Pregnancy Chances After Unprotected Sex: Your Concerns Addressed - Obstetrics and Gynecology

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What is the likelihood of getting pregnant?


Three days before my expected period, I had sexual intercourse with a condom.
The day before, I also had intercourse and, feeling anxious about the possibility of pregnancy, I took emergency contraception.
On the tenth day, I was worried and took a pregnancy test, which showed one line within about three minutes.
Does this indicate a high likelihood of pregnancy? I'm very anxious.
My basal body temperature has been below 36 degrees Celsius, my breast color is normal, there hasn't been an increase in discharge, my taste hasn't changed, and I have a slight sore throat—could that be considered a symptom, similar to a cold?

gǒu, 10~19 year old female. Ask Date: 2019/10/15

Dr. Lin Manying reply Obstetrics and Gynecology


Hello, sir: Regarding the objective factors you described, such as discharge and body temperature, these are not criteria for judgment.
Generally, if a pregnancy test is negative 10 days after the last sexual intercourse, it indicates that there is no pregnancy.
Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2019/10/15

More Info


When it comes to concerns about pregnancy chances after unprotected sex, it's essential to understand the factors involved and the implications of your actions. Based on the information provided, you engaged in sexual activity with a condom, which is a primary method of contraception. However, you also took emergency contraception (the "morning-after pill") to further reduce the risk of pregnancy.
The effectiveness of emergency contraception is highest when taken as soon as possible after unprotected intercourse, ideally within 72 hours. Since you took the pill within this timeframe, it significantly lowers the chances of pregnancy. The fact that you tested for pregnancy 10 days later and received a negative result (one line on the test) is a good indicator that you are likely not pregnant. Most 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. Testing too early can sometimes lead to false negatives, but at 10 days post-intercourse, the likelihood of a false negative is reduced, especially if your menstrual cycle is regular.

Regarding your symptoms, such as a low body temperature (below 36 degrees Celsius), normal breast appearance, and unchanged taste preferences, these are not definitive signs of pregnancy. The sensation of a "scratchy throat" could be related to a mild cold or allergies rather than pregnancy. It's important to note that early pregnancy symptoms can vary widely among individuals and may not present until a missed period or later.

If you are still concerned about the possibility of pregnancy, consider the following:
1. Timing of the Test: If your menstrual cycle is irregular or if you have a longer cycle, you might want to wait a few more days and retest. If your period does not arrive, a follow-up test or a visit to your healthcare provider would be advisable.

2. Emergency Contraception: Remember that emergency contraceptive pills are not 100% effective, but they do significantly reduce the risk of pregnancy when taken correctly.
3. Monitoring Symptoms: Keep an eye on any changes in your body. If you experience unusual symptoms or if your period is significantly delayed, consult with a healthcare professional for further evaluation.

4. Stress and Anxiety: It's common to feel anxious after a potential pregnancy scare. Stress can also affect your menstrual cycle, potentially causing delays.
In conclusion, while the chances of pregnancy seem low given your actions and the negative pregnancy test, it's always best to stay informed and consult with a healthcare provider for personalized advice and peace of mind. They can provide further testing if necessary and help address any ongoing concerns about your reproductive health.

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