How effective is birth control pills without pulling out?

Birth control pills are a popular method of contraception. When taken as directed, they are very effective at preventing pregnancy. According to the provided references, oral contraceptives work by regulating hormones to prevent ovulation, which means no egg is released for fertilization.

Key Points:

1. Effectiveness: Birth control pills are designed to be highly effective on their own, with a success rate of over 99% when used perfectly. This means that pulling out is not necessary for them to work effectively.
2. Usage: It's important to take the pill daily at the same time to maintain its effectiveness. Missing doses or not following the prescribed schedule can reduce its effectiveness.
3. Types of Use: Some studies discuss different ways of using the pill, like continuous or intermittent use, which may have different effects or benefits, but the primary goal is to prevent pregnancy.

In summary, birth control pills are a reliable method for preventing pregnancy without the need to use the pull-out method, provided they are taken as directed.