What's the Chance of Pregnancy After Unprotected Sex? - Obstetrics and Gynecology

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Is the probability of getting pregnant high?


My menstrual period started on October 6th and usually lasts for five days, but this time it ended on October 9th.
On October 9th, I had unprotected intercourse, but there was no ejaculation.
Later, I noticed some semen around the vaginal area.
What is the likelihood of pregnancy in this situation? P.S.
I have been consistently taking oral contraceptive pills, and I took the last pill of the previous pack on October 2nd, so I started the first pill of the new pack on October 9th.

Niming, 10~19 year old female. Ask Date: 2020/10/09

Dr. Cao Guotao reply Obstetrics and Gynecology


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

Reply Date: 2020/10/09

More Info


The chance of pregnancy after unprotected sex can vary based on several factors, including the timing of the menstrual cycle, the presence of sperm, and the use of contraceptive methods. In your case, you mentioned that your last menstrual period started on October 6 and lasted for five days, ending on October 9. You had unprotected sex on October 9, which is significant because it is close to the time of ovulation for many women, particularly those with a regular cycle.

Typically, ovulation occurs about 14 days before the start of the next menstrual period. If your cycle is regular and you have a typical 28-day cycle, ovulation would likely occur around October 20. However, since you mentioned that you have been taking preemptive contraceptive pills, this can alter your ovulation timing and reduce the chances of pregnancy.

The fact that you had unprotected sex on October 9, and there was some exposure to semen, does raise the question of potential pregnancy. However, since you have been consistently taking your contraceptive pills, the likelihood of pregnancy is significantly reduced. Birth control pills work primarily by preventing ovulation, thickening cervical mucus to block sperm, and thinning the uterine lining to prevent implantation. If you took your last pill on October 2 and started a new pack on October 9, you were still within the protective window of the contraceptive method.

It is also important to note that sperm can live inside the female reproductive tract for up to five days. Therefore, if you were close to ovulating, there is a small chance that sperm could fertilize an egg. However, given your consistent use of contraceptive pills, the risk of pregnancy remains low.

If you are concerned about the possibility of pregnancy, you may want to consider taking a home pregnancy test after a missed period. Most home pregnancy tests are reliable when taken at least one week after a missed period. Additionally, if you experience any unusual symptoms or have concerns about your contraceptive method, it is advisable to consult with a healthcare provider for personalized advice and potential alternative contraceptive options.

In summary, while there is a theoretical risk of pregnancy due to unprotected sex, your consistent use of birth control pills significantly lowers that risk. If you have any further concerns or experience any symptoms, seeking medical advice is always a prudent step.

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