Can You Get Pregnant from Pre-Cum? the Risks - Urology

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I have urgent questions regarding semen. Thank you?


Hello doctor, today I had intercourse with my boyfriend.
He did wear a condom, but he was too quick when removing it and a little bit of semen got on the vaginal opening.
Is there a possibility of getting pregnant?

Xiao Luoshan, 10~19 year old female. Ask Date: 2019/05/10

Dr. Cai Zhuorong reply Urology


Even with the consistent use of condoms and no semen at the vaginal opening as you described, literature reports indicate that the risk of pregnancy is still approximately 4%.
Therefore, it is recommended that you take a pregnancy test to confirm whether or not you are pregnant.

Reply Date: 2019/05/10

More Info


When it comes to the question of whether you can get pregnant from pre-ejaculate (pre-cum), it's important to understand the mechanics of conception and the role that pre-ejaculate plays in this process. Pre-ejaculate is a fluid that is released by the Cowper's glands during sexual arousal. Its primary function is to lubricate the urethra and neutralize any acidity that may be present, creating a more favorable environment for sperm.
While pre-ejaculate itself typically does not contain sperm, there is a possibility that it can pick up sperm that may be left in the urethra from a previous ejaculation. This means that if a male has recently ejaculated and then engages in sexual activity, there could be a small risk of sperm being present in the pre-ejaculate fluid. Therefore, even if a condom is used, if there is any contact with pre-ejaculate that contains sperm, there is a potential risk of pregnancy.

In your situation, since your boyfriend used a condom but there was a small amount of semen that came into contact with the vaginal opening, the risk of pregnancy is generally low, but it is not zero. The effectiveness of condoms is high when used correctly, but they can sometimes fail due to slippage or breakage. If the condom was intact and there was no direct ejaculation inside the vagina, the chances of pregnancy are significantly reduced.

However, if you are concerned about the possibility of pregnancy, there are a few steps you can take:
1. Emergency Contraception: If you are worried about the risk of pregnancy, you can consider taking emergency contraception (like Plan B) within 72 hours after the incident. This can help prevent ovulation and reduce the chances of pregnancy.

2. Monitor for Symptoms: If your period is late or you experience any unusual symptoms, consider taking a home pregnancy test. These tests are generally reliable and can provide peace of mind.

3. Consult a Healthcare Provider: If you have ongoing concerns or questions about your reproductive health, it’s a good idea to speak with a healthcare provider. They can provide personalized advice and discuss contraceptive options that may be more effective for you in the future.

4. Understanding Fertility: It’s also beneficial to understand your own menstrual cycle and fertility window. Knowing when you are most fertile can help you make informed decisions about contraception and family planning.

In summary, while the risk of pregnancy from pre-ejaculate is low, it is not completely absent. If you have any concerns, taking emergency contraception and consulting with a healthcare professional can help you manage your reproductive health effectively. Always remember that using condoms correctly and consistently is one of the best ways to prevent unintended pregnancies and sexually transmitted infections.

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