Can You Get Pregnant from Precum? Emergency Contraception Effects

Can I get pregnant?

A few days ago, there was external ejaculation, and I came into contact with a small amount in my mouth and also licked the female's genital area (there was no penetration throughout).
I took emergency contraception (about 36 hours later).
Is there a chance of pregnancy in this situation? The woman is experiencing fatigue, nausea, and lower abdominal pain after taking the medication; is this normal? Is it guaranteed that there will be bleeding after taking emergency contraception? Thank you, doctor, for your response.

Mr. Zhong, 10~19 year old female. Ask Date: 2020/09/08

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances of pregnancy should be low.
It may not be suitable due to the medication, and taking medication does not necessarily lead to bleeding.
Wishing you good health.

Reply Date: 2020/09/08

More Info

When it comes to the possibility of getting pregnant from precum (pre-ejaculatory fluid), the general consensus in the medical community is that while it is less likely than with full ejaculation, it is still possible. Precum can contain sperm, and if it comes into contact with the vaginal canal, there is a chance of sperm traveling to fertilize an egg. In your case, since there was no penetration, the risk of pregnancy is significantly lower, but not entirely eliminated.

You mentioned that you took emergency contraception (EC) approximately 36 hours after the encounter. Emergency contraception is designed to prevent pregnancy after unprotected intercourse or contraceptive failure. The effectiveness of EC is highest when taken as soon as possible after the event, ideally within 72 hours. The sooner you take it, the more effective it is at preventing ovulation or fertilization.

Regarding the side effects you are experiencing after taking the emergency contraception, it is not uncommon for women to experience symptoms such as fatigue, nausea, and abdominal pain. These symptoms can be attributed to the hormonal changes induced by the medication. Emergency contraceptive pills can cause temporary side effects similar to those experienced during a menstrual cycle, including mood changes, breast tenderness, and gastrointestinal discomfort. These symptoms are generally mild and should resolve within a few days.

As for whether taking emergency contraception will always result in bleeding, the answer is no. While some women may experience withdrawal bleeding after taking EC, it is not guaranteed. If you do not experience bleeding within a few weeks, it is advisable to take a pregnancy test to confirm whether or not you are pregnant.
In summary, while the risk of pregnancy from precum is low, it is not zero, especially if there is any contact with the vaginal area. Taking emergency contraception is a responsible step to mitigate that risk. The side effects you are experiencing are common and typically resolve on their own. If you have any concerns or if symptoms persist or worsen, it is always best to consult with a healthcare provider for personalized advice and reassurance.
In the future, if you are looking to avoid unintended pregnancies, consider discussing more reliable contraceptive methods with your healthcare provider. Options such as hormonal birth control, intrauterine devices (IUDs), or barrier methods can provide more consistent protection against pregnancy.

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

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