Could I Be Pregnant? Risks and Symptoms After Safe Sex - Obstetrics and Gynecology

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Can I get pregnant?


On November 26 and 27, engaging in sexual intercourse during the so-called fertile period while using condoms throughout the process, and checking the condom for any breaks afterward, I had several sexual encounters, all with intact condoms.
However, her period is now three days late, and in the days leading up to her period, she experienced abdominal discomfort and breast tenderness, which have since resolved.
Could she be pregnant?

Mr. Huang, 20~29 year old female. Ask Date: 2016/12/15

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy are low, but it is always best to take preventive measures beforehand.
Do not rely on the safe period.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/12/15

More Info


When considering the possibility of pregnancy after engaging in sexual intercourse, especially during what is often referred to as the "danger zone" of the menstrual cycle, it is essential to evaluate the circumstances surrounding the encounter. In your case, you mentioned that you had sexual intercourse on November 26 and 27 while using a condom throughout the entire process. You also took the precaution of checking the condom for any breaks afterward, which is a responsible step to ensure safety.

Given that condoms are a reliable form of contraception when used correctly, the likelihood of pregnancy in your situation is relatively low. According to studies, the failure rate of condoms is approximately 2% with perfect use, meaning that if used correctly every time, only about 2 out of 100 women will become pregnant in a year. However, with typical use, which accounts for human error, the failure rate can be as high as 18%. Since you confirmed that the condom did not break and you used it consistently, your risk of pregnancy is significantly reduced.

You also mentioned that your partner's period is three days late and that she experienced some abdominal discomfort and breast tenderness prior to the missed period. These symptoms can indeed be associated with early pregnancy; however, they can also be attributed to other factors, such as hormonal fluctuations, stress, or premenstrual syndrome (PMS). It is important to note that many women experience similar symptoms before their menstrual cycle begins, and a late period does not automatically indicate pregnancy.

If your partner's period does not arrive within a week, it would be advisable for her to take a home pregnancy test. These tests are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced during pregnancy. Testing a week after the missed period will provide a more accurate result, as hCG levels will be higher and more detectable.

In summary, based on the information provided, the chances of pregnancy are low due to the consistent and correct use of condoms. However, if there is still concern about the possibility of pregnancy, taking a home pregnancy test after a week of the missed period is the best course of action. It is also beneficial to maintain open communication with your partner regarding any concerns or symptoms she may be experiencing, as this can help alleviate anxiety and ensure both partners are on the same page regarding sexual health and contraception.
Lastly, if there are ongoing concerns about sexual health, contraception, or potential sexually transmitted infections (STIs), it may be worthwhile to consult a healthcare professional for further guidance and support. Regular check-ups and discussions about sexual health can contribute to informed decision-making and overall well-being.

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