying myths about ECPs<\/strong><\/p>\n\n\n\n<p>There are many odd things that were said about ECPs and contraception methods in general. The most popular one was that ECPs will cause infertility in women \u2013 This is absolutely UNTRUE. They also do not cause birth defects. The true function of ECPs is to delay ovulation, they do not cause abortion or disrupt an existing pregnancy.<\/p>\n\n\n\n<p>You must be aware that you have to take ECPs after every sexual intercourse in order to prevent pregnancy, their effect is to delay ovulation after intercourse, you cannot use them to prevent FUTURE sexual acts. To simply put it, they are not effective if taken before sex. This is why long-term contraception method is recommended, rather than taking ECPs every time you have intercourse. Although, it must be noted that it is completely safe for you to take ECPs frequently, even during the same menstrual cycle.<\/p>\n\n\n\n<p>However, they do come with some side effects such as slight bleeding, irregular period, abdominal pain, nausea, or dizziness. But the side effects are not harmful and generally resolve within 24 hours.<\/p>\n\n\n\n<p>If you wish to purchase emergency contraceptive pills outside of pharmacies or you wish to get copper IUD, you can get these services with confidentiality at Marie Stopes clinics all over the country.<\/p>\n\n\n\n<p><strong>Sources:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><a href=\"https:\/\/gynopedia.org\/Cambodia\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gynopedia.org\/Cambodia<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/path.azureedge.net\/media\/documents\/RH_pharmacy_toolbox.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/path.azureedge.net\/media\/documents\/RH_pharmacy_toolbox.pdf<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.fpv.org.au\/for-you\/i-dont-want-to-get-pregnant\/contraception-without-hormones\/withdrawal-method-pulling-out\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.fpv.org.au\/for-you\/i-dont-want-to-get-pregnant\/contraception-without-hormones\/withdrawal-method-pulling-out<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dhsprogram.com\/publications\/publication-FA105-Further-Analysis.cfm\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/dhsprogram.com\/publications\/publication-FA105-Further-Analysis.cfm<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.plannedparenthood.org\/learn\/morning-after-pill-emergency-contraception\/how-does-copper-iud-work-emergency-contraception\" target=\"_blank\" rel=\"noreferrer noopener\">www.plannedparenthood.org\/learn\/morning-after-pill-emergency-contraception\/how-does-copper-iud-work-emergency-contraception<\/a>.<\/li>\n<\/ol>\n\n\n\n<p>If you have any questions about the withdrawal method, emergency contraception and other contraceptive methods, consult with @MarieStopesKH now:<br>\u2713 Send a Facebook message<br>\u2713 Every day from 7 am to 5 pm<br>\u2713 012 999 002 or 098 999 102<br>\u2713 Send a message via LINE, Viber, WhatsApp, WeChat 093 24 08 23<br>\u2713&nbsp;<a rel=\"noreferrer noopener\" href=\"http:\/\/www.mariestopes.org.kh\/km\/contactus\/?fbclid=IwAR1D42E9EUPY3R3c7nyThoZ4JLt4r1kmUmpVHGpz1uqUEELj2PgFBJa10OM\" target=\"_blank\"><\/a><a rel=\"noreferrer noopener\" href=\"http:\/\/www.mariestopes.org.kh\/km\/contact-us-form\/?fbclid=IwAR1HFbBWJD3jRsEekR83qwroUz5X09jic0erOiz7cctQhhcZzKgPCO6PLnw\" target=\"_blank\">www.mariestopes.org.kh\/contact-us-form\/<\/a><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group alignwide has-background-blue-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow 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