Contraceptive Failure: Risks and Next Steps After a Broken Condom - Obstetrics and Gynecology

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When it comes to contraceptive failure, such as a broken condom, it's essential to understand the risks involved and the appropriate next steps to take. In your case, since the condom broke during intercourse but your boyfriend had not ejaculated, the immediate risk of pregnancy is lower. However, it is important to note that pre-ejaculate fluid can contain sperm, which means there is still a possibility of pregnancy.

Given that you have not had your period since May 22 and had sexual intercourse on May 30, it is wise to consider the implications of your missed period. The fact that you took a pregnancy test on July 7 and it came back negative is a good sign, but it does not completely rule out the possibility of pregnancy, especially if the test was taken too early.
Your visit to the gynecologist was a proactive step, and the concern about polycystic ovary syndrome (PCOS) is relevant, especially if you have irregular menstrual cycles. The doctor’s recommendation to administer a medication to induce menstruation and to conduct blood tests is appropriate. This approach will help determine if there are underlying hormonal issues affecting your menstrual cycle.

Regarding the question of whether you should take emergency contraception (the "morning-after pill") after the condom broke, it is generally recommended to take it if there is a risk of pregnancy and if it has been within 72 to 120 hours since the incident. Since you are already past that time frame, taking emergency contraception would not be applicable at this point.
In terms of the likelihood of pregnancy, since you have had a negative pregnancy test and are awaiting your menstrual cycle, the chances of being pregnant are likely low, especially considering the timing of your sexual activity. However, if your period does not arrive after the induction medication, or if you experience any unusual symptoms, it would be prudent to follow up with your healthcare provider for further evaluation.

In summary, while the broken condom does present a risk of pregnancy, the fact that your boyfriend did not ejaculate and that you have had a negative pregnancy test reduces that risk. It is essential to monitor your menstrual cycle and follow up with your healthcare provider regarding your irregular periods and any concerns about PCOS. If you have further questions or concerns about your reproductive health, do not hesitate to reach out to your doctor for personalized advice.