Can You Get Pregnant from External Contact During Menstruation? - Obstetrics and Gynecology

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Can I get pregnant?


On the first day of menstruation, if there was sexual activity without a condom and there was no penetration, but semen came into contact with the pubic area near the vagina, the risk of pregnancy is generally low.
Additionally, if you were taking medication that has contraceptive properties prior to your period, this further reduces the likelihood of pregnancy.
However, it is important to remember that no method is 100% effective, and if you have concerns about potential pregnancy, consider consulting a healthcare professional for personalized advice.

Daiwen, 20~29 year old female. Ask Date: 2017/09/28

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On the first day of menstruation, if there was sexual activity without penetration, just external rubbing, and semen came into contact with the hair near the vagina, it is unlikely to result in pregnancy.

Reply Date: 2017/09/28

More Info


When it comes to the possibility of getting pregnant from external contact during menstruation, the likelihood is generally low, but not impossible. To understand this better, let’s break down the factors involved.

Firstly, during menstruation, the chances of conception are significantly reduced. This is because ovulation, which is the release of an egg from the ovaries, typically occurs about 14 days before the start of the next menstrual period. If you have sexual contact on the first day of your period, it is unlikely that you are ovulating, as the ovulatory phase of your cycle is not occurring at that time.

However, there are a few important considerations to keep in mind:
1. Sperm Viability: Sperm can live inside the female reproductive tract for up to five days under optimal conditions. If you have had sexual contact close to the end of your menstrual period, and if you ovulate shortly after, there is a slight chance that sperm could still be viable and lead to pregnancy.

2. External Contact: In your case, you mentioned that there was no penetration, and the contact was external. While this significantly reduces the risk of pregnancy, it is important to note that if sperm comes into contact with the vaginal opening, there is a very small chance that it could enter the vagina and lead to pregnancy. This is particularly true if ejaculation occurs near the vaginal area.

3. Contraceptive Use: You mentioned that you were taking medication with contraceptive properties prior to your period. If these medications are effective and taken correctly, they can significantly lower the risk of pregnancy. However, the effectiveness can vary based on the type of medication and individual factors, so it’s essential to follow the prescribed regimen closely.

4. Menstrual Cycle Variability: Every individual’s menstrual cycle is unique, and factors such as stress, health, and hormonal changes can affect ovulation timing. Therefore, while the general rule is that the risk is low during menstruation, individual circumstances can vary.

In conclusion, while the chances of getting pregnant from external contact during menstruation are low, they are not zero. If you are concerned about the possibility of pregnancy, consider taking a home pregnancy test if your next period is late, or consult with a healthcare provider for further guidance. They can provide personalized advice based on your health history and the specifics of your situation.

If you are actively trying to avoid pregnancy, it is advisable to use reliable contraception consistently, regardless of the timing within your menstrual cycle. This will help ensure that you have control over your reproductive health and can make informed decisions about family planning.

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