Could I Be Pregnant? Ovulation and Symptoms

Can I get pregnant?

Hello doctor, my last menstrual period started on May 27, and this time it started on June 26.
My ovulation period was on June 11, and I had sexual intercourse with my boyfriend on June 16.
During that encounter, he entered without a condom just before ejaculation, but he did not ejaculate inside.
Is there a chance I could be pregnant? On June 19, I woke up feeling nauseous, but I'm not sure if it was because I ate too much the night before.
The nausea continued until the morning of June 21, and I felt better after vomiting.
Is this related to a stomach issue, or could it be something else? I'm very worried.

An An, 10~19 year old female. Ask Date: 2017/06/21

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
The last menstrual period started on May 27, and the current one started on June 26.
The ovulation period was on June 11, and I had sexual intercourse with my boyfriend on June 16.
During the act, he entered without a condom just before ejaculation, but did not ejaculate inside.
Is there a chance of pregnancy? Answer: Engaging in sexual intercourse on June 16 with withdrawal method can lead to pregnancy.
2.
On June 19, I woke up feeling nauseous, but I wasn't sure if it was because I ate too much the night before.
The nausea continued until the morning of June 21, and I felt better after vomiting.
Is this a stomach issue or something else? Answer: It is likely a gastrointestinal issue.

Reply Date: 2017/06/21

More Info

Based on the information provided, it seems you are concerned about the possibility of pregnancy following unprotected intercourse during your ovulation period. Let's break down your situation and address your concerns.

1. Understanding Ovulation and Fertility: Ovulation typically occurs about 14 days before the start of your next menstrual period. Since your last period started on May 27 and your next one was expected around June 26, your ovulation likely occurred around June 11. Engaging in sexual intercourse on June 16, which is just a few days after ovulation, puts you within the fertile window. Sperm can survive in the female reproductive tract for up to five days, which means that if ovulation occurred shortly after intercourse, there is a possibility of pregnancy.

2. Pregnancy Symptoms: The symptoms you described, such as nausea and vomiting starting on June 19, can be early signs of pregnancy. However, they can also be attributed to other factors such as dietary indiscretion or a stomach virus. Nausea is a common symptom in early pregnancy, often referred to as "morning sickness," but it is not definitive proof of pregnancy. If your symptoms persist or worsen, it would be wise to consult a healthcare provider.

3. Pregnancy Testing: If you suspect you might be pregnant, the most reliable way to confirm this is through a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. It is generally recommended to wait until the first day of your missed period for the most accurate result, but some tests can detect pregnancy a few days before a missed period.

4. Concerns About Unprotected Intercourse: Since you mentioned that there was unprotected intercourse but no ejaculation inside, the risk of pregnancy is lower, but not eliminated. Pre-ejaculate fluid can contain sperm, and thus, there is still a chance of conception. If you are concerned about unintended pregnancy, consider discussing emergency contraception options with a healthcare provider, especially if it has been within 72 hours of the intercourse.

5. Next Steps: If you continue to experience nausea or other unusual symptoms, or if your period is late, it would be advisable to take a pregnancy test. Regardless of the outcome, if you have ongoing concerns about your health or symptoms, seeking medical advice is crucial. A healthcare provider can offer guidance tailored to your specific situation, including discussing any potential need for further testing or evaluation.

In summary, while there is a possibility of pregnancy given the timing of your sexual activity relative to your ovulation, the symptoms you are experiencing could also be due to other causes. Taking a pregnancy test and consulting with a healthcare provider will provide you with clarity and the next steps to take.

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