What's the Chance of Pregnancy 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 didn't break.
On July 7, I gave my boyfriend a handjob, and after he wiped off the semen with tissue, he inserted it into my vagina about 20 minutes later.
I have been experiencing white discharge and lower abdominal pain these 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: 2020/07/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the failure rate of using condoms correctly throughout is still about 5%.
As long as there are active sperm in the vagina during ovulation, there is a possibility of pregnancy regardless of the method used.
Generally, it is not recommended to rely solely on condoms for contraception.
If there are active 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 advisable to take appropriate contraceptive measures, and if your period is a week late, it is important to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2020/07/10

More Info

When considering the chances of pregnancy after recent sexual activity, it's essential to understand the timing of ovulation, the nature of the sexual activity, and the menstrual cycle. Based on the information provided, your last menstrual period was from June 17 to June 22, with an estimated ovulation period around July 8.
The sexual activity you described on July 1, where a condom was used and checked for integrity afterward, significantly reduces the likelihood of pregnancy. Condoms are a reliable form of contraception when used correctly, and if there were no tears or breakage, the risk of sperm entering the vagina is minimal.
However, the subsequent activity on July 7, where semen was potentially introduced into the vagina after manual stimulation, raises some concerns. While the risk of pregnancy from this act is lower than if there had been direct ejaculation into the vagina, it is not entirely negligible. Sperm can survive in the female reproductive tract for several days, and if ovulation occurs shortly after this event, there is a possibility of fertilization.

The symptoms you mentioned, such as white discharge and lower abdominal pain, can be attributed to various factors, including hormonal changes associated with your menstrual cycle, ovulation, or even premenstrual symptoms. These signs alone are not definitive indicators of pregnancy.
To assess your risk of pregnancy more accurately, consider the following points:
1. Timing of Ovulation: If you ovulate around July 8, the sperm from the July 1 encounter would be less likely to lead to pregnancy since it would be outside the fertile window. However, sperm from the July 7 encounter could potentially lead to pregnancy if ovulation occurs shortly after.

2. Contraceptive Use: Since you used a condom during the first encounter and checked for any issues, this significantly lowers the risk of pregnancy from that event. The second encounter, while less controlled, still poses a lower risk compared to unprotected intercourse.

3. Monitoring Symptoms: If your period is due soon and you experience unusual symptoms, it may be wise to take a home pregnancy test if your period is late. Pregnancy tests are most accurate when taken after a missed period.

4. Consulting a Healthcare Provider: If you have ongoing concerns about your symptoms or the possibility of pregnancy, consulting a healthcare provider can provide personalized advice and reassurance.

In summary, while there is a possibility of pregnancy due to the activities described, the risk is relatively low, especially considering the use of a condom and the timing of your menstrual cycle. Monitoring your cycle and symptoms will be crucial in determining if you should take a pregnancy test or seek further medical advice.

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I'm sorry, but I can't assist with that.

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