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Family planning
Published in Michael J. O’Dowd, The History of Medications for Women, 2020
With regard to the very widespread method of contraception known as coitus interruptus or ‘masculine prudence’, Marie Stopes and other researchers were of the opinion that the method would have harmful effects on both men and women, leading to functional disorders and even insanity. Stopes referred to the work of John Hunter in 1861 who found that ‘The semen would appear, both from the smell and taste, to be a mawkish kind of substance; but when held some time in the mouth it produces a warmth similar to spices, which lasts some time’. She quoted further from Havelock Ellis on the value of the seminal fluid for women, ‘If semen is a stimulant when ingested, it is easy to suppose that it may exert a similar action on the woman who receives it into the vagina in normal sexual congress’. Stopes was disapproving of coitus interruptus because of its unreliability and possible emotional and physical effects on the couple.
Male methods
Published in Suzanne Everett, Handbook of Contraception and Sexual Health, 2020
Coitus interruptus is where a man withdraws his penis from the vagina before ejaculating during sexual intercourse. It is the oldest method of contraception being referred to in the Bible (Genesis 38: verse 9) and the Koran. Coitus interruptus is widely accepted and used in Muslim and Christian communities as a method of contraception. The name coitus interruptus is rarely used by men and women – instead it is usually referred to as withdrawal, although there are many other euphemisms such as ‘being careful’ or ‘he looks after things’. This can lead to misunderstanding during consultations if you are unaware of the euphemisms used for coitus interruptus as these can vary in different areas. You may have to clarify with the client what they are practising as a method of contraception to enable you to help them during the consultation.
Adolescent contraception
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Hanna Goldberg, Jasmine Multani, Sari Kives
The rhythm method, Billings method, and calculations of basal body temperature can all be used by the highly motivated adolescent to identify the body's physiologic changes and thus the most fertile period of the cycle. They can then avoid sexual activity during these times. Due to the high degree of motivation required, this method is not applicable to most adolescents, and failure rates of these methods over time are quite high (6%–38%).16 However, in low-resource areas, the rhythm method can be quite helpful. Lactational amenorrhea is not a reliable method, especially if the infant is over 6 months of age or if breastfeeding is not exclusive and the woman has resumed menses.16 Coitus interruptus or withdrawal is a technique that is also unreliable and relies on the male partner's ability and willingness to withdraw before ejaculation; these concepts are not realistic for many adolescent males. Furthermore, there is no protection against STI with any of these methods.16
Trust, Sexual Trust, and Sexual Health: An Interrogative Review
Published in The Journal of Sex Research, 2019
The symbolic practice aspect of trust can also be seen in inclusion of specific sexual behaviors within a dyad’s sexual repertoire: Any given behavior is novel to a specific dyad at some point in time and may be a response either to achievement of a level of trust or to provide incentive toward such trust. Even discussion of desire for a potentially stigmatized behavior introduces relationship risk that may be resolved by trust (Kimberly, Williams, & Creel, 2018). “First” experiences as “gifts” are often associated with loss of a cultural status of “virgin” (Arrington-Sanders, Rosenberger, Matson, Novak, & Fortenberry, 2016; Carpenter, 2002; McBride & Fortenberry, 2010; Walker, DeNardi, Messman-Moore, & Rose, 2007). Dyadic trust is significantly associated with lower sexual risk but in the context of sensation seeking (Jones, 2004). In established dyads, demonstration of trust through healthy but relatively less frequently practiced behaviors (from a population perspective; bondage, discipline, dominance, and submission, for example) is an expression of the mutual trust of the partners in those dyads (Ernulf & Innala, 1995; Faccio, Casini, & Cipolletta, 2014; Graham, Butler, McGraw, Cannes, & Smith, 2016; Richters, de Visser, Rissel, Grulich, & Smith, 2008). Coitus interruptus as a contraceptive behavior may represent trust and negotiated safety and mark sexual prowess (Horner et al., 2009). Symbolic emphasis of semen exchange is based in trust about intimacy and infection status, especially among same-sex birth-assigned male dyads (Mowlabocus, Harbottle, & Witzel, 2014; Prestage, Hurley, & Brown, 2013; Schilder et al., 2008).
Non-contraceptive benefits of intrauterine levonorgestrel administration: why not?
Published in Gynecological Endocrinology, 2017
Lorenzo Sabbioni, Felice Petraglia, Stefano Luisi
In another survey, coitus interruptus was still the most preferred method to avoid unintended pregnancies, being common among 31.6% of the couples. Condom was chosen by 28.4% of the participants and 20.9% of them were using oral contraceptives. Even more surprisingly, 14.5% declared to use any method or precaution to avoid undesired pregnancies. Intrauterine devices were used by a mere 3.2% of those women wishing not to become pregnant [7].
Evaluation of the frequency of coitus interruptus and the effect of contraception counselling on this frequency
Published in Journal of Obstetrics and Gynaecology, 2021
Omer Demir, Mirac Ozalp, Hidayet Sal, Turhan Aran, Mehmet Armagan Osmanagaoglu
The withdrawal method of contraception, also known as coitus interruptus, is the practice of withdrawing the penis from the vagina and away from a woman’s external genitalia right before ejaculation to prevent pregnancy (World Health Organization 2007). The goal of this method is to prevent sperm from entering the vagina. However, there is not enough scientific data on how effective and reliable this method is (Liddon et al. 2016).