Delayed Menstruation: Pregnancy Risks and Expert Advice - Obstetrics and Gynecology

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Menstrual period is delayed by 10 days?


Your girlfriend's menstrual cycles were on September 17 and October 20.
On November 11, there was genital touching without ejaculation, but it was not checked for pre-ejaculate fluid, and it is uncertain if she touched herself afterward.
On November 24, there was sexual intercourse, during which there was a loss of erection, but the condom did not slip off, and there was no ejaculation.

You are asking about the likelihood of pregnancy in this situation.
The chances of pregnancy from pre-ejaculate fluid are generally low, but it is still possible, especially if sperm are present in the pre-ejaculate.
The risk of pregnancy from the events described is relatively low, especially since there was no ejaculation and the condom was used properly during intercourse.
As for medical advice, it is recommended to use reliable contraception consistently to reduce the risk of unintended pregnancy.
If there are concerns about potential pregnancy or sexually transmitted infections, it may be advisable to consult a healthcare professional for further guidance and possible testing.

Niming, 10~19 year old female. Ask Date: 2017/11/30

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Your girlfriend had her menstrual periods on September 17 and October 20.
On November 11, there was genital touching without ejaculation, and it was not checked for the presence of pre-ejaculate fluid, nor is it certain if she touched her own genitals afterward.
On November 24, there was sexual intercourse, during which there were instances of erectile dysfunction, but the condom did not slip off, and there was no ejaculation.
I would like to know the likelihood of pregnancy in this situation.
What is the probability of pregnancy from pre-ejaculate fluid?
Answer: The likelihood of pregnancy in this scenario is low.

Reply Date: 2017/11/30

More Info


Understanding delayed menstruation and the associated pregnancy risks can be a source of anxiety for many couples. In your case, it appears that there are several factors to consider regarding the likelihood of pregnancy and the implications of any potential conception.

First, let's address the situation regarding the sexual encounters you described. The risk of pregnancy from pre-ejaculate fluid (also known as pre-cum) is a topic of considerable debate. While pre-ejaculate itself typically does not contain sperm, it can pick up sperm that may be present in the urethra from a previous ejaculation. Therefore, if there was any sperm present in the urethra, there is a possibility, albeit low, that pre-ejaculate could lead to pregnancy. However, the likelihood of pregnancy from pre-ejaculate is generally considered to be lower than that from ejaculate.

In your case, since there was no ejaculation during the sexual encounters, the risk of pregnancy remains relatively low, especially if the condom was intact throughout the intercourse. However, it is important to note that no contraceptive method is 100% effective, and there is always a small risk of failure, particularly with barrier methods like condoms.
Regarding your girlfriend's delayed menstruation, several factors could contribute to this occurrence. Stress, hormonal imbalances, changes in weight, and other lifestyle factors can all affect menstrual cycles. If your girlfriend's period is late, it is advisable for her to take a home pregnancy test for confirmation. These tests are generally accurate when taken after a missed period. If the test is positive, she should consult a healthcare provider for further guidance and prenatal care.

If your girlfriend is concerned about the possibility of pregnancy, it is essential to have open communication about her feelings and the next steps. If the pregnancy test is negative and her period does not arrive soon, it would be wise for her to consult a healthcare provider to explore potential underlying causes for the delay.

In summary, while the risk of pregnancy from the encounters you described is low, it is not entirely absent. The best course of action is to take a pregnancy test if her period does not arrive. If there are any concerns or if she experiences unusual symptoms, seeking medical advice is always a prudent step. Additionally, if you and your girlfriend are considering becoming sexually active in the future, discussing reliable contraceptive methods can help manage pregnancy risks effectively.

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