Pregnancy Risks: Your Questions Answered - Obstetrics and Gynecology

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Can I get pregnant?


Hello Doctor, my last menstrual period was from January 9 to January 15, with a typical cycle of 31 days and a duration of 7 days.
I had intercourse with my boyfriend 6 days after my period ended (on January 21).
After using the first condom, I was concerned that it might lose its protective effect if used for too long, so I used a second one.
However, when putting on the second condom, it seemed to be inside out and was difficult to use, so I flipped it and tried again.
After putting it on, I touched the tip of the condom with my hand, worried about pre-ejaculate fluid.
Ultimately, there was no ejaculation inside; I withdrew and used my hand to reach ejaculation.
I confirmed that the condom did not break.

From January 22 to January 25, I noticed an increase in cervical mucus, which is close to my ovulation period.
On January 26, which I believe was ovulation day, I noticed a small amount of fresh blood at midnight.
After ovulation, the cervical mucus changed to a thicker white consistency and decreased in amount.
I also experienced muscle soreness.
I took urine pregnancy tests 10 days (January 31) and 14 days (February 4) after intercourse, both showing negative results.
My next expected menstrual period should be around February 9.

Currently, I am experiencing breast tenderness, gastrointestinal discomfort, facial flushing, pain in the pubic area, and occasional headaches.
My appetite is unaffected, and I do not feel nauseous.
However, I have been feeling anxious about the possibility of pregnancy, which has made me feel generally unwell and tense with any slight sensation.
My current cervical mucus is thick, white, and clear.

What are the chances of pregnancy?

Dghds, 10~19 year old female. Ask Date: 2020/02/05

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the failure rate of using condoms for contraception is over 5%, making it less reliable compared to other methods.
Therefore, it is generally not recommended to rely solely on condoms for contraception.
However, pregnancy cannot be determined based on subjective symptoms alone.
It is advisable to check for pregnancy if your menstrual period is more than a week late.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2020/02/05

More Info


Understanding pregnancy risks and the associated concerns is crucial for anyone who is sexually active and trying to avoid or achieve pregnancy. Based on your detailed account, it appears that you are experiencing a range of symptoms and concerns that are understandably causing you anxiety about the possibility of being pregnant.

First, let's address the likelihood of pregnancy given the timeline and circumstances you've described. You mentioned that you had unprotected intercourse shortly after your menstrual period, which is typically a less fertile time in your cycle. However, since you have a 31-day cycle and you engaged in sexual activity close to your ovulation date (which you indicated was around January 26), there is a possibility of pregnancy, especially if sperm was present during your ovulation window.
The use of condoms is a reliable method of contraception when used correctly. You noted that you used two condoms in succession, and while this is not recommended (as it can increase the risk of breakage), you confirmed that the first condom did not break. If the second condom was applied correctly and did not break, the risk of pregnancy remains low, but not zero. The fact that you did not experience ejaculation inside the vagina further reduces the likelihood of conception.

Regarding your symptoms, breast tenderness, gastrointestinal discomfort, and changes in discharge can all be related to hormonal fluctuations that occur during your menstrual cycle, particularly around ovulation and the luteal phase. The presence of clear, stretchy discharge is typical around ovulation, while white, thick discharge can occur in the days leading up to your period.
The bleeding you observed on January 26 could be ovulation spotting, which is common for some women and not necessarily a sign of pregnancy. The anxiety you are feeling about the possibility of being pregnant can also contribute to physical symptoms, such as tension and discomfort, as stress can affect your body in various ways.

As for your pregnancy tests, it is important to note that urine tests are most accurate when taken after a missed period. Since your expected period is around February 9, testing now may yield a false negative if you are indeed pregnant. If your period does not arrive on time, it would be advisable to take another pregnancy test or consult with a healthcare provider for a blood test, which can detect pregnancy earlier than a urine test.

In summary, while there is a possibility of pregnancy given your sexual activity around ovulation, the use of condoms and the absence of ejaculation inside the vagina significantly reduce that risk. Your symptoms could be attributed to hormonal changes rather than pregnancy. If you remain concerned, it is best to wait until after your expected period to take another test or consult with a healthcare professional for further evaluation. Remember, managing anxiety and stress is also important for your overall health, so consider discussing your concerns with a trusted friend or a healthcare provider.

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