Can You Get Pregnant After Unprotected Sex While on Birth Control? - Obstetrics and Gynecology

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If the bleeding is caused by the contraceptive pill, then having unprotected intercourse may still lead to pregnancy, depending on various factors.
The menstrual period started from October 8 to October 15, and you took the contraceptive pill on November 20.
The bleeding occurred on November 27, which is the same day you had unprotected intercourse.

Generally, if you have been taking the contraceptive pill consistently and correctly, the risk of pregnancy is significantly reduced, even during the withdrawal bleeding phase.
However, if there were any missed doses or if the pill was not taken as directed, the effectiveness may be compromised.
It is advisable to consult with a healthcare provider for personalized advice and to discuss any concerns regarding potential pregnancy.

Yang, 10~19 year old female. Ask Date: 2019/10/31

Dr. Huang Jianzhong reply Obstetrics and Gynecology


If the bleeding is caused by the contraceptive pill, will unprotected intercourse still lead to pregnancy? Answer: No, it will not lead to pregnancy.
The menstrual period started from October 8 to October 15, and the contraceptive pill was taken on October 20.
The bleeding situation occurred on October 27, and unprotected intercourse happened on October 27.
My question is, will unprotected intercourse during the bleeding situation lead to pregnancy? Answer: No, it will not lead to pregnancy.

Reply Date: 2019/10/31

More Info


When it comes to the question of whether you can get pregnant after unprotected sex while on birth control, it's important to understand how birth control methods work and the factors that can influence their effectiveness.

Birth control pills are designed to prevent ovulation, which means they stop the ovaries from releasing eggs. When taken correctly, they are highly effective at preventing pregnancy, with a typical use effectiveness rate of about 91%. However, several factors can affect their efficacy, including missed doses, interactions with other medications, and gastrointestinal issues like vomiting or diarrhea.

In your specific scenario, you mentioned that you experienced bleeding after starting the birth control pill, and then had unprotected sex shortly after. The bleeding you experienced could be a withdrawal bleed, which is common when starting or adjusting hormonal contraceptives. This bleeding does not indicate that you are no longer protected against pregnancy. If you were taking your birth control pills consistently and correctly, the likelihood of becoming pregnant from unprotected sex during this time is low.

However, if you missed any doses of your birth control pills or if you had any interactions with other medications that could reduce their effectiveness, the risk of pregnancy could increase. Additionally, if you had any gastrointestinal issues that might have affected the absorption of the pill, this could also pose a risk.

It’s also worth noting that sperm can survive in the female reproductive tract for up to five days. Therefore, if you had unprotected sex shortly before or during ovulation, there is a possibility of pregnancy, even if you are on birth control.
In your case, since you had unprotected sex on November 27 after experiencing bleeding, if you were taking your birth control pills as directed and had no missed doses or other issues, the chances of pregnancy are quite low. However, if you are concerned about the possibility of pregnancy, it might be a good idea to take a home pregnancy test if your period is late or to consult with a healthcare provider for further evaluation.

In summary, while birth control pills are effective at preventing pregnancy, their efficacy can be compromised by various factors. If you are consistently taking your pills and have no other complicating factors, the risk of pregnancy from unprotected sex during the time you described is minimal. However, if you have any doubts or concerns, it’s always best to consult with a healthcare professional for personalized advice and guidance.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, as long as you take it on time, it will be effective for contraception, so there's no need to worry. Wishing you good health.

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Dr. Huang Jianzhong reply Obstetrics and Gynecology
If there was unprotected intercourse on the first day after stopping the medication for 7 days, and there are no plans to take contraceptive pills again for the next month, will this result in pregnancy? Answer: This will not result in pregnancy.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances are probably low, but if you're concerned, you can take emergency contraception just in case. Wishing you good health.

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