Pregnancy Chances: Key Questions and Concerns Explained

Q: Pregnancy Chances: Key Questions and Concerns Explained

Question 1： My girlfriend performed oral sex on me during her ovulation period and also used her hands to help me. <br>Afterward, she used her mouth to receive my semen, and her hands only came into contact with saliva and prostate fluid on my genitals. <br>When she went to clean

Pregnancy probability

Hello Doctor,
Question 1: My girlfriend performed oral sex on me during her ovulation period and also used her hands to help me.
Afterward, she used her mouth to receive my semen, and her hands only came into contact with my saliva and prostatic fluid.
When she went to clean up, she first washed her hands and then rinsed her mouth.
After drying off, about 5 to 6 minutes later, she washed her hands again and then cleaned her vaginal secretions.
However, she only used water for cleaning, without soap or anything else, and she scrubbed her hands thoroughly.
When she cleaned her secretions, her fingers went slightly inside her vagina but did not go all the way in.
What is the likelihood of pregnancy in this situation? Can sperm survive after washing hands with tap water?
Question 2: On the 4th and 5th days after ovulation ended, we had sexual intercourse using a condom, and I pulled out before ejaculation.
Afterward, I checked the condom with water to ensure there were no leaks, and I confirmed that my hands did not come into contact with my secretions before touching my girlfriend's vagina.
On the 4th day of intercourse, I noticed that the vagina was still quite moist, possibly because ovulation had just ended.
After intercourse, I found a lot of secretions on the condom, including a piece of egg white-like secretion that felt somewhat coagulated.
Could this be due to the ovulation secretions not being completely expelled, causing me to bring out some of the vaginal secretions after intercourse? There were no such secretions after the 5th day.
Question 3: My girlfriend's last period was around March 22, and she is expected to have her next one on April 22.
However, since her menstrual cycle is not very regular, I am a bit worried.
Before her period, she experienced breast tenderness, and her appetite has been normal; she feels hungry and eats well.
However, she has not experienced any lower back pain or abdominal discomfort.
As of now, on the 23rd, her breast tenderness has subsided, but she mentioned feeling some growing pains.
Over the past two days, her mood has been somewhat low and emotional, whereas she was feeling fine before and did not have any lower back pain or frequent urination.
On the 20th, there was a little bit of white discharge, but it has since stopped, and everything feels dry.
Is there a possibility of pregnancy in this situation?

Boy, 20~29 year old female. Ask Date: 2019/04/23

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Question 1: My girlfriend performed oral sex on me during her ovulation period and also used her hands to help me.
Afterward, she used her mouth to receive my semen, and her hands only came into contact with saliva and prostate fluid on my genitals.
When she went to clean up, she first washed her hands and then rinsed her mouth.
After drying off, about 5 or 6 minutes later, she washed her hands again and then cleaned her vaginal secretions.
However, she only used water for cleaning, without soap, and she rubbed her hands thoroughly.
When she cleaned her secretions, her fingers slightly entered her vagina but did not go all the way in.
What is the chance of pregnancy in this situation? Will sperm survive after washing hands with tap water? Answer: The chance of pregnancy is extremely low; sperm will not survive.
Question 2: We had sexual intercourse on the 4th and 5th days after ovulation day, using a condom throughout.
I pulled out before ejaculation, and afterward, I checked the condom for leaks by filling it with water, confirming that my hands did not come into contact with my secretions before touching my girlfriend's vagina.
On the 4th day, during intercourse, I noticed that her vagina was still quite wet, possibly because ovulation had just ended.
After pulling out, I found a lot of secretions on the condom, including a piece of egg white-like secretion that felt somewhat coagulated.
Could this be because the secretions from her ovulation period had not completely exited, causing me to bring some of the vaginal secretions out during intercourse? After the 5th day, there were no more secretions like those from the 4th day.
Answer: Yes, the sexual intercourse likely brought out the vaginal secretions.
Question 3: My girlfriend's last period was around March 22, and her next expected period is April 22.
However, I'm a bit worried because her menstrual cycle is not very regular.
Before her period, she experienced breast tenderness, and her appetite has been normal; she feels hungry and eats well.
However, she has not experienced any lower back pain or abdominal discomfort.
Now that it's the 23rd, the breast tenderness has subsided, but she says she still feels some growing pains.
Over the past two days, her mood has been lower and somewhat emotional, whereas she was feeling good before and did not have lower back pain or frequent urination.
On the 20th, there was a slight appearance of white discharge, but it has since dried up.
Is there a possibility of pregnancy in this situation? Answer: There is no possibility of pregnancy.

Reply Date: 2019/04/23

More Info

Understanding the chances of pregnancy can often lead to a myriad of questions and concerns, especially for couples trying to conceive or those who are uncertain about their reproductive health. Let's address the questions you raised regarding the likelihood of pregnancy based on the scenarios described.

Question 1: Oral and Manual Stimulation Concerns
In the situation where your girlfriend performed oral sex and then used her hands to clean herself, the chances of pregnancy from this act are extremely low. Sperm must enter the vagina and reach the uterus to fertilize an egg, which typically occurs during vaginal intercourse. While sperm can survive outside the body for a short period, they are highly sensitive to environmental conditions. When sperm comes into contact with water, especially tap water, it is unlikely to remain viable. The washing process you described, involving rinsing with water and cleaning her hands, would further reduce any potential for sperm survival. Therefore, the likelihood of pregnancy from this scenario is negligible.

Question 2: Intercourse During Ovulation
Regarding the sexual activity that occurred four to five days after ovulation, the use of a condom and the precautions taken (such as checking for leaks) significantly reduce the risk of pregnancy. If the condom was intact and there was no direct contact between your bodily fluids and your girlfriend's vagina, the chances of pregnancy are very low. The presence of egg white-like cervical mucus is typical around ovulation and can sometimes be mistaken for other fluids. This mucus is designed to facilitate sperm movement, but if you used protection and followed safe practices, it should not pose a risk for pregnancy.

Question 3: Menstrual Cycle and Symptoms
Your girlfriend's menstrual cycle can be influenced by various factors, including stress, hormonal changes, and overall health. The symptoms she is experiencing, such as breast tenderness and mood fluctuations, can be indicative of premenstrual syndrome (PMS) rather than pregnancy. The absence of typical signs of early pregnancy, such as nausea or frequent urination, further suggests that she may not be pregnant. However, since her cycle is irregular, it can be challenging to predict her ovulation and menstrual timing accurately. If her period does not arrive as expected, it would be advisable for her to take a home pregnancy test for confirmation.

Additional Considerations:
1. Timing of Ovulation: Understanding the ovulation cycle is crucial for couples trying to conceive. Ovulation typically occurs around 14 days before the start of the next menstrual period, but this can vary significantly among individuals.

2. Sperm Viability: Sperm can live inside the female reproductive tract for up to five days under optimal conditions, but outside the body, their lifespan is drastically reduced. Factors such as temperature, moisture, and exposure to air can all affect sperm viability.

3. Stress and Hormonal Changes: Emotional stress can impact menstrual cycles and overall reproductive health. If your girlfriend is experiencing significant stress, it might be worth discussing ways to manage this, as it can affect her cycle and overall well-being.

4. Consulting a Healthcare Provider: If there are ongoing concerns about potential pregnancy or menstrual irregularities, it is always a good idea to consult with a healthcare provider. They can offer personalized advice and conduct any necessary tests to provide clarity.

In conclusion, based on the scenarios you've described, the chances of pregnancy appear to be low. However, if there are any lingering doubts or if her period does not arrive as expected, taking a pregnancy test or consulting with a healthcare professional would be the best course of action.

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