When my boyfriend and I have sex, he always pulls out. I’m a little worried though about pregnancy and even HIV. Should I be?
You didn’t mention if your boyfriend wears condoms during sex, so we’ll assume he doesn’t. What you are relying on as a birth control method is called withdrawal, or pulling out before the guy ejaculates (comes). The withdrawal method works poorly for both pregnancy prevention and HIV prevention. In other words, yes, you are at-risk for an unplanned pregnancy and HIV and other STDs. This is because sometimes there is pre-ejaculate which can carry both sperm and the HIV virus, and sometimes the guy just isn’t quite right about when he’s having an orgasm and the fluids get into you even if he pulls out.
Wearing condoms during intercourse (sex) prevents the spread of HIV and other STDs, and if used consistently and correctly every time, condoms are very effective against unplanned pregnancies. Even though we’re sure your boyfriend says he is “clean,” there is no way to tell by sight and he can be infected and not know it. Most STDs, including HIV, have no symptoms. Sometimes people do have symptoms but don’t think it’s because they have an STD.
You need to see a health care provider and find a contraception option that works for you. To get started, see the section on Contraception and Birth Control here.