Can You Get Pregnant After Using Birth Control and Condoms? - Obstetrics and Gynecology

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Can I get pregnant?


Hello, doctor! I have been taking medication for about a year and plan to stop for one or two months.
I finished my last birth control pill at the beginning of this month, and my period started around August 14.
I had intercourse with my boyfriend on August 20.
We used a condom, but during ejaculation, he pulled out and released it on my chest.
At that time, I was squatting and didn't pay attention, so it might have dripped down.
I'm not sure if it flowed near my vaginal area.
Is there a possibility that I could be pregnant?

Han, 10~19 year old female. Ask Date: 2017/08/27

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have been taking medication for about a year and plan to stop for one or two months.
At the beginning of this month, I finished my last birth control pill, and my period started around August 14.
I had sexual intercourse with my boyfriend on August 20.
We used a condom, but during ejaculation, he pulled out and ejaculated on my chest.
At that time, I was squatting and wasn't paying attention, so it dripped down.
I'm not sure if it flowed down to my vaginal area.
Is there a possibility of pregnancy? Answer: Since he pulled out during ejaculation and it was on your chest (while you were squatting), and you are unsure if it flowed down to your vaginal area, there is no possibility of pregnancy.

Reply Date: 2017/08/27

More Info


When it comes to the question of whether you can get pregnant after using birth control and condoms, it's important to understand how these methods work and the factors that can influence their effectiveness.

First, let's discuss the birth control pills. When taken consistently and correctly, birth control pills are highly effective at preventing pregnancy, with a typical use effectiveness rate of about 91%. This means that while most people will not get pregnant if they take their pills as directed, there is still a small chance of pregnancy if pills are missed or taken inconsistently. If you have been taking the pill for about a year and are considering stopping for a month or two, it’s crucial to understand that your fertility may return quickly after stopping the pill. Many women ovulate within a few weeks after discontinuing hormonal birth control, which means that if you have unprotected intercourse during this time, there is a possibility of becoming pregnant.

Now, regarding the use of condoms, they are also an effective form of birth control when used correctly. Condoms not only help prevent pregnancy but also protect against sexually transmitted infections (STIs). However, their effectiveness can be compromised if they are not used properly. In your case, you mentioned that you used a condom during intercourse but also that there was some ejaculation near your chest, and you were concerned about potential leakage. If the condom was used correctly and did not break or slip off, the risk of pregnancy is significantly reduced. However, if there was any contact with semen that could have flowed down to the vaginal area, there is a very small risk of pregnancy, especially if you were close to your ovulation period.

In summary, while the combination of birth control pills and condoms provides a strong defense against pregnancy, no method is 100% effective. If you are concerned about the possibility of pregnancy, consider taking a home pregnancy test if your period is late or if you experience any early signs of pregnancy. Additionally, if you have any doubts or need further clarification, it’s always a good idea to consult with a healthcare provider who can provide personalized advice based on your specific situation.

Lastly, if you are planning to stop taking birth control pills, it might be beneficial to discuss your plans with a healthcare professional. They can provide guidance on what to expect regarding your menstrual cycle and fertility after stopping the pill, as well as discuss alternative methods of contraception if you wish to avoid pregnancy in the near future. Remember, open communication with your partner about contraception and family planning is also essential for making informed decisions together.

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