Can You Get Pregnant? Risks and Concerns in Intimate Moments

Can I get pregnant?

Hello Doctor: On June 21, during a risky period, I had intimate contact with my girlfriend.
We did not use a condom, but only the glans touched the vaginal opening.
I took emergency contraception on the same day.
On June 29, she experienced bleeding for five days (similar to her menstrual flow).
On July 7 and July 28, after oral sex from my girlfriend, my hand touched the glans, which was moist, but I am certain there was no ejaculation.
However, I am concerned about the possibility of pre-ejaculate or bulbourethral fluid being mixed in.
Later, I used my fingers to help my girlfriend touch her genitals (I touched the vaginal opening, but I don't think I inserted anything into the vagina).
I would like to ask the doctor a few questions:
1.
Is there a possibility of pregnancy from the touching on July 21? If there was pre-ejaculate on my hands and it touched the vaginal opening or went in slightly, could that lead to pregnancy during the ovulation period?
2.
We took a pregnancy test on July 21, and it was negative.
Does this mean we can be certain that the intimate contact on June 21 and July 7 did not result in pregnancy?
3.
Since July 21 seems to be a risky period (ovulation day), and my girlfriend's period has not arrived by August 4 (the last period started on June 29 and lasted five days), it has been 35 days.
Could this be due to the emergency contraception taken on June 21 causing a disruption in her cycle?
4.
If we take a urine pregnancy test on August 14, will the results be accurate?
I appreciate your help, Doctor, as I am really anxious right now.
Thank you for answering these four questions!

Chris, 20~29 year old female. Ask Date: 2020/08/03

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is unlikely that you are pregnant.
Generally, a pregnancy test can be taken 12 days after sexual intercourse to determine if you are pregnant.
If the result is negative, the chances of pregnancy are low.
Wishing you good health.

Reply Date: 2020/08/03

More Info

When it comes to understanding the risks of pregnancy, especially in the context of intimate moments, it's essential to clarify a few key points based on your situation. Let's address your questions one by one.

1. Could the touching on July 21 lead to pregnancy?
The likelihood of pregnancy from external genital contact, such as touching the vaginal opening with fingers that may have had pre-ejaculate fluid (pre-cum) on them, is generally low but not impossible. Pre-ejaculate can contain sperm, and if it comes into contact with the vaginal opening, there is a theoretical risk of pregnancy. However, the risk is significantly lower than with penetrative intercourse. If there was no penetration and no ejaculation, the chances of pregnancy are minimal, but not zero.

2. Is a negative pregnancy test on July 21 conclusive?
A negative pregnancy test taken on July 21, which is about a month after the potential exposure on June 21, is a strong indicator that pregnancy did not occur from the events you described. Pregnancy tests are most accurate when taken after a missed period, so if your girlfriend's period was expected around August 4 and the test was negative, it is likely that she is not pregnant from the June or July encounters. However, if her period is significantly delayed, it may be worth retesting or consulting a healthcare provider.

3. Could the emergency contraception affect her menstrual cycle?
Yes, taking emergency contraception (the "morning-after pill") can lead to changes in the menstrual cycle. It can cause earlier or later onset of menstruation, as well as changes in flow. The bleeding you observed starting on June 29 could be a side effect of the emergency contraception, and the subsequent delay in her period could also be attributed to it. It's not uncommon for menstrual cycles to be irregular after taking emergency contraception.

4. Will a pregnancy test on August 14 be accurate?
Yes, a urine pregnancy test taken on August 14 should provide an accurate result, especially if it is at least a week after the expected period. If your girlfriend's period has not arrived by then, testing at that time would be advisable. If the test is positive, it would warrant a follow-up with a healthcare provider for further evaluation.

In summary, while the risk of pregnancy from the actions described is low, it is not entirely absent. The negative pregnancy test and the timing of events suggest that pregnancy is unlikely, but if there are any concerns or if her period does not arrive, it is best to consult a healthcare professional for further guidance. Additionally, if you and your girlfriend are sexually active, discussing reliable contraception methods to prevent unintended pregnancies in the future would be beneficial.

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