The probability of a woman aged 46 getting pregnant while using the pull-out method can vary based on individual factors, but it's generally considered to be around 20-30% per year with typical use. The pull-out method is not highly reliable, as pre-ejaculate fluid can contain sperm, and factors like irregular ovulation can further complicate the chances. Overall, while the method may reduce the likelihood of pregnancy compared to unprotected intercourse, it is not a foolproof option, especially for women in their mid-40s, where fertility declines.
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