First Time with Boyfriend: Concerns About Pregnancy After Safe Sex - Obstetrics and Gynecology

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Having intimate relations with a boyfriend for the first time?


I had intercourse with my boyfriend for the first time using a condom.
Afterward, I checked the inside of the condom to ensure there were no holes, and it was intact.
My boyfriend also ejaculated outside.
However, I was still very anxious and took the emergency contraceptive pill within 12 hours.
My menstrual cycle is irregular, sometimes taking a month and a half to come.
Last month, my period started around June 10, and this month it was quite on time (July 13 was the first day of my period).
Based on a regular menstrual cycle, I estimated that I would be around the first day of my ovulation period, but I am still worried and unsure if I could be pregnant.

Sonic, 10~19 year old female. Ask Date: 2020/07/26

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you have your period, the chances of pregnancy should be low.
Wishing you good health.

Reply Date: 2020/07/26

More Info


When it comes to concerns about pregnancy after engaging in sexual activity, especially for the first time, it's completely normal to feel anxious. Let's break down your situation and address your concerns regarding the use of condoms, the timing of your menstrual cycle, and the effectiveness of emergency contraception.

Firstly, using condoms is one of the most effective methods of contraception when used correctly. They not only help prevent pregnancy but also protect against sexually transmitted infections (STIs). You mentioned that you checked the condom after intercourse and found no holes, which is a good practice. It's important to ensure that the condom is intact before and after use. Additionally, since your boyfriend only ejaculated outside of your body, this further reduces the risk of pregnancy. However, it's crucial to note that pre-ejaculatory fluid (pre-cum) can contain sperm, which means there is still a small risk of pregnancy even if ejaculation occurs outside.

You also mentioned taking emergency contraception (the morning-after pill) within 12 hours after intercourse. This is a responsible decision, especially considering your concerns and the timing of your menstrual cycle. Emergency contraception is most effective when taken as soon as possible after unprotected sex, and it can significantly reduce the risk of pregnancy. However, it is not 100% effective, and its effectiveness can be influenced by factors such as your body weight and where you are in your menstrual cycle.

Regarding your menstrual cycle, you noted that it can be irregular, sometimes taking up to a month and a half to return. This irregularity can make it challenging to predict ovulation accurately. However, since you mentioned that your last period started on July 13, and you had sexual intercourse around the time of your ovulation, it’s understandable to feel concerned. Generally, ovulation occurs about 14 days before your next expected period, but this can vary significantly with irregular cycles.

If your period is late, it would be wise to take a home pregnancy test for reassurance. These tests are quite accurate when taken after a missed period. If the test is positive, or if you continue to have concerns, it would be advisable to consult with a healthcare provider for further guidance.

In summary, while the risk of pregnancy in your situation seems low due to the use of condoms and the timely intake of emergency contraception, it's always best to monitor your body and take a pregnancy test if your period does not arrive as expected. Remember that open communication with your partner about contraception and sexual health is vital, and seeking advice from a healthcare professional can provide additional peace of mind. Always prioritize your health and well-being in these situations.

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