Pregnancy Risks and Symptoms After Unprotected Intercourse - Obstetrics and Gynecology

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Doctor, it has been about a month since the last sexual encounter.
At that time, my girlfriend's period had just ended on the second day, and I calculated the safe period using an online tool.
Today, my girlfriend skipped breakfast and lunch due to lack of time.
She mentioned having a slight headache in the afternoon, which improved after dinner, but now she is experiencing headaches again and feels like her body temperature is elevated.
I'm not sure if she has a fever.
During our encounter, I had not masturbated yet; I only had an erection for a while, and my glans became moist.
I accidentally touched it and then inserted my fingers into her vagina.
Based on the symptoms described, can we rule out pregnancy? Or could it just be that she caught a cold from the air conditioning, leading to headaches and elevated body temperature? Additionally, is the amount of fluid I had so minimal that it is unlikely to cause pregnancy? Today marks the 35th day since the first day of her last menstrual period, which typically ranges from 33 to 35 days over the past couple of months.
However, her period has not arrived yet, and she does not feel like it is coming.
If you believe that pregnancy is completely unlikely, should we just wait for her period to come naturally?

Dà Huá, 10~19 year old female. Ask Date: 2019/08/30

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The last sexual intercourse occurred about a month ago, during which my girlfriend's period had just ended on the second day.
I calculated the safe period using an online tool, and it indicated that it was a safe time.
Today, my girlfriend didn't have time to eat breakfast or lunch.
She mentioned having a slight headache in the afternoon, but felt a bit better after dinner.
However, she is now experiencing headaches again and feels like her body temperature is elevated, though she is unsure if she has a fever.
At that time, I had not masturbated yet; I only had an erection for a while, and my glans became moist.
I accidentally touched it and, since there was still some fluid on my hand, I inserted it into her vagina.
Based on the symptoms described, can we rule out pregnancy? Or could it just be a cold from the air conditioning causing the headache and elevated temperature?
Answer: It is possible that the headache and elevated temperature are due to a cold from the air conditioning.

Additionally, regarding the fluid, is the amount of sperm so low that it would make pregnancy impossible?
Answer: Today marks the 35th day since the first day of her last menstrual period.
In the previous two to three months, her cycles were around 33-35 days.
However, her period has not arrived today, and she does not feel like it is coming.
If the doctor believes that pregnancy is completely impossible, can we just wait for her period to come naturally?
Answer: Yes.

Reply Date: 2019/08/30

More Info


Understanding pregnancy risks and symptoms after unprotected intercourse is crucial for both partners involved. Based on the scenario you've described, it seems there are several factors to consider regarding the possibility of pregnancy and the symptoms your girlfriend is experiencing.

Firstly, regarding the unprotected intercourse that occurred during what you calculated as a "safe period," it's important to note that while some women may have a regular menstrual cycle, ovulation can vary significantly from cycle to cycle. Sperm can survive in the female reproductive tract for up to five days, which means that even if intercourse occurs during what is considered a "safe" period, there is still a risk of pregnancy if ovulation occurs shortly after. The fact that your girlfriend's menstrual cycle typically ranges from 33 to 35 days suggests that she may have ovulated around the time of your intercourse, which could increase the risk of pregnancy.

Now, concerning the symptoms your girlfriend is experiencing—headaches and a slight increase in body temperature—these could be attributed to various factors. Headaches can be caused by dehydration, stress, lack of food, or even environmental factors such as air conditioning, as you mentioned. The fact that she did not eat breakfast or lunch could have contributed to her feeling unwell. Additionally, if she is feeling warm, it could be due to a mild illness or simply a response to the environment rather than a definitive sign of pregnancy.

Regarding the concern about the pre-ejaculate fluid (often referred to as pre-cum), it is important to understand that this fluid can contain sperm. While the quantity of sperm in pre-ejaculate is generally lower than in ejaculate, it is still possible for pregnancy to occur if viable sperm are present. Therefore, even if you believe the amount was minimal, there is still a possibility of pregnancy.

As for the timing of her menstrual cycle, since today marks the 35th day since her last period began, it is indeed concerning that her period has not yet arrived. A missed period is one of the most common early signs of pregnancy. If she does not get her period soon, it would be advisable for her to take a home pregnancy test for a more definitive answer. These tests are designed to detect the hormone hCG, which is produced during pregnancy, and they can provide reliable results if taken after a missed period.

In conclusion, while the symptoms your girlfriend is experiencing could be attributed to various non-pregnancy-related factors, the possibility of pregnancy cannot be entirely ruled out given the circumstances. If her period does not arrive soon, a pregnancy test would be the next logical step. If she continues to experience headaches or any other concerning symptoms, it would be wise for her to consult with a healthcare provider for further evaluation and guidance. It’s always better to err on the side of caution when it comes to reproductive health.

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