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Withdrawal: A Review of the Literature and an Agenda for Research

Deborah Rogow and Sonya Horowitz
Studies in Family Planning
Vol. 26, No. 3 (May - Jun., 1995), pp. 140-153
Published by: Population Council
DOI: 10.2307/2137833
Stable URL: http://www.jstor.org/stable/2137833
Page Count: 14
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Withdrawal: A Review of the Literature and an Agenda for Research
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Abstract

A review to evaluate available literature about withdrawal (coitus interruptus) reveals a dearth of research on the current prevalence, acceptability, use-effectiveness, service-delivery issues, and safety of this ancient and widely used temporary contraceptive method. Population and family planning professionals are shown to have neglected withdrawal in favor of modern, female-controlled methods. This neglect is founded largely upon the popular belief that fertile levels of viable sperm are present in pre-ejaculatory fluid, despite data to the contrary. The validity of existing data on the prevalence of withdrawal is questioned because of the methodological bias inherent in most studies. The use-effectiveness of the practice and its relationship to sexually transmitted diseases have not been adequately investigated. A detailed research agenda on numerous topics concerning withdrawal is proposed.

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