Is the Chance of Pregnancy High Even with Condom Use?

Q: Is the Chance of Pregnancy High Even with Condom Use?

In the past few months, my menstrual cycles were as follows： 8/17-8/24, 9/15-9/21, 10/19-10/24, 11/17-11/23 (I took emergency contraception on 11/4). <br>I had unprotected sexual intercourse with my boyfriend on 11/23, 11/27, 12/12, and 12/18. <br>The app indicates my ovulation p

What is the likelihood of getting pregnant while using condoms consistently?

Hello, Doctor: I am very grateful for your help and will never forget it.
Here are my menstrual cycles over the past few months: 8/17-8/24, 9/15-9/21, 10/19-10/24, 11/17-11/23 (I took emergency contraception on 11/4).
I have had sexual intercourse with my boyfriend using condoms every time on the following dates: 11/23, 11/27, 12/12, and 12/18.
My app indicates that my ovulation period was from 11/29 to 12/5, and I specifically avoided sexual intercourse during that week.
My period was originally expected on 12/18, but it has not arrived as of today, 12/21.
After each encounter, I only visually checked for any leakage, and there was none.
I found online that there are cases of pregnancy even with condom use.

1.
What is the likelihood of pregnancy this time? I have noticed breast tenderness and swelling.
I previously tried taking oral contraceptives (Yasmin/Yaz), but my traditional Chinese medicine doctor advised me that long-term use may make it harder to conceive, especially since I have had one child before (I am not trying to start a debate between TCM and Western medicine, I apologize).

2.
Besides condoms, what other contraceptive methods are available that do not involve taking medication?

Baobao, 20~29 year old female. Ask Date: 2019/12/21

Dr. Huang Jianzhong reply Obstetrics and Gynecology

In the past few months, my menstrual cycles were as follows: 8/17-8/24, 9/15-9/21, 10/19-10/24, 11/17-11/23 (I took emergency contraception on 11/4).
I had unprotected sexual intercourse with my boyfriend on 11/23, 11/27, 12/12, and 12/18.
The app indicates my ovulation period was from 11/29 to 12/5, and I specifically avoided sexual activity during that week.
My period was originally expected on 12/18, but it has not arrived as of today, 12/21.
After each intercourse, I visually checked for any leakage, and there was none.
I found online that there are cases where people still get pregnant even with condom use.

1.
What is the likelihood of pregnancy this time? I feel pain and fullness in my breasts.
I previously tried taking oral contraceptives (Yasmin/Yaz), but my traditional Chinese medicine doctor advised me that long-term use might make it harder to conceive, especially since I have had one child before (I am not trying to start a debate between traditional Chinese medicine and Western medicine, sorry).
Answer: My period was originally expected on 12/18, but it has not arrived as of today, 12/21.
I should take a pregnancy test.
2.
Besides condoms, what other contraceptive methods are available that do not involve medication? Answer: Other contraceptive methods besides condoms are generally related to medication.

Reply Date: 2019/12/21

More Info

When it comes to the chances of pregnancy while using condoms, it's important to understand both the effectiveness of condoms as a contraceptive method and the factors that can influence their reliability. Condoms, when used correctly and consistently, are about 98% effective at preventing pregnancy. However, in typical use, which accounts for human error, their effectiveness drops to around 85%. This means that while condoms are a reliable form of birth control, there is still a possibility of pregnancy, albeit relatively low.

In your case, you mentioned that you and your partner have been using condoms consistently during sexual intercourse and that you have not experienced any leakage. This is a positive sign, as proper use of condoms significantly reduces the risk of pregnancy. However, it is also worth noting that no contraceptive method is 100% effective. Factors such as improper application, breakage, or slippage of the condom can increase the risk of pregnancy. Additionally, pre-ejaculate fluid can contain sperm, which is another reason why even with condom use, there is still a chance of pregnancy.

You also mentioned that your menstrual cycle is irregular, with your period being delayed. This can sometimes be a sign of pregnancy, especially if you are experiencing symptoms like breast tenderness and swelling. However, stress, hormonal changes, or other factors can also affect your menstrual cycle. If your period does not arrive soon, it would be advisable to take a home pregnancy test for confirmation.

Regarding alternative contraceptive methods, there are several options available besides condoms and hormonal birth control pills. Some of these include:
1. Intrauterine Devices (IUDs): These are small devices inserted into the uterus by a healthcare provider. They can be hormonal or non-hormonal (copper) and can prevent pregnancy for several years.

2. Diaphragms and Cervical Caps: These are barrier methods that are inserted into the vagina before intercourse to cover the cervix and prevent sperm from entering the uterus.

3. Spermicides: These are chemical agents that kill sperm and can be used alone or in conjunction with barrier methods like diaphragms.

4. Natural Family Planning: This involves tracking your menstrual cycle and avoiding intercourse during your fertile window. This method requires careful monitoring and may not be suitable for everyone.

5. Withdrawal Method: This involves the male partner withdrawing before ejaculation. However, this method is less reliable due to the risk of pre-ejaculate fluid containing sperm.

6. Implants: These are small rods placed under the skin of the arm that release hormones to prevent ovulation and can last for several years.

7. Emergency Contraceptive Pills: If you are concerned about a potential pregnancy after unprotected intercourse, emergency contraceptive pills can be taken within a certain timeframe to prevent ovulation.

It's essential to consult with a healthcare provider to discuss the best contraceptive options for your individual circumstances, especially considering your previous experiences with hormonal contraceptives and any concerns you may have about future fertility. They can provide personalized advice and help you choose a method that aligns with your health needs and lifestyle.
In summary, while the chance of pregnancy with condom use is relatively low, it is not zero. If you suspect you might be pregnant, taking a test and consulting with a healthcare provider would be the best course of action. Additionally, exploring other contraceptive options can help you find a method that works best for you and your partner.

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