He definitely does not want to pull out. The finish is important, and pulling out takes the edge off for men. Why not try talking to your gyn about a different pill that won't give you headaches? Why not use condoms or spermicidal lube? There are many, many options out there better than pulling out. Why not ask about the ring, or injection method?
Also, try to add something new and exciting. I had a small problem with my boyfriend a little while ago, but it turned out most of it was stress.
Regardless, we found lots of other things to keep it interesting. Instead of coming over all the time, I would sometimes stay at home and show him little snips of me over the webcam. My boyfriend says it's like watching porn that he actually gets to sleep with, and it's a big turn on for him. Let him think about what he wants and sleep on it before letting him have it.
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