Can I Get Pregnant? Risks and Symptoms After Unprotected Sex

Could I become pregnant?

Hello, I had unprotected sexual intercourse from early to mid-September, but I took emergency contraception immediately afterward.
I got my period at the end of September (within the normal timeframe), but the flow was very light and lasted only three to four days.
Then on October 2nd, I experienced pain in my lower right abdomen.
Initially, I thought it was appendicitis because the pain lasted quite a while.
After researching appendicitis online, I found that it could possibly be an ectopic pregnancy.
I would like to know if there is a possibility of having an ectopic pregnancy or being pregnant.
Additionally, I want to ask about the fact that my boyfriend and I have had unprotected sexual intercourse, but we always pull out before ejaculation, and we only occasionally have internal ejaculation.
Regardless of whether it is internal or external ejaculation, we immediately clean the vagina afterward and use body wash to clean deeply.
Can this really prevent pregnancy or reduce the likelihood of pregnancy?
Thank you for addressing these questions!

Nìmíng, 10~19 year old female. Ask Date: 2017/10/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
Around early to mid-September, I had unprotected sexual intercourse, but I took emergency contraception immediately afterward.
However, I got my period at the end of September (within the normal cycle time), but the flow was very light and lasted only three to four days.
Then on October 2nd (Monday), I experienced pain in the lower right abdomen.
Initially, I thought it was appendicitis because the pain persisted for quite a while.
I researched appendicitis online, and it mentioned the possibility of an ectopic pregnancy, so I would like to ask if there is a possibility of having an ectopic pregnancy or being pregnant.
Answer: Is there a possibility of having an ectopic pregnancy or being pregnant? Please take a pregnancy test.
2.
Additionally, I would like to ask, since my boyfriend and I engage in unprotected sexual intercourse but usually withdraw before ejaculation, and occasionally have internal ejaculation, we always wash the vagina immediately afterward, even using body wash to clean deeply.
Is this really effective in preventing pregnancy or reducing the likelihood of pregnancy? Answer: Engaging in unprotected sexual intercourse, withdrawing before ejaculation, and immediately washing the vagina—even using body wash—cannot effectively prevent pregnancy or reduce the likelihood of pregnancy.

Reply Date: 2017/10/05

More Info

When it comes to understanding the risks of pregnancy after unprotected sex, it’s essential to consider several factors, including the timing of your menstrual cycle, the effectiveness of emergency contraception, and the symptoms you may be experiencing.

From your description, you had unprotected intercourse in early September and took emergency contraception immediately afterward. Emergency contraceptive pills (ECPs) are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours, but they can be effective up to five days later. However, their effectiveness diminishes the longer you wait. If you had your period at the end of September, even if it was lighter than usual, it is a good sign that you likely did not become pregnant. Menstrual cycles can vary in flow and duration due to various factors, including stress, hormonal fluctuations, and changes in routine.

The pain you are experiencing in your lower right abdomen could be concerning, especially if it is persistent. While it’s understandable to worry about conditions like appendicitis or ectopic pregnancy, it’s important to note that ectopic pregnancies typically present with more severe symptoms, including significant abdominal pain, vaginal bleeding, and sometimes shoulder pain. If you are experiencing severe pain or other alarming symptoms, it is crucial to seek medical attention promptly.

Regarding your question about washing the vagina after intercourse, while it is a common belief that cleaning can prevent pregnancy, this is not effective. Sperm can enter the cervix almost immediately after ejaculation, and washing afterward does not remove sperm that may have already traveled into the reproductive tract. The best way to prevent pregnancy is through reliable contraceptive methods, such as condoms or hormonal birth control, rather than relying on post-coital washing.

If you are concerned about the possibility of pregnancy or ectopic pregnancy, the best course of action is to take a home pregnancy test. These tests are most accurate when taken after a missed period. If you receive a positive result or if your symptoms persist, it is essential to consult a healthcare provider for further evaluation and guidance.

In summary, while your risk of pregnancy seems low given your recent menstrual cycle, the symptoms you are experiencing warrant a medical evaluation to rule out any serious conditions. Always prioritize safe sex practices and consult with a healthcare professional for personalized advice and support.

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