Can I Get Pregnant? Risks and Contraceptive Options

Can I get pregnant?

Hello, doctor.
My girlfriend's last menstrual period was from April 8 to April 13.
We had unprotected intercourse on April 24 and 25, which were her fertile days, but it was only for a short time (less than 3 minutes) and I pulled out before ejaculation.
However, during foreplay, there was a small amount of pre-ejaculate fluid that came out before penetration.
I'm wondering what the chances of pregnancy are in this situation.
Her next period is due on May 9, but recently she has noticed that her abdomen feels larger, so I would like to ask if pregnancy is a possibility.
Additionally, I would like to know if taking preemptive or emergency contraceptive pills has significant side effects or harm to a woman's body.
Could it lead to difficulties in fertility, increased risk of miscarriage, or infertility in the future? Thank you.

A De, 20~29 year old female. Ask Date: 2017/05/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances of getting pregnant are low.
It is best to use preventive measures beforehand at all times.
Emergency contraception will not affect future fertility.
Do not rely on the calendar method for safe periods.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2017/05/04

More Info

When it comes to understanding the risks of pregnancy and contraceptive options, it's essential to consider several factors, including the timing of intercourse, the method of contraception used, and the physiological responses of the female body.

Based on your description, your girlfriend's last menstrual period was from April 8 to April 13, and you had unprotected intercourse during her fertile window on April 24 and 25. The fertile window typically occurs around the time of ovulation, which is usually about 14 days before the next expected period. Given that her next period is expected around May 9, the timing of your intercourse does fall within a potentially fertile period. Even though you did not ejaculate inside her, pre-ejaculate fluid (pre-cum) can contain sperm, which means there is still a risk of pregnancy.

Regarding the concern about her abdomen feeling larger, this could be an early sign of pregnancy, but it could also be attributed to other factors such as bloating or changes in her menstrual cycle. The only way to confirm pregnancy is through a home pregnancy test or a visit to a healthcare provider.

As for the use of contraceptives, both preemptive (before intercourse) and emergency (after intercourse) contraceptive pills have been shown to be effective in preventing pregnancy when used correctly. However, they can have side effects. Common side effects of emergency contraceptive pills include nausea, fatigue, headache, and changes in the menstrual cycle. It's important to note that while these medications are generally safe for most women, they are not intended for regular use and should not replace regular contraceptive methods.

Regarding your concerns about long-term effects on fertility, research indicates that using emergency contraceptive pills does not have a lasting impact on a woman's fertility. Women can conceive normally after using these medications. However, if a woman finds herself needing emergency contraception frequently, it may be a sign that a more reliable form of birth control should be considered.

In summary, there is a possibility of pregnancy given the circumstances you've described. The best course of action is for your girlfriend to take a pregnancy test if her period is late or if she experiences any other symptoms of pregnancy. If she is concerned about her health or the effects of contraceptive methods, it would be advisable for her to consult with a healthcare provider who can provide personalized advice based on her medical history and current situation.
In conclusion, understanding the risks of pregnancy and the implications of contraceptive methods is crucial for making informed decisions. Open communication with your partner and healthcare professionals can help navigate these concerns effectively.

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