Pregnancy Chances: Common Myths and Concerns Explained - Obstetrics and Gynecology

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Probability of Pregnancy


Hello, Doctor.
I have a few questions I would like to ask you.

Q1: I read online that headaches can occur during pregnancy.
Is this true? I often experience headaches, and my family members do as well.
Q2: I am still a virgin, and while I am unsure if any semen came into contact with my vaginal opening, I can assure you that there was no penetration or ejaculation inside.
However, there may have been some residual semen on his penis that could have touched the vaginal opening.
What is the likelihood of pregnancy in this situation?
Q3: I have taken pregnancy tests at 7 days, one and a half months, and two and a half months after the incident, and all tests were negative within the accurate timeframe.
However, the last test showed a faint line after more than two days, and the test strip changed color.
Should I trust this result? My menstrual periods have been regular on 8/12, 9/12, 10/19, and 11/20.
Q4: I previously heard a doctor mention that leaving a pregnancy test strip out for too long or exposing it to moisture could lead to degradation of the test chemicals, resulting in false positives or evaporation lines.
Is this statement accurate?
Q5: If my boyfriend's hand had a small amount of semen on it and then he inserted his hand into my vagina, what is the likelihood of pregnancy? Is it possible at all?
Q6: I often see two conflicting opinions online: one states that a certain volume of semen and ejaculation inside is necessary for pregnancy, while another claims that any presence of semen can lead to pregnancy.
Which of these is correct?
Q7: I have also read that pregnancy is only possible through sexual intercourse, so if there was no ejaculation inside, even with residual semen on the vaginal opening, it would be difficult to conceive.
Is this true?
Q8: Lastly, considering that there was semen on my vaginal opening (he did wipe it with a wet towel, but there may have been some residue), and I have had regular menstrual periods without any bleeding outside of my cycle, is there still a possibility of pregnancy?

Julia, 20~29 year old female. Ask Date: 2018/12/06

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Q1: I previously read online that headaches can occur during pregnancy.
Is there any truth to this claim? I often experience headaches, and my family members do as well.

A: Headaches are not a symptom of pregnancy.
Q2: I am still a virgin, but there was some semen that may have touched the vaginal opening.
I can assure you that there was no penetration or ejaculation inside, just that his penis might have had residual semen that could have come into contact with the vaginal opening.
What is the likelihood of pregnancy in this case?
A: The likelihood of pregnancy in this scenario is close to zero.
Q3: I took pregnancy tests at one week, one and a half months, and two and a half months, and all were negative within the accurate time frame.
However, the last test showed a faint line after more than two days, and the test strip changed color.
Should I trust this result? My menstrual periods have been regular on 8/12, 9/12, 10/19, and 11/20.

A: You should not trust this result.
Q4: I heard a doctor say that if a pregnancy test strip is stored for too long or is exposed to moisture, it can lead to degradation of the test chemicals, resulting in false lines or false positives.
Is this statement correct?
A: Yes, storing a pregnancy test strip for too long or in a humid environment can lead to degradation of the test chemicals.
Be mindful of the expiration date.
Q5: If my boyfriend's hand had a small amount of semen and then he inserted it into my vagina, what is the likelihood of pregnancy? Is it possible at all?
A: The likelihood of pregnancy is low, but it is not impossible.
Q6: I often see two opposing views online: one states that a certain amount of semen and ejaculation inside are necessary for pregnancy, while the other claims that any presence of semen can lead to pregnancy.
Which is correct?
A: A certain amount of semen is required for pregnancy.
Q7: I have also read that sexual intercourse is necessary for pregnancy, so if there was no ejaculation inside, even with residual semen from external contact, it would be very difficult to conceive.
Is that true?
A: It is indeed very difficult to become pregnant from residual semen on the vaginal opening.
Q8: Finally, I want to ask the doctor: if there is semen on the vaginal opening (he did wipe it off with a wet towel, but there may be some residue), and I have had regular menstrual periods without any bleeding outside of that time, is there still a possibility of pregnancy?
A: There is no possibility of pregnancy.

Reply Date: 2018/12/06

More Info


Understanding pregnancy chances and the myths surrounding it can be quite complex, especially with the myriad of information available online. Let’s address your questions one by one, providing clarity based on medical knowledge.

Q1: Is it true that pregnancy can cause headaches?
Yes, headaches can occur during pregnancy due to hormonal changes, increased blood volume, and other physiological adjustments. Many women report experiencing headaches, particularly in the first trimester. However, if you have a history of headaches, it’s essential to monitor their frequency and severity, as they can sometimes indicate other issues.

Q2: What are the chances of pregnancy if semen touches the vaginal opening?
The likelihood of pregnancy from semen merely touching the vaginal opening is low, but not impossible. Sperm can swim, and if enough sperm is present, there is a small chance of them entering the vagina and leading to pregnancy. However, without penetration or ejaculation inside the vagina, the risk is significantly reduced.

Q3: I’ve taken multiple pregnancy tests, and only one showed a faint line after a delay. Should I trust this result?
A faint line on a pregnancy test can indicate pregnancy, especially if it appears after a missed period. However, it’s crucial to consider the timing of the test. If you tested too early, it might not have detected the hormone hCG at sufficient levels. If your period is consistently regular and you’ve missed it, it’s advisable to consult a healthcare provider for a blood test, which is more sensitive and accurate.

Q4: Can pregnancy tests give false positives if they are old or damp?
Yes, pregnancy tests can yield inaccurate results if they are expired, improperly stored, or exposed to moisture. It’s essential to follow the manufacturer’s instructions for storage and usage to ensure accurate results. If you suspect your test may be faulty, consider using a new test.

Q5: If my boyfriend’s hand had some semen and then touched my vagina, is there a risk of pregnancy?
While the risk is low, it is not zero. If there is enough viable sperm on his hand and it comes into contact with the vaginal opening, there is a slight chance of pregnancy. However, the likelihood decreases significantly without direct ejaculation.

Q6: What is the truth about the amount of semen needed for pregnancy?
To achieve pregnancy, a certain number of sperm must enter the vagina and travel to the egg. While a full ejaculation increases the chances, it is not strictly necessary for pregnancy to occur. Even a small amount of sperm can potentially lead to pregnancy, especially if it is deposited near the vaginal opening.

Q7: Is it true that you need penetrative sex for pregnancy to occur?
While penetrative sex is the most common way for pregnancy to happen, it is not the only way. Sperm can still reach the egg through other means, such as pre-ejaculate fluid or sperm on fingers, though these scenarios are less likely to result in pregnancy.

Q8: Given that I have had regular periods and no unusual bleeding, is pregnancy still possible?
If you have had regular menstrual cycles and no unusual bleeding, the chances of being pregnant are low, especially if you have not had direct ejaculation inside the vagina. However, if you have concerns or suspect you might be pregnant despite these factors, it’s best to consult a healthcare provider for further evaluation.

In summary, while there are many myths surrounding pregnancy, understanding the biological mechanisms can help clarify your concerns. If you have any doubts or experience unusual symptoms, seeking professional medical advice is always the best course of action.

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