Could I Be Pregnant? Risks After Unprotected Intercourse - Obstetrics and Gynecology

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Can I get pregnant?


I had sexual intercourse with my girlfriend on April 27, and we used a condom.
However, at first, the condom was placed incorrectly, and there was a little contact.
I immediately wiped it off with my hand and tissue.
Since it was her first time, penetration was minimal, and it was too painful, so I withdrew.
There was no bleeding, and we tried about three times with only slight penetration, also with no bleeding.
My girlfriend was supposed to get her period on May 1, and she has always been very regular.
However, it is now May 10, and she still hasn't gotten her period.
Could she be pregnant? She has some premenstrual symptoms, like acne, discharge, and a feeling of bloating in her abdomen.
She says it feels like her period is about to come but hasn't yet.
Could she be pregnant?

Niming, 10~19 year old female. Ask Date: 2018/05/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On April 27, I had sexual intercourse with my girlfriend.
We used a condom, but initially, it was placed incorrectly, and there was a little contact.
I immediately wiped it off with my hand and tissue.
Since it was her first time, I only penetrated a little bit, and it was too painful, so I withdrew.
There was no bleeding.
We tried about three times, and each time it was only a little penetration with no bleeding.
My girlfriend was supposed to get her period on May 1, and she has always been very regular.
However, it is now May 10, and she still hasn't gotten it.
Could she be pregnant? She has signs of menstruation, such as acne and discharge, and recently she has been feeling bloated.
She mentioned feeling like her period is about to come but hasn't.
Could she be pregnant? Answer: It is unlikely that she is pregnant.

Reply Date: 2018/05/10

More Info


When considering the possibility of pregnancy after unprotected intercourse, it's essential to evaluate several factors, including the timing of the menstrual cycle, the nature of the sexual activity, and any symptoms that may indicate pregnancy. In your case, you mentioned that you and your girlfriend had sexual intercourse on April 27, and although you used a condom, there was a moment of potential exposure due to the condom being improperly placed.
Firstly, let's address the timing of your girlfriend's menstrual cycle. You indicated that her period was due on May 1, and as of May 10, she has not yet started her period. A missed period is often one of the first signs of pregnancy, but it is not definitive on its own. Many factors can cause a delay in menstruation, including stress, hormonal changes, and other health-related issues.
The symptoms your girlfriend is experiencing, such as acne, changes in discharge, and a feeling of bloating, can also be associated with premenstrual syndrome (PMS) rather than pregnancy. PMS can cause a variety of symptoms that mimic early pregnancy signs, including breast tenderness, mood swings, and abdominal discomfort.
Regarding the sexual activity itself, you mentioned that penetration was limited and that there was no ejaculation inside the vagina. While the risk of pregnancy is significantly lower in such scenarios, it is important to note that pre-ejaculate fluid (pre-cum) can contain sperm, and if any of this fluid came into contact with the vaginal area, there is a slight risk of pregnancy. However, given that the penetration was minimal and the condom was used, the likelihood of pregnancy is considerably reduced.

If your girlfriend's period does not arrive within a week or so, it would be advisable for her to take a home pregnancy test. These tests are generally accurate if taken after a missed period. If the test is positive, she should consult a healthcare provider for further evaluation and guidance. If the test is negative and her period still does not come, it may be worth discussing with a healthcare professional to rule out any underlying issues.

In summary, while there is a possibility of pregnancy due to the nature of the sexual encounter, the risk appears to be low based on the information provided. It is crucial to monitor her symptoms and menstrual cycle closely and to utilize a pregnancy test if her period does not arrive soon. Additionally, for future sexual encounters, ensuring proper condom use and understanding the timing of the menstrual cycle can help reduce anxiety and the risk of unintended pregnancy.

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