In conversations about sexual health, especially in Filipino families, the topic of pre-ejaculatory fluid, or pre-cum, often comes up. Many people believe that pregnancy only occurs through full ejaculation, but it is important to understand the role of pre-cum in conception, especially for parents who are teaching their children about reproductive health.
What is Pre-Cum?
Pre-cum is a clear, lubricating fluid that comes out of a man's penis during sexual arousal. This fluid is produced by the Cowper's glands (bulbourethral glands) and plays an important role in sexual activity. It helps lubricate the urethra, neutralizes the acidity from urine, and prepares the penis for intercourse.
Science Behind Pre-Cum and Pregnancy
One of the most important aspects of pre-cum is its potential to contain sperm. Although the concentration of sperm in pre-cum is usually lower, there may be residual sperm left in the urethra from a previous ejaculation. If a man has recently ejaculated, sperm can mix with the pre-cum, posing a risk for pregnancy.

Research Findings : Studies have shown that pre-cum can contain viable sperm. For example, a study published inHuman Fertilityfound that approximately 37% of pre-cum samples tested positive for sperm. This shows that even without ejaculation, the presence of sperm in pre-cum can still cause pregnancy.
How Does Pregnancy Occur?
When pre-cum is released during intercourse, it can enter the vagina and travel through the cervix to the uterus. If this sperm encounters a viable egg during ovulation, fertilization can occur, causing pregnancy as the fertilized egg implants in the lining of the uterus.
Factors Affecting Pregnancy Risk
- Timing of Intercourse : In the Philippines, it is important to understand the menstrual cycle and the timing of ovulation for couples trying to avoid pregnancy. Intercourse close to ovulation greatly increases the risk of sperm fertilizing the egg.
- Contraceptive Use : Many Filipino couples rely on traditional methods of contraception, such as the withdrawal (pull-out method), which can lead to unintended pregnancy. Without reliable contraception, the risk of sperm reaching the egg remains high.
- Education and Awareness : Comprehensive sexual health education is a challenge in many parts of the Philippines. Lack of knowledge about reproductive health leads to misinformation about pre-cum and pregnancy.
Talk About Sexual Health
It is important for Filipino parents to have open conversations about sexual health and reproductive health. Understanding how pre-cum can lead to pregnancy empowers young people to make informed decisions about their sexual health. By providing the right information, parents can dispel misconceptions about sexual activity.

Contraception Options
For those who want to prevent unplanned pregnancy, here are some methods of contraception available in the Philippines:
- Barrier Methods : Condoms are widely available in drugstores and health centers. They are effective in preventing pregnancy and reducing the risk of sexually transmitted infections (STIs). Health campaigns from the Department of Health (DOH) promote the use of condoms as part of responsible sexual health behavior.
- Hormonal Contraceptives : Options such as birth control pills and injections are available from clinics and healthcare providers. They are effective in preventing pregnancy when used correctly.
- Intrauterine Devices (IUDs) : IUDs are a long-term contraception option that can also be obtained at many healthcare facilities in the country.
Importance of Sensitive Education
Understanding and addressing cultural attitudes regarding sexuality and reproductive health in the Philippines is important. Parents should approach the topic with sensitivity, as beliefs about sex can vary across communities.
Conclusion
Although the risk of pregnancy from pre-cum is lower than that from full ejaculation, it cannot be denied. Knowledge about the science of pre-cum and its potential to contain sperm is essential for responsible sexual health decisions. Parents should encourage open discussions about reproductive health and provide their children with the right information to promote responsible behavior. In the journey of parenthood and reproductive education, knowledge is truly a powerful tool.
- D. A. R. A. (2004). The presence of sperm in pre-ejaculatory fluid. Human Fertility, 7(4), 198-201.
- Department of Health (Philippines). (n.d.).Contraceptive MethodsObtained from DOH .
- BK et al. (2012).Pre-ejaculatory fluid and its potential for pregnancy. Journal of Sexual Medicine. Retrieved from Journal of Sexual Medicine .
- Family Planning Organization of the Philippines. (n.d.).Understanding Family PlanningRetrieved from FPOP .
- World Health Organization. (n.d.).Condoms and STIs: A Comprehensive GuideObtained from WHO .
- L. M. (2018).The importance of parental communication about sex and relationships. Pediatrics, 141(Supplement 2), S225-S235.
- FD et al. (2016).Effectiveness of withdrawal as a contraceptive method. Obstetrics & Gynecology, 128(2), 310-315.
Republished with permission from theAsianParent Philippines