Could I Be Pregnant? Risks After Protected Sex - Obstetrics and Gynecology

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Doctor, am I pregnant?


This year, my girlfriend got her period on February 24 and it ended around March 1.
Her cycle is unclear, but it should be about 28 days.
We had sexual intercourse four times between March 3 and March 8, always using condoms and withdrawing before ejaculation to finish inside the condom.
We also checked for any breaks by inflating the condom, and there were none.
Now it is March 22, and my girlfriend has no breast tenderness or abdominal pain (she usually experiences abdominal pain before her period).
How many more days should we wait before considering the possibility of pregnancy?

Tamsui, 20~29 year old female. Ask Date: 2019/03/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Your girlfriend started her period on February 24 and it likely ended around March 1.
Although her cycle is unclear, it is assumed to be 28 days.
There were four instances of sexual intercourse between March 3 and March 8, all of which were protected with condoms, and you withdrew before ejaculation, ensuring that the condom was intact by checking for leaks.
As of March 22, your girlfriend has not experienced breast tenderness or abdominal pain, which she typically has before her period.
The question is, how many days should pass without her period for there to be a possibility of pregnancy? The answer is that if her period does not arrive by March 25, there may be a possibility of pregnancy.

Reply Date: 2019/03/22

More Info


When it comes to the possibility of pregnancy after protected sex, it's essential to understand the effectiveness of the contraceptive methods used and the timing of the menstrual cycle. Based on your description, you and your girlfriend engaged in sexual intercourse four times between March 3 and March 8, using condoms each time and ensuring that they were intact by performing a blow test. This is a good practice, as it helps confirm that the condom did not break during intercourse.

Condoms are one of the most effective forms of contraception when used correctly, with a typical use failure rate of about 15% per year, which means that 85% of couples using condoms correctly will not experience an unintended pregnancy. However, when used perfectly, the failure rate drops to about 2%. Since you mentioned that you were careful to withdraw before ejaculation and checked the condoms for integrity, your risk of pregnancy is significantly reduced.

Regarding your girlfriend's menstrual cycle, if her last period started on February 24 and lasted until approximately March 1, and assuming she has a typical 28-day cycle, her next expected period would be around March 24. If her cycle is irregular, this could vary, but typically, ovulation occurs about 14 days before the start of her next period. Therefore, if she has a 28-day cycle, ovulation would likely occur around March 10. Since you had sexual intercourse during the days leading up to her ovulation, there is a possibility of pregnancy, but the use of condoms greatly mitigates that risk.

You mentioned that your girlfriend is not experiencing any typical premenstrual symptoms, such as breast tenderness or abdominal cramps, which could be a positive sign. However, it is important to note that some women may not exhibit these symptoms consistently, and the absence of symptoms does not definitively indicate that she is not pregnant.

If her period does not arrive by March 24, it would be advisable for her to take a home pregnancy test. These tests are generally accurate if taken after a missed period, as they detect the hormone hCG, which is produced during pregnancy. If the test is positive, she should consult with a healthcare provider for further guidance.

In summary, while the risk of pregnancy is low given your careful use of condoms, it is not entirely eliminated. Monitoring her menstrual cycle and taking a pregnancy test if her period is late will provide clarity. Additionally, if you both are concerned about pregnancy in the future, consider discussing other contraceptive options with a healthcare provider to find a method that suits both of your needs and alleviates any anxiety surrounding unintended pregnancy.

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