Pregnancy Chances: Your Questions Answered - Obstetrics and Gynecology

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What is the likelihood of getting pregnant?


My girlfriend usually has her period at the end of the month, sometimes extending into the beginning of the next month.
The timing is not fixed, but for the past two months, I observed that it typically starts around the 22nd to 23rd.
The issue is that on June 19th, we had intercourse using a condom, and after withdrawal, I ejaculated outside.
I checked the condom afterward, and it was intact.
However, her period was later than expected, arriving on June 27th.
I am concerned that it might be implantation bleeding rather than her period.
According to her, the bleeding was quite painful and heavy, which could also be due to her frequent consumption of ice, but I am not sure.

Her period lasted from June 27th to July 2nd or 3rd.
On the 4th, we had intercourse again without a condom, just some rubbing without ejaculation.
Afterward, I was worried and gave her 1.5 mg of emergency contraception (Plan B).
On July 9th, she experienced some bleeding, which ended on July 12th.
On the afternoon of July 12th, she used a home pregnancy test, which showed one line, but we are still worried about the possibility of pregnancy.
Q1: Does the negative test result on July 12th mean that the intercourse on June 19th did not result in pregnancy?
Q2: When should we test for pregnancy again?
Q3: Can a pregnancy test detect pregnancy if it is taken more than 14 days after intercourse?
Q4: What is the likelihood of pregnancy in this situation? Thank you, doctor.

Mr. Lai, 10~19 year old female. Ask Date: 2017/07/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Q1: If I can't test positive on July 12, does that mean I didn't conceive on June 19?
A: Yes, it indicates that conception did not occur.
Q2: When should I take a pregnancy test after that?
A: You should take a pregnancy test on August 1.
Q3: Can I test positive if it's been more than 14 days since intercourse?
A: Yes, you can test positive as early as 14 days after intercourse.
Q4: What is the likelihood of pregnancy in this case?
A: The likelihood of pregnancy is low.

Reply Date: 2017/07/15

More Info


Understanding the chances of pregnancy can be a source of anxiety for many couples, especially when there are uncertainties about menstrual cycles, contraceptive methods, and timing of sexual activity. Let's address your questions one by one, while also providing some context about the factors influencing pregnancy chances.


Q1: Does a negative pregnancy test on July 12 indicate that there was no pregnancy from the June 19 encounter?
A negative pregnancy test on July 12 suggests that it is unlikely your girlfriend is pregnant from the encounter on June 19. Pregnancy tests work by detecting the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg implants in the uterus. Typically, hCG can be detected in urine about 14 days after conception. Since your girlfriend's period started on June 27, it is likely that she was not pregnant from the June 19 encounter, especially if the test was taken after a missed period.


Q2: When should we test for pregnancy after potential conception?
If you suspect a pregnancy, the best time to take a home pregnancy test is after a missed period, which is usually about two weeks after the potential conception date. In your case, since her period was late and she had a negative test on July 12, it would be advisable to wait until the next expected period to test again. If her cycle is irregular, waiting at least two weeks after the last sexual encounter before testing would provide a more accurate result.


Q3: Can a pregnancy test detect pregnancy if taken more than 14 days after intercourse?
Yes, a pregnancy test can reliably detect pregnancy if taken more than 14 days after intercourse. By this time, if conception has occurred, hCG levels should be high enough to be detected by most home pregnancy tests. If the test is negative but there are still concerns about pregnancy, it may be worth consulting a healthcare provider for a blood test, which can detect lower levels of hCG.


Q4: What is the likelihood of pregnancy in this scenario?
The likelihood of pregnancy in your scenario depends on several factors. Since you used a condom and checked for any breakage, the risk of pregnancy from that encounter is significantly reduced. However, since there was also a subsequent encounter without a condom, there is a chance of pregnancy, especially if pre-ejaculate fluid was present. The risk of pregnancy from "dry humping" or external contact is generally low, but it is not zero.


Additional Considerations
1. Menstrual Cycle Variability: It's important to remember that menstrual cycles can vary significantly among women. Factors such as stress, diet, and health can influence cycle regularity. If your girlfriend's period was late, it could be due to various reasons, including hormonal fluctuations or stress, rather than pregnancy.

2. Understanding Implantation Bleeding: Implantation bleeding can sometimes be mistaken for a light period. It typically occurs around the time a woman would expect her period, but it is usually lighter and shorter. If your girlfriend experienced heavy bleeding, it is more likely to be her regular menstrual cycle.

3. Emergency Contraception: The use of emergency contraception (like the "morning-after pill") is effective when taken within a certain timeframe after unprotected intercourse. Since your girlfriend took it after the second encounter, it may help reduce the risk of pregnancy from that incident.

4. Consulting a Healthcare Provider: If there are ongoing concerns about potential pregnancy or menstrual irregularities, it is always a good idea to consult a healthcare provider. They can offer personalized advice and may perform tests to provide clarity.

In conclusion, while the chances of pregnancy seem low based on the information provided, it is always best to monitor the situation closely and consult with a healthcare professional if there are any uncertainties or concerns.

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Hello doctor, I am the inquirer #144001. Thank you for your response! I would like to ask again, what are the chances of becoming pregnant? Are they high?


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Dr. Huang Jianzhong reply Obstetrics and Gynecology
1. Is the probability of pregnancy high under these circumstances? Ans: Yes, the probability is high. 2. What is the likelihood of her becoming pregnant if pre-ejaculate fluid enters? Ans: Approximately 50%.

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Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the chances of conception are quite significant. It is recommended to check for pregnancy if your period is more than a week late. Thank you! Wishing you peace and health. Dr. Chang

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