Birth Control & Women's Health

Can You Get Pregnant on Birth Control If He Doesn''t Pull Out?

Linda Girgis | MD

Medically reviewed by Linda Girgis | MD, Girgis Family Medicine on August 21st, 2026.

Yes, you can get pregnant on birth control even without withdrawal, though the risk remains low. Birth control pills are 91-99% effective with typical use, meaning 1-9 out of 100 women become pregnant annually. The withdrawal method doesn't provide additional protection when using hormonal contraception properly. Pregnancy can occur due to missed pills, medication interactions, or the small inherent failure rate of birth control. Taking pills consistently at the same time daily maximizes effectiveness. If you miss periods or experience pregnancy symptoms, take a test regardless of contraceptive use.

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