Pregnancy Concerns and Menstrual Irregularities: Your Questions Answered

Pregnancy and Menstrual Issues

Hello Dr.
Huang: I am still a virgin, and my boyfriend and I have only engaged in anal intercourse, not vaginal intercourse.
I have some questions because I am worried about pregnancy.

1.
After my boyfriend ejaculated, he wiped his glans with tissue.
His hands may or may not have come into contact with semen, but he did wipe them with tissue and confirmed that his hands were dry before he kissed me and touched my vagina.
Is it easy to get pregnant from this?
2.
My menstrual cycle has been consistently around the 24th of each month, but in July and August, it came early on the 19th.
We had anal intercourse with ejaculation on July 18, but my period still came in August.
Now it is September 24, and I have not gotten my period yet.
What could be the reason for this? Should I wait a bit longer?
3.
Additionally, in September, there were two or three instances similar to the first question.
Could this lead to pregnancy?

Ahua, 10~19 year old female. Ask Date: 2017/09/24

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I am still a virgin, and my boyfriend and I have not had vaginal intercourse, only anal intercourse.
Because I am afraid of getting pregnant, I have some questions to ask you.

1.
After my boyfriend ejaculated, he wiped his glans with tissue.
His hands may or may not have come into contact with semen, but he wiped them with tissue and confirmed that his hands were dry before touching me and inserting his fingers into my vagina.
Is it easy to get pregnant?
Answer: It is not easy to get pregnant.
2.
My period has been consistently arriving around the 24th of each month, but in July and August, it came early on the 19th.
On July 18, we had anal intercourse with ejaculation, but my period still came in August.
Now, it is past the 19th of September, and today is the 24th, but I still haven't gotten my period.
What could be the reason? Should I wait a bit longer?
Answer: You should wait a bit longer.
3.
During September, I engaged in similar activities as in the first question two or three times.
Is there a chance of pregnancy?
Answer: Anal intercourse alone does not lead to pregnancy.
If his hands were confirmed to be dry before touching you and inserting them into your vagina, there is also no risk of pregnancy.

Reply Date: 2017/09/24

More Info

When addressing concerns related to pregnancy and menstrual irregularities, it is essential to understand the biological mechanisms involved, as well as the implications of sexual activity and contraceptive methods.
1. Risk of Pregnancy from Non-Penetrative Sex: In your case, the concern revolves around the potential for pregnancy from activities that do not involve vaginal intercourse. While the risk of pregnancy from anal intercourse followed by genital contact is significantly lower than from vaginal intercourse, it is not entirely absent. If your boyfriend's hands were contaminated with semen and then introduced to your vagina, there is a theoretical risk of sperm entering the vaginal canal. However, this scenario is less likely to result in pregnancy compared to direct vaginal intercourse. The use of toilet paper to wipe the penis may reduce the amount of sperm present, but it does not guarantee that all sperm has been removed.
2. Menstrual Irregularities: Your menstrual cycle can be influenced by various factors, including stress, hormonal changes, and lifestyle factors. The fact that your cycle was regular before July and then changed could be due to several reasons. The early onset of your period in July and August may indicate a temporary change in your cycle, which can happen for various reasons, including stress or changes in routine. The absence of your period in September could be attributed to similar factors, or it could be due to the possibility of pregnancy, especially if there was any chance of sperm entering the vagina. If your period does not arrive soon, it would be prudent to take a home pregnancy test for confirmation.

3. Further Sexual Activity and Pregnancy Concerns: If you engaged in similar activities during September, the same considerations apply. The risk of pregnancy remains low but is not zero. If you are concerned about the possibility of pregnancy, taking a pregnancy test is advisable. If the test is negative and your period still does not arrive, it may be beneficial to consult a healthcare provider to explore other potential causes for the irregularity.

In summary, while the risk of pregnancy from the activities you described is low, it is not impossible. If you are experiencing menstrual irregularities, it is essential to monitor your cycle and consider taking a pregnancy test if your period is significantly delayed. If you have ongoing concerns about pregnancy or menstrual health, consulting a healthcare professional can provide personalized guidance and support. Additionally, if you are looking for effective contraception methods to prevent unintended pregnancy in the future, discussing options with a healthcare provider can help you make informed decisions based on your lifestyle and health needs.

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