Pregnancy Concerns and Genital Issues: Your Questions Answered

Genital issues and pregnancy concerns?

Hello Doctor: Last month, my period was delayed, and after receiving an injection to induce menstruation, I got my period on December 25, which lasted until December 30.
My usual period length is 7 days, and my cycle is 31 days.
On December 31, I had sexual intercourse using a condom, but the condom was put on inside out.
After realizing this, it was turned back to the correct side, but there was contact with pre-ejaculatory fluid on the tip.
After turning it back, I wiped it with a wet tissue.
Is there still a possibility of pregnancy?
On January 5, I had sexual intercourse again, also using a condom, which was again put on inside out and then turned back to the correct side, and I wiped it with a wet tissue.
Is there a possibility of pregnancy in this case as well? On January 10, I used a pregnancy test strip, and the result showed only one line.
Should I test again? Is there a possibility of pregnancy?
From January 6 to January 12, my mobile app indicated that this was my fertile window leading up to ovulation, which seems to start around January 12.
Since then, I have been experiencing itching on the outer part of my vulva, near the clitoris, along with some discharge, and my vulva feels slightly red and swollen.
What could be the reason for this? Is it related to pregnancy? Thank you, Doctor.

Q, 20~29 year old female. Ask Date: 2019/01/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Last month, my period was delayed, and after receiving a menstrual induction injection, my period started on December 25 and lasted until December 30.
My usual menstrual duration is 7 days, with a cycle of 31 days.
On December 31, I had sexual intercourse using a condom, but the male partner put the condom on inside out.
After realizing it was inside out, he immediately turned it back to the correct side, but there was contact with pre-ejaculatory fluid on the glans.
After turning it back, he wiped it with a wet tissue.
Is there still a possibility of pregnancy? Answer: There is no possibility of pregnancy.
On January 5, I had sexual intercourse again, also using a condom, but it was put on inside out and then turned back to the correct side, and it was wiped with a wet tissue as well.
Is there a possibility of pregnancy? Answer: There is no possibility of pregnancy.
On January 10, I used a pregnancy test strip, and the result showed only one line.
Should I test again? Is there a possibility of pregnancy? Answer: There is no possibility of pregnancy.
From January 6 to January 12, my mobile app indicated the fertile period, and it seems that ovulation started around January 12.
Since then, I have been experiencing itching on the outer part of the vulva, near the clitoris, along with some discharge, and I feel some redness and swelling in the area.
What could be the reason for this? Is it related to pregnancy? Answer: It is likely a mild inflammation and is not related to pregnancy.

Reply Date: 2019/01/15

More Info

When it comes to pregnancy concerns and genital health issues, it’s important to address several key aspects, especially given the complexities of reproductive health. Your situation involves a few critical components: potential pregnancy, the use of condoms, and symptoms of irritation in the genital area. Let's break down each of these concerns.

Potential for Pregnancy
From your description, you experienced a delayed menstrual cycle, which was followed by a normal period lasting from December 25 to December 30. You then engaged in sexual intercourse on December 31 and January 5, using condoms that were initially put on incorrectly but were corrected shortly thereafter.
The primary concern with condom use is that if the condom is not used properly, there is a risk of sperm exposure, which can lead to pregnancy. However, since you mentioned that the condom was corrected and cleaned with a wet wipe, the risk of pregnancy is significantly reduced, but not entirely eliminated.
You performed a pregnancy test on January 10, which returned a negative result (one line). Generally, home pregnancy tests are quite reliable, especially when taken after a missed period. However, if you still have concerns about being pregnant, it might be prudent to wait a few days and retest, especially if your period does not arrive as expected.

Symptoms of Genital Irritation
You also mentioned experiencing itching and some redness around the external genital area, which can be concerning. These symptoms could be due to several factors, including:
1. Irritation from Condoms: Sometimes, the materials used in condoms can cause allergic reactions or irritation, especially if there is a change in the way the condom was applied or if lubrication was insufficient.

2. Infections: Itching and redness can also be signs of a yeast infection or bacterial vaginosis, which are common and can occur independently of pregnancy. These conditions can cause discomfort and abnormal discharge.

3. Hormonal Changes: If you are approaching ovulation or have recently had a hormonal fluctuation due to your menstrual cycle, this could also lead to changes in your vaginal environment, causing irritation.

Recommendations
1. Monitor Symptoms: Keep an eye on the itching and redness. If these symptoms persist or worsen, it would be advisable to consult a healthcare provider for a proper examination and diagnosis. They may recommend a swab test to check for infections.

2. Retest for Pregnancy: If your period does not arrive by the expected date, consider taking another pregnancy test. If you have any doubts or if the test is positive, schedule an appointment with your healthcare provider for further evaluation.

3. Practice Safe Sex: Ensure that condoms are used correctly to minimize the risk of unintended pregnancy and sexually transmitted infections (STIs). If you experience irritation frequently, consider discussing alternative contraceptive methods with your healthcare provider.

4. Seek Professional Advice: If you continue to experience anxiety about potential pregnancy or your symptoms, don’t hesitate to reach out to a healthcare professional. They can provide reassurance and guidance tailored to your specific situation.

In conclusion, while the risk of pregnancy appears low based on your description, it’s always best to stay vigilant and consult with a healthcare provider if you have ongoing concerns or symptoms. Your health and peace of mind are paramount, and professional guidance can help navigate these uncertainties effectively.

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