Beginning with fundamentals, the basic principle that must be dealt with first is:
Sex in Man + Woman = Egg + Sperm = Baby.
I have to break down the basics because I often hear statements like this:
“I only did it once.”
“We weren’t trying.”
“How did this happen?”
What’s more is that I ask every patient if there are sexually active. If they say yes, I ask if they are using condoms or any other form of birth control. If they say no, then I say, “do you want to get pregnant?” The question is not a sarcastic one, nor is it meant to embarrass the patient. The answer is almost always an emphatic, NO.
Then the pause… because if you aren’t trying to get pregnant, what are you don’t to prevent it? When I hear, “well, I don’t have sex that much,” I can’t help but think, do you think you only produce a baby after having a certain amount of sex? Sure couples can try for a long time to get pregnant, but it only takes one time to actually conceive. If you remember the movie, Look Who’s Talking, the classic ’80’s movie with John Travolta and Kirstie (I thought her name was Kristie for the longest) Alley, the sperm swims and swims and gains admission to the egg to make the hilarious talking baby who we all fell in love with. That conception scene was amazing, timeless, and still available for viewing on YouTube. Did you know Bruce Willis was the voice of Mikey? Summary of this point: If you aren’t preventing pregnancy, you ARE “trying.” Oh and the pull-out method doesn’t count.*
On average, not adjusting for age or risk factors, after one year of unprotected intercourse, 86 out of 100 women will get pregnant. Pull-out decreases chances of conception, but enough semen is released prior to ejaculation to leave a substantial chance of conceiving. To be specific, in 1 year of regular unprotected sex using the pull-out method, 22 women out of 100 will be pregnant. The Rhythm method…