Can You Get Pregnant from First-Time Protected Intercourse? - Obstetrics and Gynecology

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Can I get pregnant?


On August 9, I had sexual intercourse with my boyfriend for the first time.
I am a virgin, and we both used a condom, but it was very painful when we tried to insert it twice, so we withdrew without thrusting.
After that, we gave up.
My period was supposed to come on August 6, but it is a few days late.
I would like to know what the chances of pregnancy are in this situation.

Niming, 20~29 year old female. Ask Date: 2016/08/14

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy are low, but it is best to take preventive measures beforehand.
If your period does not arrive after waiting another week, it is recommended to see a gynecologist.
Wishing you good health.

Reply Date: 2016/08/14

More Info


When it comes to the possibility of getting pregnant from first-time protected intercourse, it's important to understand a few key points about how pregnancy occurs and the effectiveness of condoms as a contraceptive method.

Firstly, pregnancy occurs when sperm fertilizes an egg. For this to happen, sperm must be deposited in the vagina, and typically, this occurs during ejaculation. In your case, you mentioned that you and your boyfriend used a condom and that there was no ejaculation inside the vagina. If the condom was used correctly and did not break, the likelihood of sperm entering the vagina is significantly reduced. Condoms are about 98% effective at preventing pregnancy when used perfectly, but typical use may lower that effectiveness to around 85% due to human error.

Since you mentioned that you experienced pain during penetration and that you did not proceed with full intercourse, the chances of pregnancy are quite low. However, it is essential to consider a few factors:
1. Pre-ejaculate Fluid: Even if ejaculation did not occur inside the vagina, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm. If any pre-ejaculate came into contact with the vaginal area, there is a slight risk of pregnancy, although this is generally considered low.

2. Menstrual Cycle Timing: You mentioned that your period was due on August 6 and that it is now late. If you have a regular menstrual cycle, ovulation typically occurs about 14 days before your next period. If you had intercourse close to your ovulation window, the chances of pregnancy could be higher, but given that you did not have full intercourse, this risk remains low.

3. Stress and Hormonal Changes: Sometimes, stress or changes in routine can cause a delay in your menstrual cycle. If you are feeling anxious about the possibility of pregnancy, this could also affect your cycle.
4. Pregnancy Testing: If your period does not arrive soon, it would be advisable to take a home pregnancy test. These tests are most accurate when taken after a missed period, as they detect the hormone hCG, which is produced during pregnancy.

In summary, while the risk of pregnancy from your described encounter is low, it is not entirely zero due to the potential presence of sperm in pre-ejaculate fluid. If your period continues to be delayed, taking a pregnancy test will provide clarity. Additionally, if you have concerns about sexual health or contraception, consulting with a healthcare provider can offer personalized advice and options for future sexual encounters.

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