Contraceptive Concerns: What to Do If a Condom Gets Stuck - Obstetrics and Gynecology

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After ejaculation, the condom was left inside?


Hello doctor, my boyfriend and I had sexual intercourse today, May 19th.
We were in the woman-on-top position, and after he ejaculated, I didn't hold the base of the condom properly, resulting in it getting left inside my vagina when he pulled out.
When I retrieved the condom, a little bit of semen spilled onto the sheets (due to the position we were in).
My last menstrual period started on April 26th and lasted until about April 28th, which was roughly three days.
My cycle is usually very regular, around 27-29 days.
My fertile window has passed, and I expect my next period on May 26th.
I would like to know what the chances of pregnancy are in this situation.

Niming, 20~29 year old female. Ask Date: 2018/05/19

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Miss Anonymous: The timing of your sexual intercourse was on the twenty-fourth day of your menstrual cycle, while your ovulation day is typically around the fourteenth day of the cycle.
Therefore, the likelihood of conception is low.

Reply Date: 2018/05/19

More Info


When it comes to contraceptive concerns, particularly regarding the situation where a condom gets stuck inside the vagina, it’s important to approach the issue with both practical steps and an understanding of the potential risks involved.

Firstly, let's address the immediate concern: if a condom gets stuck inside the vagina after intercourse, it is crucial to remove it as soon as possible. The presence of the condom can pose a risk of infection, and if it is not removed, it can lead to complications. If you are unable to remove it yourself, it is advisable to seek medical assistance. A healthcare provider can safely remove the condom and check for any potential issues.

Now, regarding the risk of pregnancy: while the condom is designed to prevent sperm from entering the vagina, if it is not properly used or if it breaks, there is a possibility of sperm being deposited in the vaginal canal. In your case, since there was a small amount of semen that leaked out, it is understandable to be concerned about the possibility of pregnancy.

Given your menstrual cycle, which you mentioned is typically between 27 to 29 days, and that your last period started on April 26, you are currently approaching the expected date of your next period (around May 26). Since you indicated that your ovulation window has passed, the likelihood of pregnancy is generally lower, but it is not impossible. Sperm can survive in the female reproductive tract for up to five days, so if you had ovulated shortly before your last period, there could still be a risk.

To assess your risk more accurately, consider the following steps:
1. Monitor for Symptoms: Pay attention to any unusual symptoms in the coming weeks, such as missed periods, nausea, or breast tenderness, which could indicate pregnancy.

2. Take a Pregnancy Test: If your period is late, taking a home pregnancy test can provide clarity. Most tests are accurate if taken after a missed period.

3. Consult a Healthcare Provider: If you have concerns about potential pregnancy or if you experience any discomfort or unusual symptoms, it’s best to consult with a healthcare provider. They can offer guidance and support based on your specific situation.

4. Consider Emergency Contraception: If you are worried about the possibility of pregnancy and it has been within 72 hours since the incident, you may want to consider emergency contraception (like Plan B). This can help prevent pregnancy if taken promptly after unprotected intercourse.

5. Future Contraceptive Measures: To avoid similar situations in the future, consider discussing contraceptive options with your partner. There are various methods available, including hormonal birth control, intrauterine devices (IUDs), and barrier methods, each with its own effectiveness and suitability based on individual health needs.

In conclusion, while the risk of pregnancy in your situation may be lower given your menstrual cycle timing, it is essential to take proactive steps to ensure your health and peace of mind. Always feel empowered to seek medical advice when faced with uncertainties regarding sexual health and contraception.

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