A qualitative study of sexuality and contraceptive choice among women using withdrawal.

Abstract

This study examines the impact of withdrawal on women's sexuality and its continued use in Slovenia despite modern contraceptive alternatives. Through in-depth interviews with 45 Slovenian women using withdrawal, findings reveal significant effects on sexual satisfaction, particularly pleasure and orgasm. Many participants reported decreased sexual desire due to pregnancy fears, while concerns about their partner's performance affected arousal. Difficulties in achieving orgasm were common, with some experiencing reduced intensity and frequency. The decision to use withdrawal was often shaped by male preference, limited access to other contraceptive methods, and societal judgment. Some women preferred withdrawal for its perceived naturalness, aligning with a cultural shift toward naturalism, which may reinforce traditional gender roles and sexual norms. Historically, withdrawal was a widely accepted contraceptive method influenced by social norms and a lack of alternatives. The contemporary preference for natural contraception continues despite its risks, demonstrating how cultural beliefs shape reproductive choices. The findings underscore the need for comprehensive contraceptive counselling that acknowledges both personal and societal factors affecting women's decisions. Addressing these influences can help ensure informed choices that enhance both sexual well-being and reproductive autonomy.