Coitus interruptus, also known as withdrawal, pulling out or the pull-out method, is an act of birth control during sexual intercourse, whereby the penis is withdrawn from a vagina prior to ejaculation so that the ejaculate (semen) may be directed away in an effort to avoid insemination.
This method was used by an estimated 38 million couples worldwide in 1991. Coitus interruptus does not protect against sexually transmitted infections (STIs).