Why are people against the pull out method in combination with BC pill?

posted 3 months ago in Intimacy
Post # 16
2664 posts
Sugar bee

When I was on the pill I wasn’t great at doing it perfectly and sometimes I’d just second guess myself. So we used the pull out method when I wasn’t confident about it. 

I think my husband actually prefers it sometimes for some reason. He still does it a lot even though I have an IUD. 

Post # 17
2053 posts
Buzzing bee
  • Wedding: December 2017 - Courthouse

I might be kind of obsessive but I personally would never solely be on the pill if I weren’t okay with getting pregnant. I know scientifically, if you take your pill regularly at the same time, it’s basically impossible to get pregnant. BUT how many women do you know who claim they were on the pill and still got pregnant? 

I was on the Nexplanon (arm implant) before I got married because I knew I wouldn’t have any chances what so ever. I only switched to the pill after we got married in case something happens, we would be so excited to become parents.

I guess I just don’t trust the pill. 

Post # 18
1501 posts
Bumble bee

My husband and I use the pull out method even though I have an IUD. It’s not at all for birth control reasons though. I just find the cleanup involved when not using pull out to be really gross.

HappyCatLady :  That’s not actually how statistics work. To find the success rate of 2 birth controls used in combination you need to look at the probablity that both of them fail. Because if you’re taking 2 birth controls there are 4 scenarios that you’re working with. Both work, both fail, Primary works but secondary fails, primary fails but secondary works. Only in the case of the second of these can you get pregnant. The probability that both forms of birth control fail is smaller than the probability of either one of them failing. Even assuming 50% failure rate for pullout, using it in combination with another birth control will halve the failure rate of the primary birth control. To find the success rate, you subtract the failure rate from 100%.
So in the case of the pill which is 99% effective on its own, pulling out only brings the success rate up to 99.5%. This isn’t much of an effect and probably isn’t really worth it. But it does have an effect.

Also, sorry about the giant block of text. Statistics is my thing.

Post # 19
183 posts
Blushing bee

Wow my husband and I must be overly cautious lol. I’ve never really known what other people do until reading this thread. I have always done the pull out method with birth control. I even have the arm implant Nexplanon and still want my husband to pull out, which he wants too. I guess pulling out gives us the piece of mind. My doctor told me that no matter what birth control I used, there was still that 1% chance of it failing and I’m too scared of that 1% 

Post # 20
429 posts
Helper bee
  • Wedding: June 2020

I am on the BCP and my SO still pulls out by his own choice. I think it’s a combination of peace of mind for him and feeling like he is contributing to our contraceptive efforts, even if it’s not much of contribution statistically. He insists that pulling out doesn’t lessen the experience for him, so I don’t mind it because the cleanup is easier. 

Post # 21
9071 posts
Buzzing Beekeeper
  • Wedding: August 2016

It’s not the pill’s fault that a lot of people aren’t good at taking it the way they are supposed to. Every woman I know who got pregnant on the pill admits they weren’t good at remembering to take it at the same time every day. It’s really not about trusting the pill it’s about how much you trust yourself to use it properly. 

sarathemermaid :  

Post # 22
682 posts
Busy bee
  • Wedding: July 2018

hikingbride : 100% this. 

sarathemermaid :  To answer your question, I do know a couple women who have gotten pregnant while on BCPs, BUT, I don’t know any women who got pregnant while taking their BCPs correctly. I have found that the deeper you dig with the women who claim BCPs don’t work or they failed and just act like it was spontaneous or the pill’s fault, you find out the little details they didn’t mention – like they didn’t actually take the pill every day, or they weren’t aware that antibiotics can lessen the effectiveness of BCPs, etc. I blame this on the poor state of sex education in the U.S., though.

OP, to each their own, I guess. Whatever gives you peace of mind. I do agree though that the pull out method in combination with BCPs is redundant and doesn’t make a lot of sense. You’re combining a super effective form of birth control with pretty much the least effective one. If you’re going to use two forms of birth control, it would make more sense to use BCPs and condoms. If you forget to take the pill or something, you still have the condom. It isn’t likely that two forms of effective birth control will fail in the same instance. But, if you forget to take the pill or something and your backup is the pullout method, you’re much more likely to be SOL.

Post # 23
9755 posts
Buzzing Beekeeper
  • Wedding: September 2013

There is no harm, it is just unneccessary as the BCP is the primary method and generally sufficient.  That’s the point of being on it!  However, if you are super paranoid then combining the two should provide more protection.  But only if you use the pull out method every time.

Pull out method can work (at about 78%- a little less effective than condoms), but you have to do it well and do it every.single.time.  No slip ups.  We used it in between kids without issue (and I got pregnant with both of mine as soon as we did NOT pull out) but I wouldn’t be comfortable using it if I did not want any kids at all.  After #2 I got a mirena for this reason.

In reality (meaning normal use, not perfect use) BCP is 91% effective, condoms are 85% effective, pull out is 78%.  An IUD is probably your best bet for effectiveness.  I used to be on BCP but prefer the mirena since the hormones are much much lower and centralized so I don’t get the negative effects of BCP any more.  I was not always the best at taking my BCP at the same time every day either and sometimes I would miss days.  I never got pregnant but obviously not a good idea!

Post # 24
2664 posts
Sugar bee

kes18 :  The pull out method is actually 96% effective if you do it perfectly. The 78% stat accounts for imperfections


You should still never use the pull out method on its own. But if you’re on the pill and took it at the wrong time a couple of times, it certainly doesn’t hurt to use the pull out method. If you miss multiple pills though, you’d want to go for condoms as backup. And if you’re messing it up on a very regular basis you’re better off going with an IUD. 

Post # 25
2053 posts
Buzzing bee
  • Wedding: December 2017 - Courthouse

npoliver :   hikingbride :  Yes exactly what you ladies said. I think a lot of women do claim “I was on the pill but I don’t know how I got pregnant” but they fail to mention they weren’t using it correctly. Honestly I think a lot of women don’t even know how much affect the pill has if you don’t take it everyday, skip a pill, take it at a different time everyday, etc. 

And yes this is in fact a huge reason why we need better sex education. 

Post # 26
8926 posts
Buzzing Beekeeper
  • Wedding: August 2012

 wolfeyes :  I just read a study that shows a very significant amount of men have semen in their pre-ejaculate. So even if you’re doing it perfectly, there’s a large chance for failure depending on your partner. I can’t search for the link atm becuase I’d rather not flag that at work haha.

Post # 27
7325 posts
Busy Beekeeper

I can’t imagine anyone is “against” this as a matter of principle? If someone feels more comfortable pulling out while also being on the pill then good for them. Personally I think it is overkill, but that doesn’t mean I’m “against” it. Kinda like I think it would be overkill to wash my hair twice a day…doesn’t mean I would protest against it though lol. 

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