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Are the effectiveness stats assuming the man ejaculates inside the woman?

Yes. Here are the typical use effectiveness rates vs. perfect use. All are with men ejaculating in the women:

  • Low dose estrogen pills:
    • Of the three COC trials, one had a BMD decrease for the group with gestodene plus EE 15 μg. Another indicated less bone resorption in the group with gestodene plus EE 30 μg versus EE 20 μg.

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