Can You Get Pregnant After Unprotected Sex During Ovulation? - Obstetrics and Gynecology

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Unprotected intercourse during ovulation?


Hello Doctor: I had intercourse with my partner twice, both times without using a condom.
After about an hour, I took emergency contraception.
About 40 minutes after taking it, we had intercourse again, and there was ejaculation inside.
When I got home, I checked a mobile app that indicated my ovulation day is the day after.
Doctor, is it possible that I could become pregnant under these circumstances?

Wu, 10~19 year old female. Ask Date: 2020/10/14

Dr. Cao Guotao reply Obstetrics and Gynecology


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

Reply Date: 2020/10/14

More Info


Unprotected sex during ovulation significantly increases the chances of pregnancy. Ovulation is the time in a woman's menstrual cycle when an egg is released from the ovary, making it the most fertile period. If you had unprotected intercourse just before or during ovulation, sperm can survive in the female reproductive tract for up to five days, waiting for the egg to be fertilized. Given that you had unprotected sex and then took emergency contraception (the "morning-after pill"), it's essential to understand how these factors interact.

Emergency contraception is most effective when taken as soon as possible after unprotected intercourse. If you took it within 72 hours, it can reduce the risk of pregnancy by preventing ovulation or fertilization. However, if ovulation has already occurred, the effectiveness of emergency contraception decreases. Since you mentioned that your app indicated ovulation was expected the day after your intercourse, there is a possibility that the egg was released during or shortly after your unprotected sex, which could lead to pregnancy despite taking emergency contraception.

It's also important to note that while emergency contraception is effective, it is not 100% guaranteed to prevent pregnancy. If you are concerned about the possibility of being pregnant, you should consider taking a home pregnancy test about one to two weeks after the date of your unprotected intercourse. This will provide a more accurate result, as it allows enough time for the hormone hCG (human chorionic gonadotropin) to build up in your body if you are pregnant.

In addition to the risk of pregnancy, it's also crucial to consider sexually transmitted infections (STIs) when engaging in unprotected sex. If either partner has an STI, there is a risk of transmission, which can have implications for both partners' health and any potential pregnancy. Regular STI screenings and open communication with your partner about sexual health are essential for maintaining overall reproductive health.

If you find yourself in a situation where you are worried about potential pregnancy or STIs, consulting with a healthcare provider can provide you with personalized advice and options. They can help you understand your risks, discuss contraceptive options, and guide you on the next steps based on your specific circumstances.

In summary, while unprotected sex during ovulation does increase the likelihood of pregnancy, taking emergency contraception can help reduce that risk if taken promptly. Monitor for any signs of pregnancy and consider taking a test if your period is late. Additionally, prioritize discussions about sexual health with your partner to ensure both of you are informed and protected against STIs.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you should not be pregnant. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the probability should be low, but it is still recommended to take contraceptive measures. Wishing you good health.

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