Am I Pregnant? Risks and Testing Timing - Obstetrics and Gynecology

Are you pregnant?

Hello Doctor, I am #142996 and I would like to follow up on the issue I mentioned last time.
During my fertile period (according to the app, it indicates a fertile window, but I'm not sure), he used a condom the entire time and only penetrated slightly without full insertion, and he finished in the bathroom.
The second time (on January 6, which should not be during the fertile period), he also used a condom throughout, but there was partial penetration without breaking the hymen, just a shallow insertion (and it didn't hurt; I've heard that breaking the hymen can be painful).
However, he ejaculated inside the condom (or while still inside).
Given these two situations, if the condom did not break, is there a possibility of pregnancy? If the hymen were to break, would it be very painful? (Today is the seventh day since the last intimate encounter on January 6).
I tend to get anxious, and my period usually arrives at the end of the month.
Additionally, I've been staying up late recently, which has made me a bit anxious these days.
I've also been feeling some discomfort in my abdomen and occasionally feel nauseous; could this be a sign of pregnancy? Lastly, I would like to know when is the earliest and most accurate time to take a pregnancy test (I bought the Aido rapid pregnancy test)? Thank you.

carolhsu, 20~29 year old female. Ask Date: 2019/01/13

Dr. Huang Jianzhong reply Obstetrics and Gynecology

During the dangerous period (December 25th, it was mentioned as a dangerous period but uncertain), he wore a condom the entire time and only penetrated externally without full insertion, and ultimately went to the bathroom to finish.
For the second time (January 6th, which should not be during the dangerous period), he also wore a condom the entire time, but this time there was partial penetration without breaking the hymen, just shallow penetration (and it shouldn't hurt; I've heard that breaking the hymen is very painful).
However, he ejaculated inside the condom (or while still inside).
In both of these situations, if the condom is confirmed to be intact, is there a possibility of pregnancy? Answer: There is no possibility of pregnancy.
If the hymen breaks, will it be very painful? Answer: Most likely it will be very painful.
(Today is the seventh day since the last intimate encounter on January 6th.) I tend to get anxious, and my period usually comes at the end of the month.
Additionally, I've been staying up late recently, so I've been feeling a bit anxious these past few days...
I've also been feeling some discomfort in my abdomen and occasionally feel nauseous.
Could this be a sign of pregnancy? Answer: It is not.
Lastly, I want to ask about pregnancy testing (I bought the Aide Quick Pregnancy Test).
When is the earliest and most accurate time to test for pregnancy? Answer: January 15th.

Reply Date: 2019/01/13

More Info

Based on the information you've provided, it seems you are understandably anxious about the possibility of pregnancy following your recent sexual encounters. Let's break down your concerns regarding the risk of pregnancy, the signs you may be experiencing, and the appropriate timing for pregnancy testing.

Risk of Pregnancy
From what you've described, it appears that you engaged in sexual activities during what you believe to be your "dangerous period," which is typically when you are most fertile. However, you mentioned that your partner used a condom throughout the encounters, and you confirmed that the condom did not break. If the condom was used correctly and did not fail, the likelihood of pregnancy is significantly reduced.
In the first encounter, since there was no penetration, the risk of pregnancy is virtually nonexistent. In the second encounter, while there was partial penetration, if the condom remained intact and your partner ejaculated inside the condom, the risk of pregnancy is still low. It's important to note that pre-ejaculate fluid (pre-cum) can contain sperm, but the risk of pregnancy from this fluid is much lower compared to ejaculation inside the vagina.

Signs of Pregnancy
You mentioned experiencing symptoms such as abdominal discomfort and occasional nausea. While these can be early signs of pregnancy, they can also be attributed to other factors, such as anxiety, stress, or changes in your routine (like staying up late). Given that you are feeling anxious about the possibility of being pregnant, it's not uncommon for stress to manifest physically, leading to symptoms that can mimic early pregnancy signs.

Testing for Pregnancy
Regarding the timing for testing, home pregnancy tests are generally most accurate when taken after a missed period. Since you mentioned that your menstrual cycle typically occurs at the end of the month, if your period does not arrive as expected, you should consider taking a pregnancy test. Most home pregnancy tests can detect pregnancy about a week after a missed period, which would be around January 15th in your case, based on your last encounter on January 6th.

If you take a test too early, you may receive a false negative result, as the hormone hCG (human chorionic gonadotropin) that the tests detect may not be at a detectable level yet. Therefore, waiting until after your expected period will provide a more reliable result.

Conclusion
In summary, if the condom was used correctly and did not break, the chances of pregnancy are low. The symptoms you are experiencing could be related to anxiety or other non-pregnancy-related factors. For the most accurate results, wait until after your expected period to take a home pregnancy test. If you remain concerned or if your period is significantly delayed, consider consulting a healthcare professional for further evaluation and guidance.

It's essential to manage your anxiety during this time. Engaging in relaxation techniques, such as deep breathing or mindfulness, may help alleviate some of your stress. Remember, open communication with your partner about your concerns can also provide emotional support.

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