Pregnancy Chances and Symptoms After Unprotected Intercourse

Probability of pregnancy?

Hello Doctor, my menstrual period was from June 30 to July 3, with a cycle of approximately 28 days.
I had unprotected intercourse with my boyfriend on July 6 and 7, but there was no ejaculation inside.
I took pregnancy tests on the 23rd and 25th, and both results were negative.
I would like to ask: 1.
What is the likelihood of pregnancy in this situation? 2.
Can these results confirm that I am not pregnant? 3.
After the intercourse, I experienced some dull pain three fingerbreadths below my navel.
Could this indicate uterine discomfort? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2019/07/25

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The menstrual period was from June 30 to July 3, with a cycle of approximately 28 days.
Unprotected sexual intercourse occurred with the boyfriend on July 6 and 7, but there was no ejaculation inside.
Pregnancy tests were conducted on the 23rd and 25th, both resulting in negative results.

I would like to inquire:
1.
What is the likelihood of pregnancy in this situation?
Answer: The likelihood of pregnancy is low.

2.
Can these results confirm that there is no pregnancy?
Answer: No, they cannot confirm that there is no pregnancy.

3.
After sexual intercourse, there is a slight dull pain three fingers' breadth below the navel.
Could this indicate uterine discomfort?
Answer: Not necessarily.

Reply Date: 2019/07/25

More Info

When it comes to understanding the chances of pregnancy and the symptoms that may arise after unprotected intercourse, it’s essential to consider several factors, including the timing of the menstrual cycle, the nature of the sexual activity, and the physiological responses of the body.

1. Pregnancy Probability: Given your menstrual cycle is approximately 28 days, ovulation typically occurs around day 14 of your cycle. Since your last period was from June 30 to July 3, ovulation would likely have occurred around July 14. Engaging in unprotected intercourse on July 6 and 7 would be before your fertile window, which generally spans from about 5 days before ovulation to the day of ovulation itself. Since you mentioned that there was no ejaculation during intercourse, the likelihood of pregnancy is significantly reduced. However, it is important to note that pre-ejaculate fluid can contain sperm, albeit in smaller quantities. Therefore, while the chances of pregnancy are low, they are not entirely absent.

2. Confirming Pregnancy: The results from your pregnancy tests on July 23 and 25, which indicated that you were not pregnant, are quite reliable, especially if they were taken after a missed period. Home pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. If you tested negative and your period has not arrived, it is advisable to wait a few more days and test again or consult a healthcare provider for a blood test, which can provide more definitive results.

3. Abdominal Discomfort: The sensation of mild pain or discomfort in the lower abdomen, particularly around the area below the navel, can be attributed to various factors. It may be related to ovulation, menstrual cramps, or even gastrointestinal issues. If this discomfort is mild and transient, it may not be a cause for concern. However, if the pain is severe, persistent, or accompanied by other symptoms such as heavy bleeding, fever, or unusual discharge, it would be prudent to seek medical attention. This could indicate a potential issue such as an ovarian cyst, pelvic inflammatory disease, or other gynecological conditions.

In summary, based on your provided information, the chances of pregnancy from the described sexual encounters are low, especially given the timing relative to your ovulation. The negative pregnancy tests further support this. However, if you continue to experience discomfort or have concerns about your menstrual cycle or reproductive health, it is always best to consult with a healthcare professional for personalized advice and potential further evaluation. Regular check-ups and open communication with your healthcare provider can help address any concerns and ensure your reproductive health is monitored effectively.

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