Pregnancy Chances and Natural Conception Despite Infertility

Regarding the probability of pregnancy and the possibility of natural conception despite suspected infertility?

Hello, from January 26 to January 28, there were three consecutive days of unprotected intercourse with ejaculation.
According to the app's prediction, January 29 is the ovulation day, and the expected next menstrual period should be on February 11.
Since the period was late, I took a home pregnancy test on February 11 and 12, both of which showed two clear lines.
On February 13, I visited a gynecologist who informed me that it was too early for an ultrasound to confirm pregnancy, and I have scheduled a follow-up appointment for an ultrasound on February 24.
To explain the situation, the female partner has a stable sexual partner besides me, and they have been trying to conceive for nearly three years with unprotected intercourse but have not achieved pregnancy.
According to her, this male partner underwent fertility testing about three months ago, which showed no issues with fertility.
Given that they have been unable to conceive for three years, she believes she may have infertility, although she has not undergone any infertility testing.
After our encounter on January 28, she did not have sexual relations with anyone else.
Her menstrual period ended on January 21, but she cannot recall if she had intercourse with her male partner between January 21 and January 25.
Additionally, there was unprotected intercourse with ejaculation from January 26 to January 28.
With January 29 being the predicted ovulation day and the positive pregnancy tests on February 11 and 12, can it be almost certain that the child is mine? If she truly has infertility, what is the likelihood of natural conception? If she is indeed infertile and becomes pregnant but decides to terminate the pregnancy, could that affect her ability to conceive naturally in the future? I apologize for the complexity of the situation.

Niming, 20~29 year old female. Ask Date: 2017/02/15

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, based on the timing, it is possible that conception occurred around the 28th.
She and her partner have infertility issues, but that is not the case with you.
Of course, if termination can be avoided, it should be.
Whether it will be this easy to conceive next time is uncertain.
Wishing you good health.

Reply Date: 2017/02/15

More Info

Understanding the complexities of fertility, especially in the context of previous infertility concerns, can be quite challenging. Based on the information provided, it seems that there are several factors at play regarding the potential for pregnancy and the implications of past fertility issues.

Firstly, it’s important to clarify that infertility is typically defined as the inability to conceive after one year of regular, unprotected intercourse. In your case, the female partner has been trying to conceive with another partner for three years without success, which raises concerns about her fertility. However, it’s crucial to note that infertility can be multifactorial, involving both male and female factors. Since the male partner has been tested and found to have no fertility issues, it suggests that the female partner may have underlying fertility problems that have not yet been diagnosed.

Now, regarding your situation, you had unprotected intercourse with her during her predicted ovulation window, which is a critical time for conception. The fact that she tested positive for pregnancy shortly after this period indicates a high likelihood that you could be the biological father, especially since she did not have any sexual relations with her other partner after your encounter. However, without a definitive medical examination, such as an ultrasound or blood test to confirm the pregnancy and its viability, it remains uncertain.

If the female partner is indeed experiencing infertility, the occurrence of a natural pregnancy could suggest that her fertility issues may not be absolute. Infertility can sometimes be intermittent, and factors such as stress, hormonal imbalances, or even timing can affect conception. Therefore, while the chances of natural conception may seem low given her history, it is not impossible.

Regarding your concerns about the implications of a potential abortion if she is indeed pregnant, it is essential to understand that undergoing an abortion does not typically lead to long-term infertility. Most women are able to conceive again after an abortion, although there can be risks associated with the procedure itself, such as infection or complications that could affect future pregnancies. It’s advisable for her to consult with a healthcare provider to discuss her fertility status and any potential risks associated with her reproductive health.

In conclusion, while the situation is complex, there are several avenues to explore. It would be prudent for the female partner to undergo a thorough fertility evaluation to determine any underlying issues that could affect her ability to conceive. Additionally, if she is pregnant, seeking early prenatal care is crucial for monitoring the health of both her and the developing fetus. Open communication between all parties involved is also essential to navigate this situation effectively.

Similar Q&A

Understanding Pregnancy Chances: Ovulation and Conception Explained

Hello, I am following up on my previous inquiry regarding #176375. Can you confirm if there are two situations in which pregnancy theoretically cannot occur, and what about during the ovulation period?

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, in medicine, there are no absolutes, only probabilities. Generally, the chances of pregnancy are low. Wishing you good health.

Can IVF Success Lead to Natural Conception Later? Insights for Women

Hello Doctor, I would like to ask: Ten years ago, I successfully became pregnant through in vitro fertilization (IVF) at Bo Yuan, and I also met two other patients who are still in contact with me. They are very fortunate to have had IVF babies and are also able to conceive natur...

Dr. Lin Wenbin reply Obstetrics and Gynecology
Each individual's situation is different. If it is oligospermia, this factor cannot be overcome, and pregnancy may still not be possible. If there are ovulatory disorders or adhesions in the endometrial lining that hinder implantation, these conditions may potentially normal...

Struggling to Conceive Again After First Child: What You Need to Know

Hello, Dr. Huang. I would like to ask you a question. Before my marriage, I didn't use contraception and didn't get pregnant. However, after getting married, I naturally conceived and gave birth to a baby who is now three years old. I have always been a bit overweight, ...

Dr. Huang Jianxun reply Obstetrics and Gynecology
Hello: Even with a normal weight and regular menstrual cycles, and in the absence of other infertility factors, having intercourse during the ovulation period results in about a 90% chance of conceiving after one year. In other words, it is not guaranteed that every ovulation cyc...

Understanding Infertility: Can Menstruation Affect Your Chances of Conceiving?

Is it true that having intercourse during menstruation can lead to infertility, aside from the risk of infection? I had my first sexual experience at 18 and did not conceive then, nor have I conceived since. Does this mean I am infertile? Does this imply that my chances of concei...

Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Having intercourse during menstruation does not cause infertility. 2. Infertility is defined as not achieving pregnancy after more than one year of regular unprotected intercourse. 3. Endometriosis can be treated, and pregnancy is possible afterward. 4. If you have not conceiv...