Can You Get Pregnant After Unprotected Sex? Menstrual Cycles - Obstetrics and Gynecology

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Can I get pregnant?


Your girlfriend took Menstruation Regulating Pills and had her period on June 18, after which she stopped taking the medication.
She had unprotected intercourse with ejaculation on June 24.
On June 29, she experienced bleeding that lasted until July 1.
They had unprotected intercourse with ejaculation again on July 2.

Is the bleeding on June 29 considered a second menstrual period? Is there a possibility of pregnancy after the intercourse on July 2?

Xiao Hou, 30~39 year old female. Ask Date: 2017/07/03

Dr. Huang Jianzhong reply Obstetrics and Gynecology


My girlfriend took Menstruation Regulating Pills and had her period on June 18, after which she stopped taking them.
We had unprotected intercourse on June 24.
On June 29, she experienced bleeding symptoms that lasted until July 1.
We had unprotected intercourse again on July 2.

1.
Is the bleeding on June 29 a second menstrual period?
Answer: It is likely ovulatory bleeding.
2.
Is there a chance of pregnancy after the intercourse on July 2?
Answer: Yes, there is a possibility.

Reply Date: 2017/07/03

More Info


When it comes to understanding the possibility of pregnancy after unprotected sex, it's essential to consider several factors, including the timing of the menstrual cycle, ovulation, and the nature of the bleeding experienced by your girlfriend.

Firstly, let's break down the menstrual cycle. A typical menstrual cycle lasts about 28 days, but it can vary from person to person, ranging from 21 to 35 days. Ovulation usually occurs around the midpoint of the cycle, typically 14 days before the next expected period. For someone with a 28-day cycle, ovulation would occur around day 14. However, if your girlfriend's cycle is irregular or if she has recently stopped taking medication like Meishinong, which is used to regulate menstrual cycles, this could affect her ovulation timing.

In your case, your girlfriend had her last menstrual period on June 18. If we assume a standard 28-day cycle, her next period would be expected around July 16. The sexual intercourse that occurred on June 24 was just a few days after her last period, which means it was likely before ovulation. However, sperm can live inside the female reproductive tract for up to five days, so if she ovulated later than expected, there is still a possibility of pregnancy from that encounter.

Now, regarding the bleeding that occurred from June 29 to July 1, it is crucial to determine whether this was a menstrual period or some other type of bleeding. If this bleeding was lighter than her usual period and occurred earlier than expected, it could potentially be implantation bleeding, which happens when a fertilized egg attaches to the uterine lining. However, if this bleeding was similar to her regular menstrual flow, it might indicate that her period had started.

If we consider the sexual encounter on July 2, if the bleeding from June 29 was indeed her period, then having unprotected sex on July 2 would be unlikely to result in pregnancy, as she would be in the follicular phase of her cycle, leading up to ovulation. However, if the bleeding was not a true period and she was still in a fertile window, there could be a chance of pregnancy.

In summary, the possibility of pregnancy after unprotected sex depends on the timing of ovulation relative to the sexual encounters. If the bleeding on June 29 was a period, then the chances of pregnancy from the July 2 encounter are low. However, if it was not a period and she was still fertile, there is a possibility of pregnancy.
For future reference, if your girlfriend is concerned about her menstrual cycle and the possibility of pregnancy, it would be advisable for her to track her cycle more closely or consult with a healthcare provider. They can provide guidance on contraception options and help clarify any uncertainties regarding her menstrual health. Additionally, if she experiences any unusual symptoms or irregularities in her cycle, seeking medical advice is always a good practice.

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