Can You Get Pregnant After Oral Sex and Emergency Contraceptive Use?

Could you please clarify what you are asking about?

On December 30, 2018, I had sexual intercourse, but there was no penetration into my girlfriend's body.
I ejaculated, and there was slight contact with some pre-ejaculate fluid.
Due to concerns, I purchased and took emergency contraception that same day.
My girlfriend got her period on January 1.
On January 18, 2019, we engaged in sexual activity again, but there was still no penetration.
After oral sex, I ejaculated in her mouth, and she spit it out.
Later, we kissed, and after kissing, I performed oral stimulation on her external genitalia and clitoris.
Is there a possibility of pregnancy? If so, can emergency contraception be taken twice in the same month?

Niming, 10~19 year old female. Ask Date: 2019/01/19

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On December 30, 2018, there was sexual activity, but there was no penetration.
There was ejaculation, and a small amount of pre-ejaculate fluid made contact.
Due to concerns, emergency contraception was taken on the same day.
Menstruation occurred on January 1.
On January 18, 2019, there was another sexual encounter, again with no penetration.
After oral sex, ejaculation occurred in the mouth, and the partner spit it out.
There was also kissing afterward, and oral stimulation of the external genitalia and clitoris was performed.
Is there a possibility of pregnancy? If so, can emergency contraception be taken twice in the same month?
Answer: There is no possibility of pregnancy, and there is no need to take emergency contraception.

Reply Date: 2019/01/19

More Info

When it comes to the question of whether pregnancy can occur after oral sex and the use of emergency contraception, it is essential to understand the mechanics of conception and the effectiveness of emergency contraceptive pills (ECPs).

First, let's clarify the situation. You mentioned that there was no penetration during the sexual activity, but there was ejaculation and contact with pre-ejaculate fluid (pre-cum). Pre-ejaculate can contain sperm, but the concentration is typically much lower than in ejaculate. The risk of pregnancy from oral sex is extremely low, especially if there was no vaginal penetration. The primary concern arises when sperm comes into contact with the vaginal canal, which can happen if there is any transfer of sperm through fingers or bodily fluids.

In your case, you took emergency contraception (ECP) on the same day as the sexual encounter. ECPs are designed to prevent pregnancy primarily by delaying ovulation, inhibiting fertilization, or preventing implantation of a fertilized egg. They are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but can be effective up to 5 days after. Since you took the ECP on the same day, it significantly reduced the risk of pregnancy.

You also mentioned that your girlfriend had her menstrual period on January 1st, which is a strong indicator that she is not pregnant. Menstrual bleeding typically signifies that no fertilization has occurred. Additionally, having sexual activity again on January 18th, with no penetration and only oral sex, further lowers the likelihood of pregnancy. The act of your girlfriend swallowing and then kissing you does not pose a risk for pregnancy, as the sperm would not survive long outside the body and would not be viable for fertilization.

Regarding the use of emergency contraception, it is generally safe to take ECPs more than once in a menstrual cycle if needed. However, it is not intended for regular contraceptive use and should be used as a backup method. Frequent use of ECPs can lead to menstrual irregularities and is not as effective as regular contraceptive methods. If you find yourself needing emergency contraception multiple times, it may be beneficial to discuss more reliable contraceptive options with a healthcare provider.

In summary, based on the information provided, the likelihood of pregnancy from the described activities is extremely low. The use of emergency contraception on the same day as the sexual encounter further mitigates this risk. If there are ongoing concerns about pregnancy or contraceptive methods, consulting with a healthcare professional is advisable for personalized guidance and support.

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