Pregnancy Risks and Fertility Concerns After Intimate Contact

Encountering bulbourethral gland fluid?

Menstruation started on April 15 and ended on April 19 (5 days).
On April 21 (two days after menstruation), my boyfriend may have unknowingly touched his secretions before touching my clitoris.
I am certain he was only massaging my clitoris and did not make contact with the vaginal opening.
I am not entirely sure if he had taken off his pants while caressing me; he mentioned that even if there was any contact, it would have dried.
During our interaction, there was no direct contact between our genitals; at most, only his hands made contact.
My boyfriend had masturbated a couple of hours before our sexual activity and ejaculated; he masturbates almost daily and always cleans himself thoroughly afterward.
He also urinated before our sexual activity.
Based on the above description, I have several questions:
1.
Can we say that the chance of pregnancy is impossible in this situation?
2.
Given that he had masturbated and ejaculated before our sexual activity, would the sperm's viability be lower this time?
3.
If he urinated before sexual activity, would there be fewer residual sperm in the bulbourethral fluid?
4.
Two days after menstruation, is the egg mature?
5.
Is an egg considered healthy for fertilization only when it has matured and moved to the fallopian tube?
6.
Should I take a pregnancy test later, or can I be at ease?
7.
As a student, I usually go to bed around midnight or 1 AM; could irregular sleep patterns delay ovulation?

Nìmíng, 10~19 year old female. Ask Date: 2019/04/27

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Menstruation started on April 15 and ended on April 19 (5 days).
On April 21 (two days after menstruation), my boyfriend may have unknowingly touched his secretions before touching my clitoris.
I am certain he was only massaging my clitoris and did not make contact with the vaginal opening.
I am not entirely sure if he had taken off his pants while caressing me; he mentioned that even if some secretions got on his hands, they would have dried.
During our interaction, there was no direct genital contact; at most, there was only hand contact.
My boyfriend had masturbated a couple of hours before our sexual activity and ejaculated; he typically masturbates almost every day and cleans himself thoroughly each time.
He had also urinated before our sexual activity.
Based on this information, I have a few questions:
1.
Is it possible to say that the chance of pregnancy is negligible? Answer: Yes.
2.
Since he had masturbated and ejaculated before our sexual activity, will the sperm's viability during this encounter be reduced? Answer: There will be fewer sperm, but their viability will not be diminished.
3.
If he urinated before sexual activity, will there be fewer sperm remaining in the bulbourethral fluid? Answer: Yes.
4.
Is it possible for the egg to be mature two days after menstruation? Answer: Not necessarily.
5.
Is an egg considered healthy for fertilization only when it has matured and moved to the fallopian tube? Answer: Yes.
6.
Will I need to take a pregnancy test later, or can I be at ease? Answer: No need for a test.
7.
As a student, I usually go to bed around midnight or 1 AM; could irregular sleep patterns delay ovulation? Answer: It is possible.

Reply Date: 2019/04/27

More Info

Understanding pregnancy risks and fertility concerns after intimate contact is a common concern, especially among young individuals. Based on the details you've provided, let's address your questions systematically.

1. Pregnancy Probability: Given the circumstances you've described, the likelihood of pregnancy is extremely low. The primary reason is that there was no direct vaginal intercourse, and the contact was limited to external stimulation. While it is theoretically possible for sperm to be transferred from hands to the vulva, the chances of this resulting in pregnancy are minimal, especially if there was no ejaculation near the vaginal opening.

2. Sperm Viability After Masturbation: When a male ejaculates, sperm can remain viable for a short period, but factors such as time and exposure to air can affect their motility. If your boyfriend masturbated a couple of hours before your intimate contact, the sperm's viability would be reduced, especially if he had urinated afterward, as urination can flush out any remaining sperm in the urethra.

3. Urinary Tract and Sperm Residue: Urination before sexual activity typically clears the urethra of any residual sperm. The pre-ejaculatory fluid (pre-cum) may contain some sperm, but if he urinated after ejaculation, the amount of sperm left would be significantly reduced.

4. Egg Maturation Post-Menstruation: After menstruation, the maturation of an egg typically begins during the follicular phase of the menstrual cycle. This process can vary among individuals, but generally, ovulation occurs about 12 to 16 days after the first day of your last period. Since your period ended on April 19, it is likely that your egg would not be fully mature until closer to the end of your cycle.

5. Egg Health and Movement: An egg is considered healthy and ready for fertilization once it has matured and is released from the ovary during ovulation. The egg then travels down the fallopian tube, where it can meet sperm for fertilization. The timing of ovulation is crucial for conception, and it typically occurs around the midpoint of your cycle.

6. Pregnancy Testing: If you are experiencing any symptoms that concern you or if your period is late, it may be wise to take a pregnancy test for peace of mind. However, based on your description, it seems unlikely that you are pregnant. If you continue to have concerns, consulting with a healthcare provider can provide further reassurance.

7. Impact of Irregular Sleep Patterns on Ovulation: While lifestyle factors, including sleep patterns, can influence menstrual cycles and ovulation, significant disruptions are usually required to cause a noticeable delay. Stress, irregular sleep, and other lifestyle factors can affect hormonal balance, potentially leading to changes in your cycle. However, a few late nights are unlikely to drastically alter your ovulation timing.

In summary, based on the information provided, the risk of pregnancy from the described intimate contact is very low. It is essential to communicate openly with your partner about sexual health and contraception to alleviate anxiety and ensure both partners feel secure. If you have ongoing concerns about your menstrual cycle or sexual health, consider reaching out to a healthcare professional for personalized advice and support.

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