Am I Pregnant? Risks After Protected Sex - Obstetrics and Gynecology

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Can I get pregnant?


Hello doctor, I had sexual intercourse with my boyfriend on September 13th (we used a condom, and he did not ejaculate), and my period started on September 17th.
After my period ended on September 21st, we had intercourse again on September 26th (we used a condom, and he did ejaculate).
I'm very worried about the possibility of pregnancy.

CHEN, 20~29 year old female. Ask Date: 2020/10/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low.
Wishing you good health.

Reply Date: 2020/10/05

More Info


When it comes to the question of whether you might be pregnant after engaging in protected sex, it's important to understand the effectiveness of the contraceptive methods used and the timing of your menstrual cycle. Based on the information you provided, you had two instances of sexual intercourse with your boyfriend, both of which involved the use of condoms.
Firstly, condoms are a highly effective form of contraception when used correctly. They not only prevent pregnancy but also reduce the risk of sexually transmitted infections (STIs). The typical failure rate of condoms is about 2% when used perfectly, but with typical use, the failure rate can be around 18%. This means that while there is a small chance of pregnancy, the likelihood is significantly reduced when condoms are used properly.

In your case, you mentioned that during the first sexual encounter on September 13, your boyfriend did not ejaculate, and you had your period shortly after on September 17. The onset of your menstrual cycle indicates that you are not pregnant from that encounter. Menstrual bleeding typically signifies that the uterine lining has shed, which occurs when there is no fertilization of an egg.

The second encounter on September 26 involved ejaculation, but you also used a condom. If the condom was intact and did not break during intercourse, the risk of pregnancy remains low. It's important to note that even if a condom is used, there is still a very small chance of failure due to factors such as improper use, slippage, or breakage. However, if you checked the condom after use and found it intact, this further reduces the risk of pregnancy.

Considering your menstrual cycle, if you have regular cycles, ovulation typically occurs around 14 days before your next period. If your cycle is around 28 days, ovulation would likely occur around day 14, which would be around September 27 in your case. Since you had intercourse on September 26, it is possible that you were close to your ovulation window, but the use of a condom significantly mitigates the risk of pregnancy.

If you are still concerned about the possibility of pregnancy, you can take a home pregnancy test. These tests are most accurate when taken after a missed period, but they can detect pregnancy as early as a few days before your expected period. Given that your period started on September 17, you should be able to take a test now, and it should provide reliable results.

In summary, based on the information you've provided, the chances of you being pregnant are quite low due to the use of condoms during both sexual encounters and the timing of your menstrual cycle. If you have any further concerns or if your period is late, consider consulting with a healthcare provider for additional guidance and support.

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