Can I Still Get Pregnant After This Encounter? Expert Insights

Is it still possible to get pregnant under these circumstances?

Hello, doctor.
I would like to ask you a question because I have some concerns after doing some research.
Around April 29, we did not have actual sexual intercourse, but my boyfriend inserted his penis near my hymen about 7 or 8 times.
It was quite painful, so we stopped.
At that time, we did not use a condom.
After reading online, I found out that there can be a small amount of sperm in pre-ejaculate fluid, which made me worry that my delayed period might be due to pregnancy.
My last period was on April 6, and my menstrual cycle is not very regular, typically around 1.5 months.
However, this time it seems to be quite delayed, and I am worried it might be because of pregnancy.
I am also unsure if my anxiety is causing this situation.
Later, on May 30, I took a pregnancy test for the second time (the first was three days earlier, but I felt the wait might not have been long enough, so I tested again), and it showed negative.
The issue is that I have heard that pregnancy tests should be taken after a missed period for accuracy.
Since my cycle is irregular, I am not sure whether to trust the negative result, especially since it has been a month since the last incident.
Is it accurate? Thank you for your response, and I appreciate your help!

Niming, 10~19 year old female. Ask Date: 2017/06/01

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Around April 29, we did not engage in actual sexual intercourse, but my boyfriend inserted his penis near my hymen about 7 or 8 times.
It was quite painful, so we stopped.
At that time, we were not using a condom.
After researching online, I learned that pre-ejaculate fluid can contain a small amount of sperm, which made me worry that my delayed period might be due to pregnancy.
My last menstrual period was on April 6, and my cycle is usually irregular, averaging about 1.5 months.
However, this time it feels like it has been quite a while, and I am concerned that I might be pregnant (though I'm not sure if my anxiety is causing this situation).
Later, I took a pregnancy test on May 30, which showed negative (the first test was three days prior, but I felt the wait was too short, so I tested again).
The issue is that I have heard that pregnancy tests are more accurate when taken after a missed period.
Since my cycle is not very stable, I am unsure whether to trust the negative result, especially since it has been a month since the last incident.
Is it accurate? Answer: His penis was inserted near the hymen about 7 or 8 times, and since it was painful, we stopped.
We were not using a condom, but the likelihood of pregnancy is very low.
If you are still concerned about pregnancy, consider taking another test on June 15.

Reply Date: 2017/06/01

More Info

It's understandable to feel anxious about potential pregnancy, especially after an encounter that may have involved the risk of sperm exposure. Let's break down your situation and address your concerns regarding the possibility of pregnancy and the reliability of pregnancy tests.

From what you've described, it seems that you had an encounter where there was no full penetration, but there was some contact with the vaginal area without the use of protection. It's important to note that while pre-ejaculate fluid (pre-cum) can contain sperm, the likelihood of pregnancy occurring from this type of contact is significantly lower than from full intercourse. However, it is not impossible, especially if sperm were present in the pre-ejaculate fluid and came into contact with the vaginal canal.

Regarding your menstrual cycle, you mentioned that your periods are irregular, which can complicate the situation. Irregular cycles can make it difficult to predict ovulation and determine when you might be most fertile. If your last menstrual period started on April 6, and you typically experience cycles that can last up to 1.5 months, it is possible that you could be experiencing a delay due to stress or other factors, including hormonal fluctuations.

You took two pregnancy tests on May 27 and May 30, both of which indicated that you were not pregnant. Home pregnancy tests are generally reliable when used correctly, especially if taken after a missed period. The recommendation is to wait until at least the first day of your missed period for the most accurate results. Since you mentioned that your period can be irregular, it might be beneficial to wait a few more days and take another test if your period does not arrive.

If you continue to experience anxiety about the possibility of pregnancy, or if your period does not come, it would be wise to consult with a healthcare provider. They can provide further testing and guidance based on your individual circumstances. Additionally, if you are sexually active and not planning for pregnancy, discussing contraceptive options with your healthcare provider can help alleviate future concerns.

In summary, while the risk of pregnancy from your described encounter is low, it is not zero. The negative results from your pregnancy tests are reassuring, but if you remain uncertain or if your menstrual cycle continues to be irregular, seeking medical advice is a prudent step. Remember that stress and anxiety can also impact your menstrual cycle, so taking care of your mental health is equally important during this time.

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