Pregnancy Chances After Unprotected Intercourse - Obstetrics and Gynecology

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Probability of Pregnancy


On August 10th at 2 PM, I had unprotected intercourse but did not ejaculate inside.
Afterward, I cleaned myself.
My ovulation period was on August 8th, and after the intercourse on August 10th, I went to the pharmacy around 1 PM the next day to buy emergency contraception.
The pharmacy provided me with Ella (ulipristal acetate).
I took it, but I have not experienced any bleeding.
My last menstrual period was on July 25th, but I have not gotten my period this month.
What is the likelihood of pregnancy?

Niming, 20~29 year old female. Ask Date: 2019/08/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On August 10th at 2 PM, I had unprotected intercourse but did not ejaculate inside.
Afterward, I cleaned myself.
My ovulation period was on August 8th, and I had intercourse on August 10th.
The next day around 1 PM, I went to the pharmacy and bought Plan B (Levonorgestrel).
After taking it, I did not experience any bleeding.
My last menstrual period started on July 25th, but I have not gotten my period this month.
What is the likelihood of pregnancy? Answer: The likelihood of pregnancy should be low.

Reply Date: 2019/08/22

More Info


When considering the chances of pregnancy after unprotected intercourse, it's essential to understand the timing of ovulation, the effectiveness of emergency contraception, and the overall menstrual cycle. In your case, you had unprotected intercourse on August 10, which was just two days after your ovulation period, making the likelihood of pregnancy a concern.


Understanding Ovulation and Fertility
Ovulation typically occurs about 14 days before the start of your next menstrual period. Since you mentioned that your last menstrual period started on July 25, your ovulation likely occurred around August 8. Engaging in unprotected intercourse shortly after ovulation can increase the chances of sperm meeting an egg, thus leading to potential fertilization.


Emergency Contraception
You mentioned taking emergency contraception (Plan B, known as Anliting in your case) shortly after the unprotected intercourse. Emergency contraceptive pills (ECPs) are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours. However, they can still be effective up to 5 days after intercourse, although the effectiveness decreases over time. Since you took the pill the next day, you maximized your chances of preventing pregnancy.


Menstrual Cycle Considerations
You noted that your period has not yet arrived this month. It's important to remember that emergency contraception can cause temporary changes in your menstrual cycle. Some women may experience delays in their next period, while others may have irregular bleeding or spotting. This is a common side effect of ECPs and does not necessarily indicate pregnancy.


Pregnancy Testing
If your period does not arrive within a week of when you expect it, it would be advisable to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced after a fertilized egg implants in the uterus. If the test is negative and your period still does not come, you may want to consult a healthcare provider for further evaluation.


Conclusion
In summary, while there is a chance of pregnancy due to the timing of your unprotected intercourse, taking emergency contraception promptly significantly reduces that risk. If your period is delayed, consider taking a pregnancy test for confirmation. If you have further concerns or if your cycle remains irregular, it would be wise to consult with a healthcare professional for personalized advice and support. Remember, understanding your body and menstrual cycle is crucial in managing reproductive health effectively.

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