Concerns About Condom Slippage: Pregnancy Risks Explained

The condom is stuck at the vaginal opening?

Hello Doctor: I would like to ask, during intercourse with my partner, we used a condom properly, but after a while, the man stopped to watch TV and did not continue.
He said he did not ejaculate, but I felt that he did.
After a while, I discovered that the condom was at the entrance of my vagina (the ring was outside, and the condom did not come off inside the vagina, just got stuck at the entrance).
There was semen near my anus and on the bed.
Should I be concerned about the possibility of pregnancy? Thank you.
My last menstrual period started on July 6th.

Hulu Lu, 20~29 year old female. Ask Date: 2018/07/24

Dr. Huang Jianzhong reply Obstetrics and Gynecology

When having intercourse with a partner, a condom was properly used, but after a while, the male partner stopped to watch TV.
He claimed he did not ejaculate, but I felt that he did.
After a moment, I discovered that the condom was at the vaginal opening (the ring was outside, and the condom did not come off inside the vagina, just got stuck at the vaginal opening).
There was semen near the anus and on the bed.
I would like to ask the doctor if I need to be concerned about the possibility of pregnancy.

Answer: My last menstrual period started on July 6, and I had intercourse with my partner on July 23.
After a while, the male partner stopped to watch TV, and I found the condom at the vaginal opening.
In this situation, it is necessary to be concerned about the possibility of pregnancy.

Reply Date: 2018/07/24

More Info

When it comes to concerns about condom slippage during sexual intercourse, it's important to understand the potential risks involved and the steps you can take to mitigate those risks. Based on your description, it seems that the condom may have slipped off partially, which can indeed raise concerns about unintended pregnancy.

First and foremost, it’s crucial to note that condoms are designed to be a reliable form of contraception when used correctly. However, slippage can occur for various reasons, including improper sizing, lack of lubrication, or not ensuring that the condom is properly rolled down before intercourse. In your case, since the condom was found at the vaginal opening and not inside, there is a possibility that some semen may have been deposited near the vaginal entrance, which could lead to pregnancy.

Given that your last menstrual period started on July 6, and assuming a typical 28-day cycle, you would likely be in your fertile window around the time of this incident, depending on your cycle regularity. Sperm can survive in the female reproductive tract for up to five days, which means that if ovulation occurs shortly after the incident, there is a risk of pregnancy.

Here are some steps you can consider:
1. Emergency Contraception: If you are concerned about the risk of pregnancy, you may want to consider emergency contraception (EC). EC pills are most effective when taken within 72 hours after unprotected intercourse, but some types can be effective up to 5 days after. It’s advisable to consult with a healthcare provider or a pharmacist to discuss your options.

2. Monitor for Pregnancy Symptoms: If you choose not to use emergency contraception, keep an eye out for any early signs of pregnancy, such as missed periods, nausea, or breast tenderness. If your period is late, consider taking a home pregnancy test for confirmation.

3. Consult a Healthcare Provider: If you have further concerns or if you experience any unusual symptoms, it would be wise to consult with a healthcare provider. They can provide personalized advice and may suggest additional testing or counseling.

4. Future Prevention: To prevent similar situations in the future, ensure that you are using condoms correctly. This includes checking the expiration date, using adequate lubrication (water-based or silicone-based), and ensuring that the condom is put on properly. Additionally, consider discussing other contraceptive methods with your partner, such as hormonal birth control, which can provide added protection against unintended pregnancy.

In conclusion, while the situation you described does pose a risk for pregnancy, there are options available to address your concerns. Taking proactive steps, such as considering emergency contraception and consulting with a healthcare provider, can help you manage the situation effectively. Remember, open communication with your partner about contraception and sexual health is also key to preventing future worries.

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