Concerns About Pregnancy Risk After External Friction: What to Do?

Friction on the outside of underwear without a condom (urgent)

The last menstrual period was on December 3.
On December 16, I had unprotected manual stimulation with my girlfriend for the first time, and I ejaculated on a tissue.
Three minutes later, I rubbed against her underwear without protection but did not ejaculate a second time.
During this, my girlfriend used her hand to stimulate me but did not have vaginal penetration.
The second ejaculation was also on a tissue.
I have researched and found that the chances of pregnancy are low, but I am still somewhat worried and considering whether to use emergency contraception.
I am unsure about the risks of using emergency contraception and am hesitant to proceed, but I also cannot take my girlfriend to a gynecologist due to family issues.
What do you recommend, doctor?

Xiao Zhi, 20~29 year old female. Ask Date: 2018/12/16

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The last menstrual period was on December 3.
On December 16, during unprotected manual stimulation, I ejaculated onto a tissue.
Three minutes later, I rubbed against my girlfriend's underwear without protection, but did not ejaculate a second time.
My girlfriend also used her hand to stimulate me but did not have vaginal penetration, and I ejaculated a second time onto a tissue.
I have researched and found that the chances of conception are low, but I am still somewhat worried and considering whether to use emergency contraception.
I am unsure about the risks of using emergency contraception and am hesitant to proceed, but I also cannot take my girlfriend to a gynecologist due to family circumstances.
What do you recommend, doctor? Answer: No action is necessary.

Reply Date: 2018/12/16

More Info

When it comes to concerns about pregnancy risk after external friction, especially in the context you've described, it's important to understand a few key points regarding conception and the use of contraceptives.

Firstly, the likelihood of pregnancy occurring from the scenario you described—where there was ejaculation on a tissue and subsequent external genital contact without penetration—is relatively low. Sperm needs to enter the vaginal canal to fertilize an egg, and while there is a small chance of sperm being transferred from the hands or external contact, it is not a common pathway for conception. However, it is understandable that you may still feel anxious about the possibility of an unintended pregnancy.

If you are considering the use of emergency contraception (often referred to as the "morning-after pill"), it is generally safe and effective when taken within a specific timeframe after unprotected intercourse. There are two main types of emergency contraceptive pills: those that contain levonorgestrel (Plan B) and those that contain ulipristal acetate (Ella). Levonorgestrel is most effective when taken within 72 hours, while ulipristal can be effective up to 120 hours after unprotected intercourse. Both options are available over-the-counter in many places, but it's important to check local regulations.

Regarding the use of regular contraceptive pills, they can be a reliable method for preventing pregnancy when taken correctly. Birth control pills work by regulating hormones to prevent ovulation, thicken cervical mucus to block sperm, and thin the uterine lining to prevent implantation. While there are some risks associated with hormonal contraceptives—such as blood clots, especially in smokers or those over 35—most people tolerate them well and find them to be a convenient option for managing reproductive health.

If you are concerned about the side effects of birth control pills, it may be helpful to discuss these with a healthcare provider. They can provide guidance on the best options based on your girlfriend's health history and lifestyle. If visiting a gynecologist is not feasible due to family circumstances, consider looking for a local clinic that offers reproductive health services, as many provide confidential care and may have sliding scale fees based on income.

In addition to hormonal contraceptives, there are other methods of birth control to consider, such as condoms, which can also help prevent sexually transmitted infections (STIs). If you and your girlfriend are not ready for pregnancy, using condoms in conjunction with another form of birth control can provide added protection.

Lastly, communication with your partner is crucial. Discussing your concerns and making decisions together about sexual health and contraception can strengthen your relationship and ensure that both of you feel comfortable and informed about your choices.

In summary, while the risk of pregnancy from the situation you described is low, if you are feeling anxious, considering emergency contraception or regular birth control pills could be a prudent step. It’s always best to consult with a healthcare provider when possible to get personalized advice tailored to your specific circumstances.

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