Can You Get Pregnant from Protected Sex? Risks - Obstetrics and Gynecology

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Pregnancy issues


Hello Doctor, my girlfriend's last menstrual period was on November 2nd.
We had sexual intercourse in November, using a condom the entire time.
However, since it was her first time, the penetration lasted only about 5 to 6 minutes before I pulled out and ejaculated outside (inside the condom).
Is there a chance she could become pregnant from this? Thank you, Doctor.

Xiao Chen, 20~29 year old female. Ask Date: 2019/11/19

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Your girlfriend's last menstrual period was on November 2nd, and you had sexual intercourse in November while using a condom.
Since it was your first time, you didn't engage in penetration for long (about 5 to 6 minutes) and withdrew before ejaculation, which occurred inside the condom.
Given these circumstances, the likelihood of pregnancy is very low, especially since you used a condom correctly.
However, no contraceptive method is 100% effective, so there is still a minimal risk.
If there are concerns about pregnancy, it may be advisable for her to take a pregnancy test or consult a healthcare provider for further guidance.

Reply Date: 2019/11/19

More Info


When it comes to the question of whether you can get pregnant from protected sex, it’s important to understand the effectiveness of condoms and the circumstances surrounding their use. Condoms are one of the most popular forms of contraception and, when used correctly, they can significantly reduce the risk of pregnancy as well as sexually transmitted infections (STIs), including HIV.

In your case, since you mentioned that you used a condom throughout the sexual encounter and that you withdrew before ejaculation, the chances of pregnancy are quite low. Condoms are designed to act as a barrier that prevents sperm from entering the vagina, and if the condom was intact and used properly, it should have effectively contained the semen. However, it is essential to consider a few factors:
1. Proper Use of Condoms: The effectiveness of condoms is highly dependent on their correct usage. This includes checking the expiration date, ensuring that the condom is put on before any genital contact, and using a new condom for each act of intercourse. If the condom was applied correctly and did not break or slip off during intercourse, the risk of pregnancy is minimal.

2. Pre-ejaculate Fluid: It’s also important to note that pre-ejaculate fluid (pre-cum) can contain sperm. If there was any genital contact before the condom was put on, there is a slight risk of pregnancy due to this fluid. However, since you mentioned that you used a condom throughout the entire encounter, this risk is significantly mitigated.

3. Condom Failure Rate: Even with perfect use, condoms have a failure rate of about 2%. With typical use, which accounts for human error, the failure rate can be as high as 18%. This means that while the chances of pregnancy are low, they are not zero.
4. Timing of the Menstrual Cycle: You mentioned that your girlfriend's last menstrual period started on November 2nd, and you had intercourse in November. If her cycle is regular, ovulation typically occurs around 14 days after the first day of her last period. If you had intercourse close to her ovulation period, the risk of pregnancy could be higher, but again, the use of a condom significantly reduces this risk.

5. Follow-Up: If your girlfriend's period is late, it would be advisable for her to take a pregnancy test. Most home pregnancy tests are accurate if taken after a missed period. If there are any concerns about the possibility of pregnancy or if there are any unusual symptoms, consulting a healthcare provider is a good idea.

In conclusion, based on the information you provided, the likelihood of pregnancy from your encounter is low, especially since you used a condom and withdrew before ejaculation. However, if there are any concerns or if her period is late, it is always best to take a pregnancy test for peace of mind. Additionally, if you have further questions about contraception or sexual health, consider discussing them with a healthcare professional who can provide personalized advice.

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