Could She Be Pregnant? Risks After Unprotected Intercourse

Can I get pregnant?

Your girlfriend's last menstrual period was from July 23 to July 28.
If on July 31, you rubbed the area near her vaginal opening without ejaculation and are unsure if there was any pre-ejaculate fluid, and then inserted your fingers about two knuckles deep without breaking her hymen, it is important to consider a few factors.
Her period was expected on August 19, but as of August 25, it has not arrived.
It is possible that her anxiety about potential pregnancy could be causing a delay in her menstrual cycle.
She has previously experienced a delay of nearly two months, but her cycles have been regular for the past three to four months.
Given that this encounter occurred three days after her period ended, the likelihood of pregnancy is relatively low, but it is not impossible.
If there are concerns about pregnancy, it may be advisable for her to take a pregnancy test or consult a healthcare professional for further evaluation.

Niming, 20~29 year old female. Ask Date: 2018/08/25

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The girlfriend's last menstrual period was from July 23 to July 28.
On July 31, I rubbed my genital area against hers without ejaculation, and I am unsure if there was any pre-ejaculate fluid.
After that, I inserted my fingers about two knuckles deep, and her hymen did not break.
Her period was expected to start on August 19, but as of now, August 25, it has not arrived.
I am wondering if her stress about the possibility of pregnancy could be causing a delay in her menstrual cycle.
Previously, she experienced a delay of nearly two months, but her cycle has been regular for the past three to four months.
Given that this occurred three days after her period ended, what is the likelihood of pregnancy? The likelihood of pregnancy is extremely low.

Reply Date: 2018/08/25

More Info

When considering the possibility of pregnancy after unprotected intercourse, it is essential to understand the various factors that can influence the likelihood of conception. In your case, the timeline and circumstances surrounding the sexual activity provide some context for evaluating the risk of pregnancy.

Firstly, your girlfriend's menstrual cycle is a crucial factor. You mentioned that her last menstrual period (LMP) was from July 23 to July 28, and you had sexual contact on July 31. Typically, ovulation occurs about 14 days before the start of the next menstrual period, which would place it around August 5 for a cycle that is approximately 28 days long. Since sperm can survive in the female reproductive tract for up to five days, the timing of your sexual activity could align with her fertile window, which generally spans a few days before and after ovulation.

However, you also noted that there was no ejaculation, and you are uncertain about the presence of pre-ejaculatory fluid (pre-cum). While pre-ejaculatory fluid can contain sperm, the quantity is usually much lower than in ejaculate. Nevertheless, there is still a possibility, albeit reduced, of pregnancy occurring if viable sperm were present in the pre-ejaculate.

Regarding the delay in her menstrual cycle, you indicated that her period was expected on August 19 but has not yet arrived as of August 25. Stress and anxiety about the possibility of pregnancy can indeed affect the menstrual cycle, leading to delays or irregularities. If she has experienced consistent cycles over the past few months, the sudden change could be attributed to psychological factors, hormonal fluctuations, or other health-related issues.

To determine whether she could be pregnant, the most reliable method is to take a home pregnancy test. These tests measure the levels of human chorionic gonadotropin (hCG) in urine, which is produced shortly after a fertilized egg implants in the uterus. If the test is positive, it would confirm pregnancy. If negative and her period still does not arrive, it may be advisable for her to consult a healthcare provider for further evaluation.

In summary, while there is a possibility of pregnancy given the timing and nature of the sexual activity, the absence of ejaculation and the uncertainty regarding pre-ejaculatory fluid reduce the likelihood. The delay in her menstrual cycle could be influenced by stress or other factors. A home pregnancy test would provide clarity, and if there are ongoing concerns, seeking medical advice would be prudent.

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