Can You Get Pregnant? Risks After Safe Sex Practices - Obstetrics and Gynecology

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Will this lead to pregnancy?


Hello, doctor.
I apologize for bothering you.
A little over a week ago, I had intercourse with my girlfriend using a condom, and I did not ejaculate inside her.
However, afterward, I used my hand and did ejaculate (completely away from her).
A few minutes later, I wiped my hands and then briefly inserted my fingers into her vagina for a few seconds.
Could this lead to pregnancy? My girlfriend mentioned that six days later, she experienced bloating and discomfort, and now, almost two weeks later, she still has some frequent urination.
I'm really worried about the possibility of her being pregnant.

Li, 20~29 year old female. Ask Date: 2017/07/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy are low, but it is best to take preventive measures beforehand.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2017/07/16

More Info


When it comes to the possibility of pregnancy after engaging in sexual activity, understanding the risks associated with different practices is crucial. In your case, you mentioned that you used a condom during intercourse and did not ejaculate inside your girlfriend. However, you also indicated that you touched yourself and then briefly inserted your fingers into her vagina after cleaning your hands. Let's break down the situation to clarify the risks involved.

First and foremost, the use of condoms is one of the most effective methods of preventing both pregnancy and sexually transmitted infections (STIs) when used correctly throughout the entire sexual encounter. The failure rate of condoms is approximately 2% with perfect use and about 18% with typical use, which means that while they are highly effective, they are not infallible. In your case, since you did not ejaculate inside the condom and used it correctly during intercourse, the risk of pregnancy from that act is very low.

However, the concern arises from the subsequent actions you described. After using the condom, if you touched your genital area and then inserted your fingers into your girlfriend's vagina, there is a theoretical risk of transferring sperm if any sperm were present on your fingers. Sperm can survive for a short period outside the body, but the likelihood of sperm being viable enough to cause pregnancy after such a scenario is extremely low, especially if you had cleaned your hands thoroughly before the brief insertion.

Regarding your girlfriend's symptoms of bloating and frequent urination, these can be attributed to various factors, including hormonal changes, stress, or even a urinary tract infection (UTI). It is important to note that early pregnancy symptoms can sometimes mimic other conditions, which can lead to confusion. However, the symptoms you describe occurring just six days after the encounter are not typical for early pregnancy, as it usually takes time for pregnancy symptoms to manifest.
If your girlfriend is concerned about the possibility of pregnancy, the most reliable way to confirm or rule it out is through a pregnancy test. Home pregnancy tests are generally accurate when taken after a missed period, but some tests can detect pregnancy hormones as early as a few days before a missed period. If she is experiencing unusual symptoms or if the test is positive, it would be advisable for her to consult a healthcare provider for further evaluation and guidance.

In summary, while the risk of pregnancy in your situation is low due to the use of a condom and the lack of ejaculation inside, it is always wise to be cautious and informed about sexual health. If there are ongoing concerns about pregnancy or any symptoms that are troubling, seeking medical advice is the best course of action. Open communication with your partner about these concerns can also help alleviate anxiety and ensure that both of you are on the same page regarding sexual health and contraception moving forward.

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