Can You Get Pregnant Without Intercourse? the Risks - Obstetrics and Gynecology

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Can I get pregnant?


Having unprotected sexual intercourse without ejaculation inside, and with oral sex as a method of ejaculation, significantly reduces the likelihood of pregnancy.
Additionally, if your girlfriend took a urine pregnancy test on December 6 and the result was negative, it is unlikely that she is pregnant from the encounters you described.
However, it's important to note that no method of contraception is 100% effective, and if there are concerns about pregnancy or sexually transmitted infections, consulting a healthcare professional is advisable.

Xiao En, 10~19 year old female. Ask Date: 2017/12/07

Dr. Huang Jianzhong reply Obstetrics and Gynecology


From December 1 to December 5, I had sexual intercourse with my partner without using a condom and without ejaculation inside.
My girlfriend performed oral sex to help me finish.
After 20 minutes, we continued sexual activity again without ejaculation inside.
On December 6, my girlfriend took a urine test, and the result was negative for pregnancy.
My question is, is there a chance of pregnancy in this situation? Answer: Test again on December 25.

Reply Date: 2017/12/07

More Info


Yes, it is possible to get pregnant without intercourse, although the likelihood varies based on several factors. In your case, since you mentioned that there was no ejaculation inside the vagina, the chances of pregnancy are relatively low, but not zero.
To understand this better, let's break down the mechanics of conception. Pregnancy occurs when sperm fertilizes an egg, which typically happens during ovulation. Sperm can be present in pre-ejaculate fluid (also known as pre-cum), which can be released before ejaculation. This fluid may contain sperm, albeit in smaller quantities compared to ejaculate. If any sperm from pre-ejaculate comes into contact with the vaginal canal, there is a potential risk for pregnancy, especially if your girlfriend was ovulating around that time.

In your situation, since there was no internal ejaculation, the risk of pregnancy is significantly reduced. However, if there was any contact with pre-ejaculate fluid, there is still a small chance of sperm reaching the egg. The fact that your girlfriend took a urine pregnancy test on December 6 and received a negative result is a good indicator that she is not pregnant, especially if the test was taken after a missed period. Most home pregnancy tests are quite accurate when taken after a missed period, as they measure the hormone hCG, which is produced after a fertilized egg implants in the uterus.

It's important to note that the timing of the menstrual cycle plays a crucial role in determining the risk of pregnancy. If your girlfriend was not ovulating at the time of your sexual activity, the chances of conception would be even lower. The average menstrual cycle is about 28 days, with ovulation typically occurring around day 14. However, cycles can vary widely among individuals.

If you and your girlfriend are concerned about the risk of pregnancy, it may be beneficial to consider using contraception in the future. There are various methods available, including condoms, birth control pills, intrauterine devices (IUDs), and more. Each method has its own effectiveness and suitability based on individual health and lifestyle.

In summary, while it is possible to get pregnant without intercourse, the likelihood in your situation appears low, especially given the negative pregnancy test result. If there are any further concerns or if your girlfriend experiences any unusual symptoms, it would be advisable to consult a healthcare professional for personalized advice and guidance.

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