Can You Get Pregnant with Protected Sex? A Gynecological Inquiry

Can I get pregnant?

Hello Doctor: Menstrual cycle: 6/19-6/24, 7/14-7/20.
However, in July there was some spotting, so I went to the gynecologist and took medication to regulate my menstrual cycle.
My period started on 8/14 and ended on 8/19.
I had sexual intercourse on 8/24, but we used a condom throughout the entire time, and it was filled with water and did not break.
Is there a chance of pregnancy? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2020/08/28

Dr. Huang Zifei reply Obstetrics and Gynecology

Dear Anonymous,
When used correctly and consistently, condoms can have a contraceptive efficacy of up to 99%.
However, if your period is delayed by more than a week or if you experience unusual spotting, it is still advisable to take a pregnancy test or consult a gynecologist for an examination.

Dr.
Huang Tzu-Fei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2020/08/28

More Info

When it comes to the question of whether you can get pregnant during protected sex, the answer is generally no, especially if you have used a condom correctly throughout the entire sexual encounter. Condoms are one of the most effective forms of contraception when used properly, as they create a barrier that prevents sperm from entering the vagina and fertilizing an egg.
In your case, since you mentioned that you had a sexual encounter on August 24th and used a condom throughout the entire act, along with performing a water test to check for leaks, the likelihood of pregnancy is very low. The water test is a good method to ensure that the condom did not have any holes or tears, which could compromise its effectiveness.
However, it's important to note that no contraceptive method is 100% effective. Condoms have a typical use failure rate of about 18%, meaning that out of 100 couples using condoms as their only form of birth control for a year, about 18 will experience an unintended pregnancy. This rate can be reduced significantly with perfect use, which includes checking the expiration date, using a new condom for each act of intercourse, and ensuring that the condom is put on correctly before any genital contact.

Additionally, considering your menstrual cycle, if you have regular cycles, ovulation typically occurs around 14 days before your next period. If your cycle is consistent, you can estimate your fertile window. However, sperm can live inside the female reproductive tract for up to five days, so if you had unprotected sex during your fertile window, there could be a risk of pregnancy. Since you used a condom, this risk is mitigated.

If you are still concerned about the possibility of pregnancy, you might consider taking a home pregnancy test if your period is late. Most home pregnancy tests are accurate if taken after a missed period.
In terms of your menstrual cycle and the use of hormonal medications, it’s also worth noting that hormonal contraceptives can help regulate your cycle and reduce symptoms associated with menstruation. If you are considering long-term contraception, discussing options with a healthcare provider can help you find a method that suits your needs.

Lastly, if you or your partner have ongoing concerns about pregnancy or sexual health, it’s always a good idea to consult with a healthcare professional. They can provide personalized advice based on your medical history and current health status. Open communication with your partner about contraception and sexual health can also help alleviate anxiety and ensure that both of you feel comfortable and safe during intimate moments.

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