Masters and Johnson stated in Human Sexual Response that there were ‘large numbers of active spermatozoa in the pre-ejaculatory secretion’. The source for the claim that pre-ejaculatory fluid contains sperm is entirely unclear. Planned Parenthood, 2004) recommend withdrawing the penis from the vagina when the man feels ejaculation is imminent, but it is not remotely clear how a man would know when he is leaking pre-ejaculatory fluid or indeed spermatozoa. Guidelines for withdrawal ( Withdrawal Method.
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In the UK, 5% of women at risk for unintended pregnancy use withdrawal ( Lader, 2009).
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Nearly 60% of women aged 15–44 in the USA who have ever had intercourse have used coitus interruptus (withdrawal) as a form of contraception at some time, and among women at risk of unintended pregnancy, 4.6% use withdrawal as their primary method and a further 4.4% use withdrawal plus another method ( Mosher & Jones, 2010). Guidelines therefore recommend condom use from the very first moment of sexual contact ( NHS Clinical Knowledge Summaries, 2010) and limit the opportunity for foreplay, hence reducing the popularity of condom use. Identical statements are found on many other websites. This means that a man doesn’t have to ejaculate for pregnancy to occur’. Indeed, the NHS Choices website (2010) states that ‘Millions of sperm are also found in the liquid produced by the penis as soon as it is erect (hard).
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Despite this lack of sperm, current advice is that any fluid emanating from the penis prior to ejaculation could be contaminated with sperm and therefore should be regarded as potentially fertile and capable of resulting in an unwanted pregnancy. These glands secrete an alkaline fluid containing numerous enzymes and mucus but no sperm. It is said to originate from Cowper’s glands and the Glands of Littre, which open at different sites along the length of the urethra. Pre-ejaculatory fluid is released from the male urethra in amounts of up to 4 ml during sexual arousal, prior to ejaculation.