Intercourse three days prior?
Hello, Doctor.
My menstrual cycle is consistently 27-28 days, lasting about 7 days.
My last periods were on December 7 and January 5, so my next one is expected around February 2.
1) I had sexual intercourse with my boyfriend today, and we used a condom throughout.
This is approximately three days before my expected period.
I would like to ask if this is considered a safe period and what the chances of pregnancy are.
Do I need to take emergency contraception? Thank you, Dr.
Tsao.
2) Since I see my boyfriend infrequently due to long distances, we do not have sex often.
However, after each encounter, I experience some discomfort and slight injury down there (the male partner is not very forceful, but he is larger in size).
It feels like a minor tear, and I noticed a small ulcer at the vaginal opening (it looks like a sore).
For a few days afterward, I experience slight pain when using the restroom.
I would like to know how I can improve this situation.
Thank you for addressing my concerns, Doctor.
Nìmíng, 20~29 year old female. Ask Date: 2020/01/30
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it should be safe, and there is no need for medication.
If you experience injuries after each sexual encounter, you might want to try using some lubricant to see if it helps.
Wishing you good health.
Reply Date: 2020/01/30
More Info
When it comes to understanding safe periods and the potential for discomfort after intercourse, it's important to consider several factors, including the menstrual cycle, the timing of sexual activity, and the physical responses of the body during and after intercourse.
1. Understanding Safe Periods and Pregnancy Risk:
Based on your description, your menstrual cycle is regular, lasting about 27-28 days, with menstruation lasting approximately 7 days. If you had intercourse with your boyfriend three days before your expected period (which you estimate to be around February 2), this timing is generally considered to be within the "unsafe" period for pregnancy. The fertile window typically occurs around ovulation, which is usually about 14 days before the start of your next period. Therefore, having sex just before your period can still carry a risk of pregnancy, albeit lower than during the ovulation phase.
Since you used a condom throughout the intercourse, this significantly reduces the risk of pregnancy and sexually transmitted infections (STIs). If the condom was used correctly and did not break or slip off, the likelihood of pregnancy is quite low. However, if you have any doubts about the integrity of the condom or if you feel anxious about the possibility of pregnancy, taking emergency contraception (the "morning-after pill") can be considered. It's most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours.
2. Vaginal Discomfort and Injury:
Regarding the discomfort and minor injuries you experience after intercourse, it's not uncommon for some individuals to feel soreness or experience small abrasions, especially if there is a size difference or if there is insufficient lubrication. The presence of a small ulcer or sore at the vaginal opening could be due to friction during intercourse. Here are some suggestions to help alleviate this discomfort:
- Lubrication: Using a water-based or silicone-based lubricant can help reduce friction during intercourse, making it more comfortable and minimizing the risk of injury. This is especially important if you are not engaging in sexual activity frequently, as natural lubrication may not be as abundant.
- Gentle Techniques: Communicate with your partner about what feels comfortable for you. Slower, more gentle movements can help prevent injury.
- Post-Intercourse Care: After intercourse, consider rinsing the area with warm water to keep it clean. Avoid using harsh soaps or douches, as these can irritate the sensitive vaginal area.
- Healing Time: If you notice that the sore does not improve or if you experience increased pain, redness, or discharge, it would be wise to consult a healthcare provider. They can assess the area and provide appropriate treatment if necessary.
- Regular Check-Ups: Regular gynecological check-ups are important for maintaining vaginal health. If you frequently experience discomfort, it may be beneficial to discuss this with your healthcare provider to rule out any underlying conditions.
In summary, while your timing for intercourse may not be in the safest window for avoiding pregnancy, the use of condoms significantly mitigates that risk. For the discomfort you're experiencing, consider using lubrication and communicating with your partner about comfort levels. If issues persist, seeking medical advice is always a good step.
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