Could I Be Pregnant? Risks of Condom Use and Withdrawal

Can I get pregnant?

I had intercourse with my boyfriend on April 21 and May 9, during which we used a condom, and my hymen was broken.
However, my boyfriend pulled out before ejaculation (and did not take any medication).
My period is due this month, but it hasn't arrived yet.
Is there a chance I could be pregnant? If the condom was on and he didn't penetrate fully, could I still get pregnant?

Zhu Zhu, 10~19 year old female. Ask Date: 2017/05/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I came on April 21st last month and had intercourse with my boyfriend on May 9th using a condom.
My hymen also broke, but my boyfriend withdrew before ejaculation (no medication was taken).
My period is due this month, but it hasn't arrived yet.

1.
Is there a chance of pregnancy in this situation?
Answer: Using a condom and withdrawing before ejaculation should not result in pregnancy.
2.
If the condom was used but penetration did not occur, is there a chance of pregnancy?
Answer: If a condom was used and penetration did not occur, there is no risk of pregnancy.

Reply Date: 2017/05/20

More Info

When it comes to understanding the risks of pregnancy related to condom use and the withdrawal method, it's essential to consider several factors. Based on the scenario you've described, you had your last menstrual period on April 21 and had sexual intercourse with your boyfriend on May 9, during which you used a condom. You also mentioned that your boyfriend withdrew before ejaculation.
First, let's address the effectiveness of condoms. Condoms are a reliable form of contraception when used correctly. They not only prevent sperm from entering the vagina but also protect against sexually transmitted infections (STIs). However, no contraceptive method is 100% effective. The typical failure rate of condoms is about 18% per year, meaning that 18 out of 100 women will become pregnant within a year of using condoms as their only form of birth control.

The withdrawal method, also known as "pulling out," involves the male partner withdrawing his penis from the vagina before ejaculation. While this method can reduce the risk of pregnancy, it is not foolproof. Pre-ejaculate fluid (pre-cum) can contain sperm, and if the male partner does not withdraw in time, there is a risk of pregnancy.
In your case, since you used a condom and your boyfriend withdrew before ejaculation, the chances of pregnancy are relatively low, but not zero. If the condom was used correctly and did not break, and if he successfully withdrew before ejaculation, the likelihood of pregnancy is minimal. However, if the condom slipped or broke, or if there was any failure in the withdrawal method, there could be a risk of pregnancy.

Now, regarding your menstrual cycle, it's important to note that menstrual cycles can vary in length and regularity. Stress, hormonal changes, and other factors can cause delays in menstruation. If your period is late, it could be due to various reasons, including stress or hormonal fluctuations, rather than pregnancy alone.

If you are concerned about the possibility of being pregnant, the best course of action is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. For the most accurate results, it's advisable to take the test after your missed period.

In summary, while the combination of condom use and withdrawal significantly reduces the risk of pregnancy, it does not eliminate it entirely. If your period is late, consider taking a pregnancy test to confirm your status. If you have further concerns or if your menstrual irregularities continue, it may be beneficial to consult with a healthcare provider for personalized advice and guidance.

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