Can You Get Pregnant? Pregnancy Testing and Risks - Obstetrics and Gynecology

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Can I get pregnant? How many days after conception can I take a pregnancy test?


Hello Doctor: On August 25th, I used my hand to help my girlfriend with masturbation, and I was concerned that I might have come into contact with pre-ejaculate fluid, so I took emergency contraception that night.
On September 1st, I did the same thing, and from September 3rd to 6th, she experienced bleeding (possibly due to the emergency contraception).
On September 8th, I also inserted my fingers into her vagina.
In these three instances, my glans did not come into contact with her vagina, nor did I rub through her underwear; it was only with my hands.
I would like to ask the doctor: 1.
Is it accurate to take a pregnancy test 18 days after sexual activity? I plan to take a pregnancy test this Saturday (18 days after the intimate act on September 8th), and if the result is negative, can I be fairly certain that she is not pregnant? 2.
If my fingers came into contact with dried pre-ejaculate fluid or were wiped off with a wet tissue or clothing before being inserted into her vagina, is there a risk of pregnancy? Have you ever seen or heard of cases where this led to pregnancy? Thank you for answering my two questions!

CSC, 20~29 year old female. Ask Date: 2020/09/22

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Generally, you can take a pregnancy test 12 days after.
Wishing you good health.

Reply Date: 2020/09/22

More Info


When it comes to understanding the complexities of pregnancy, especially in the context of potential risks and testing accuracy, it's essential to consider various factors, including the nature of sexual activity, the timing of pregnancy tests, and the effectiveness of emergency contraception.

1. Pregnancy Testing After 18 Days: Generally, home pregnancy tests (HPTs) are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. Most tests can reliably detect pregnancy about one week after a missed period, which typically corresponds to about 14 days after ovulation. Since you mentioned that you plan to test 18 days after the last intimate encounter (on September 8), this timing is appropriate for a reliable result. If the test is negative, it is quite likely that you are not pregnant, especially considering that you took emergency contraception (the morning-after pill) shortly after the sexual activity. However, if you still have concerns or if your period does not arrive, it may be wise to consult a healthcare provider for further evaluation.

2. Risk of Pregnancy from Fingers: The scenario you described involves using fingers after they may have come into contact with pre-ejaculate fluid (also known as pre-cum). While pre-ejaculate can contain sperm, the likelihood of pregnancy occurring from this method is extremely low, especially if the fluid has dried or if the fingers were wiped clean before insertion. Sperm requires a specific environment to survive, and once exposed to air and dried, the chances of viable sperm leading to pregnancy diminish significantly. There have been very few documented cases of pregnancy occurring under such circumstances, and they are typically considered outliers rather than the norm.

In summary, based on the information provided, the chances of pregnancy from the activities described are minimal. The use of emergency contraception further reduces this risk. However, if there are any uncertainties or if your girlfriend experiences unusual symptoms or a missed period, it is advisable to seek medical advice. Regular communication with a healthcare provider can help address any concerns and provide reassurance regarding reproductive health.
Additionally, it's important to understand that while emergency contraception is effective, it is not 100% guaranteed, and it is always best to use reliable methods of contraception to prevent unintended pregnancies. If you or your partner have ongoing concerns about sexual health or contraception, consider discussing these with a healthcare professional who can provide tailored advice and support.

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