Is My Chance of Pregnancy High After Recent Sexual Activity?

What is the likelihood of becoming pregnant?

Hello Doctor, my last menstrual period was from June 17 to June 22, and the app estimated my ovulation period to be around July 8.
I had sexual intercourse on July 1, during which we used a condom, and I checked afterward to ensure it did not break.
On July 7, I performed oral sex on my boyfriend, and after he wiped off the semen with tissue, he inserted it into my vagina (approximately 20 minutes later).
I have been experiencing white discharge and lower abdominal pain in the past two days.
What is the likelihood of pregnancy in this situation? Thank you for your help!

Niming, 10~19 year old female. Ask Date: 2020/07/09

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the failure rate of using condoms correctly throughout intercourse is still about 5%.
As long as there are motile sperm in the vagina during the ovulation period, there is a possibility of pregnancy regardless of the method used.
Generally, it is not advisable to rely solely on condoms for contraception.
If there are motile sperm in the vagina during ovulation, there remains a risk of pregnancy, and early pregnancy may not present specific symptoms, making it difficult to determine based on subjective symptoms alone.
It is recommended that you take appropriate contraceptive measures, and if your period is a week late, you should check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2020/07/09

More Info

When considering the likelihood of pregnancy after recent sexual activity, it's essential to understand the timing of ovulation, the nature of the sexual activity, and the effectiveness of contraception used. Based on the information provided, let's break down the scenario.

Your last menstrual period (LMP) was from June 17 to June 22, and your estimated ovulation period was around July 8. Ovulation typically occurs about 14 days before the start of your next menstrual cycle. This means that the fertile window, when you are most likely to conceive, would generally be from a few days before ovulation to the day of ovulation itself. Sperm can live inside the female reproductive tract for up to five days, which means that having sex in the days leading up to ovulation can result in pregnancy.

On July 1, you had sexual intercourse with a condom, which you checked afterward and confirmed that it did not break. This is a significant factor because condoms are highly effective at preventing pregnancy when used correctly. The subsequent activity on July 7, where your boyfriend wiped off the semen and then inserted his fingers into your vagina, raises some concerns. While the risk of pregnancy from this action is lower than from direct ejaculation into the vagina, there is still a slight possibility of sperm being transferred, especially if there was any residual semen on his fingers.

The symptoms you are experiencing, such as increased white discharge and lower abdominal pain, could be attributed to several factors. These may include hormonal changes related to your menstrual cycle, potential ovulation pain (also known as mittelschmerz), or even anxiety about the possibility of pregnancy. It's important to note that these symptoms are not definitive indicators of pregnancy.

In summary, while the risk of pregnancy exists due to the activities described, the use of a condom during intercourse significantly reduces that risk. The likelihood of pregnancy from the subsequent activity is low, especially if there was no direct ejaculation. If you are concerned about the possibility of being pregnant, the best course of action would be to wait until after your expected period to take a home pregnancy test for the most accurate result. If you experience any unusual symptoms or have further concerns, consulting with a healthcare provider is advisable.

In the future, if you are looking to prevent pregnancy, consider discussing additional contraceptive methods with your partner, such as hormonal birth control, to provide more reliable protection. Understanding your menstrual cycle and ovulation can also help you make informed decisions about sexual activity and pregnancy prevention.

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