Pregnancy Chances and Menstrual Delays After Protected Sex - Obstetrics and Gynecology

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Hello doctor, following up on my previous question, my expected period was supposed to start on October 15, and my last sexual intercourse was on October 6, during which we used a condom that did not break.
I took a pregnancy test on October 17, which came back negative, but my period still hasn't arrived, and I'm feeling very anxious.
I would like to know what the chances of pregnancy are.
If my period continues to be delayed, should I just wait for it to come?

M, 10~19 year old female. Ask Date: 2019/10/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The expected menstrual period is set to start on October 15, and the last sexual intercourse occurred on October 6, during which a condom was used and did not break.
A pregnancy test was taken on October 17, which showed negative results, but menstruation has still not arrived, causing anxiety.
I would like to know the likelihood of pregnancy.

Answer: The likelihood of pregnancy is low.
If menstruation does not arrive, should I just wait for it to come?
Answer: If menstruation still does not arrive, take another pregnancy test on October 24.

Reply Date: 2019/10/20

More Info


When it comes to understanding the chances of pregnancy and menstrual delays after protected sex, it's important to consider several factors. In your case, you mentioned that you had protected intercourse on October 6, and the condom did not break. You also took a pregnancy test on October 17, which came back negative, but your period, which was expected to start on October 15, has not yet arrived.
First, let's address the likelihood of pregnancy. Since you used a condom correctly and it did not break, the chances of pregnancy are significantly reduced. Condoms, when used properly, have an effectiveness rate of about 98% in preventing pregnancy. However, no contraceptive method is 100% effective, and there is still a small chance of pregnancy due to factors such as condom slippage or pre-ejaculatory fluid, which can contain sperm.
Given that you took a pregnancy test and it was negative, this further decreases the likelihood of pregnancy. Pregnancy tests are generally reliable when taken after a missed period, but they can sometimes yield false negatives, especially if taken too early. Since your expected period was on October 15 and you tested on October 17, it is possible that the test was taken too soon, but the fact that you had a negative result is reassuring.

Now, regarding your menstrual delay, there are several reasons why your period might be late. Stress is a common factor that can affect the menstrual cycle. If you are feeling anxious about the possibility of being pregnant, this stress can potentially delay your period. Other factors that can cause a delay include hormonal imbalances, changes in weight, exercise habits, or even illness.
If your period does not arrive within a week or so of the expected date, it would be advisable to take another pregnancy test to confirm whether or not you are pregnant. If the test is still negative and your period has not started, it may be a good idea to consult a healthcare provider. They can help determine if there are any underlying issues that need to be addressed.

In the meantime, it is generally recommended to wait for your period to arrive naturally. If you are experiencing significant discomfort or have other concerning symptoms, such as severe pain or unusual discharge, seeking medical advice sooner would be prudent.

In summary, based on the information provided, the chances of pregnancy appear low due to the use of a condom and the negative pregnancy test. However, if your period continues to be delayed, monitoring your symptoms and consulting with a healthcare professional is the best course of action. Remember that menstrual cycles can vary, and occasional delays can happen for a variety of reasons.

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