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My boyfriend and I have been having sex for a while now... I have been on the pill for 5 months. We always use a condom and gel spermicide. He doesn't want to use a condom anymore because he thinks that spermicide and the pill alone would be safe, so what would the effectiveness be of using just the pill and spermicide? ... And the pull out method on top of that? Thanks!

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For birth control just the pill should be more than effective.  The pill alone is about 99% effective if used properly.  That means not missing pills and taking it at the same time each day.  Spermicide is also very effective.

The condom itself is up to about 98% effective when used properly. 

For protection against STD's, the condom is the only way to go.

As for the pull out method, it's a gamble.  It is NOT a form of birth control.
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