We use withdrawal. YES. If you are in a committed relationship, the man is responsible enough to comply and has the control to do so, and you make sure the man's urethra is clear of any semen from the last ejaculation (easy, just have him pee first) then withdrawal is a workable method for many people.
"Pre-come" really doesn't have sperm in it. Most couples who get pregnant from withdrawal have either not cleared the urethra after the last ejaculation, the man doesn't pull out in time, and the first spurt of semen is shot in, or it isn't used consistently. In perfect use, it is as effective as condoms. No kidding.
We got pregnant a number of times using "Natural Family Planning" even during my supposed "Safe Times." I think it's a plot to get women pregnant, but that's just my paranoia talking (plus, I'm not going to abstain for weeks every month!)
The Pill makes me ill and causes me to gain weight and become very depressed. Depo Provera caused me to gain 45 lbs, become very depressed and lose my sex drive.
I'm allergic to latex, so most barrier methods are out, diaphragm (although I used to have one) most condoms etc. My Man needs large condoms and they don't seem to make nonlatex condoms in large sizes. I refuse to use a female condom (doesn't that outer ring sit right ON your clit?) and seeing as we have sex at least every day, I can't afford them.
I don't trust spermicide creams, films, foams etc. Not only do they have a high failure rate, but I seem to be allergic to Noxinal 9.
I have had too much scar tissue in my urogenital track to have my tubes tied.Or to have my uterine lining ablated. The fallopian tube "plugs" are not covered by our insurance. My Man, for some reason refuses to have a vasectomy. It's his body, but I really wish he would look at the facts, instead of giving in to his fears of "cutting my balls off."
So, unless we want to have kids like the Duggars (we are very fertile) withdrawal is a good method for us.